CN210583306U

CN210583306U - Patient's atomizing connector is cut to trachea

Info

Publication number: CN210583306U
Application number: CN201920724808.2U
Authority: CN
Inventors: 吴翠良; 袁媛; 夏艳; 袁林
Original assignee: Affiliated Hospital of Yangzhou University
Current assignee: Affiliated Hospital of Yangzhou University
Priority date: 2019-05-12
Filing date: 2019-05-12
Publication date: 2020-05-22
Anticipated expiration: 2029-05-12

Abstract

Trachea opens patient's atomizing connector and is the special utensil that the particularity designed to the trachea opens patient's use, the trachea opens the trachea and cuts the sleeve pipe through atomizing connector connection atomizer and patient's use, it cuts sealed with trachea incision bushing junction to keep trachea to open patient's atomizing connector, prevent the atomizing granule, the sputum infiltration, gas exchange space separates completely when with patient's trachea incision and breathing, cut off wound pollution sources, it forms to select the equipment as required by the spare part, do not change the normal work of atomizer, performance, use. Trachea opens patient's atomizing connector and comprises return bend, bellows, preceding connecting pipe, freely movable joint, buffer tube, back connecting pipe, trachea connecting pipe, fixed band perforation, backup pad. According to the tracheal tube size difference of cutting, patient's atomizing connector is cut to trachea and tracheotomy tube coupling divide into internal connection and external connection, can adapt to the clinical tracheal tube needs of cutting to different specifications.

Description

Patient's atomizing connector is cut to trachea

Technical Field

The utility model relates to a medical apparatus, in particular to an atomization connector for a tracheotomy patient.

Background

Throat tumor is a common malignant tumor in ear, nose, throat and head and neck surgery, and the operation is still the main treatment method. Before operation, preventive tracheotomy and establishment of artificial airway are needed, so that the normal functions of heating, humidifying, cleaning, filtering and the like of the upper respiratory tract of a patient are affected, the cough function is resolved, the defense capability is reduced, and lung infection occurs. In order to keep the postoperative airway smooth, avoid the retention of lower respiratory tract secretion and continue airway humidification, an artificial airway humidification mode is selected clinically at present. The manual airway humidification method is usually the first-choice atomization inhalation method, the atomizer generally comprises an ultrasonic atomizer and a gas driver, and the atomizer is mainly driven by oxygen in clinical practice, and is particularly more feasible for patients with tracheotomy. The patient after throat tumor surgery adopts the tracheotomy mask to be combined with the tracheotomy tube arranged on the patient when the nebulizer is used, but because the incision part of the patient is positioned at the neck after throat tumor surgery, the use of the tracheotomy mask can directly cause the moisture of the dressing of the neck incision and even cause the infection of the incision. At present, otolaryngology branch of hospital to the patient of throat tumour postoperative for avoiding dressing moisture, lead to the infection of incision, and dare not select for use the atomizing inhalation to, probably take place the sputum and glue and transfer, thereby lead to adverse events such as air flue blockage.

Disclosure of Invention

When a patient after throat tumor surgery uses the atomizer, the joint of the adopted tracheotomy sleeve and the atomizer is kept relatively sealed, and the incision dressing is kept dry, so that the incision dressing is prevented from being wetted by atomized particles; meanwhile, the sputum at the cut part of the trachea is prevented from being sprayed out to pollute the dressing, and the source of infection of the incision is eliminated.

The tracheotomy mask used clinically at present is a mask used for the tracheotomy patient to atomize, and is a name taken for a mask used by a common patient. The cover body of the tracheotomy mask is covered above the tracheotomy tube of the patient, a respiratory gas exchange space is formed at the tracheotomy tube of the cover body, and the patient inhales atomized oxygen-containing atomized gas through the cover body and exhausts exhaled waste gas through the cover body; one end of the cover body is connected with a pipe and forms an atomized gas circulation pipeline with the atomizer. Because the mask opening area of the tracheotomy mask is much larger than that of the tracheotomy tube, not only the tracheotomy tube is contained in the mask body, but also part of dressing at the tracheotomy part is completely contained in the mask body, and when atomization is carried out, the atomization gas can certainly wet the incision dressing, and sputum sprayed from the tracheotomy part can also pollute the dressing, thereby causing wound infection. In order to prevent the phenomenon that atomized particles wet an incision dressing and sputum sprayed from a tracheotomy part pollutes the dressing when a patient after throat tumor surgery uses the atomizer, the contact part of the currently adopted tracheotomy mask serving as the atomizer and a tracheotomy sleeve of the patient is changed. Trachea opens patient's atomizing connector and is the special utensil that the particularity designed to the patient's use is cut to the trachea, and the trachea opens the trachea that the patient passes through atomizing connector and connects atomizer and patient and use and opens the sleeve pipe, keeps the trachea to open patient's atomizing connector and tracheotomy tube junction sealed, prevents atomizing granule, sputum infiltration, does not change the normal work, the performance, the use of atomizer. Because the pipe diameters of the tracheotomy sleeves are different in size and the pipe heads are different in shape, the guide pipe with the larger pipe diameter can be directly placed into the pipe cavity of the tracheotomy sleeve, and the guide pipe and the tracheotomy sleeve form a certain degree of sealing (in-pipe sealing) and do not influence the normal use of the tracheotomy sleeve; and to the tracheotomy sleeve pipe diameter less, if the pipe is placed tracheotomy sheathed tube intraductal, then will cause certain influence to the tracheotomy sleeve pipe, the junction sets up in tracheotomy sheathed tube mouth of pipe periphery (tube head), forms outside of tubes sealedly. Therefore, the atomization connector for the tracheotomy patient is divided into an inner connection and an outer connection.

Trachea opens patient's atomizing connector and comprises return bend, bellows, preceding connecting pipe, freely movable joint, buffer tube, back connecting pipe, trachea connecting pipe, fixed band perforation, backup pad. The trachea connecting pipe is divided into an outer connecting pipe and an inner connecting pipe, and the outer connecting pipe consists of a connecting pipe sleeve, an external catheter and a tightening sleeve; the inner connecting pipe consists of a connecting pipe sleeve, an inner catheter and a sheath. One end of the bent pipe is connected with the corrugated pipe, and the other end of the bent pipe is connected with the atomizer; one end of the corrugated pipe can be connected with a bent pipe or directly connected with an atomizer. The other end of the corrugated pipe is connected with a front connecting pipe; the rear end of the front connecting pipe is connected with a movable joint which is arranged at the front end of the buffer, the rear end of the buffer is provided with a rear connecting pipe, and the front end of the buffer is provided with an exhaust hole; the rear end of the buffer is provided with two fixing belt perforations, and the fixing belt is arranged in the fixing belt perforations. The supporting plate is arranged at the rear end of the buffer and on the rear connecting pipe; the tightening sleeve and the protective sleeve have certain flexibility and are sleeved on the tube head of the tracheotomy tube. The connecting pipe sleeve is sleeved on the rear connecting pipe; the sheath is threaded tightly into the inner catheter. The bottom of the buffer is provided with a sewage draining hole.

Drawings

The present invention will be described in further detail with reference to the accompanying drawings.

Fig. 1 is a schematic view of the external connection structure of the present invention.

Fig. 2 is a schematic view of the inner connection structure of the present invention.

In the figure: 1. bending the pipe; 2. a bellows; 3. a front connecting pipe; 4. a movable joint; 5. a buffer tube; 6. punching a fixing belt; 7. A support plate; 8. a connecting pipe sleeve; 9. an exhaust hole; 10. a rear connecting pipe; 11. fixing belts; 12. a catheter for external use; 13. tightening the sleeve; 14. an internal catheter; 15. a sheath.

Detailed Description

The tracheotomy patient atomization connector is used for connecting the atomizer with a passage of the tracheotomy tube, and meanwhile, an exchange space required by respiration of a patient is provided. Depending on the particular situation of the tracheotomy patient, the tracheotomy must be completely isolated from the gas exchange space during breathing, cutting off the source of wound contamination. In order to isolate the contact with the incision during gas exchange, the existing tracheotomy mask is changed and a method of directly sealing and connecting the tracheotomy mask with the tracheotomy tube is adopted. Because the clinically used tracheotomy sleeves are various in variety and different in pipe diameter, in order not to influence the normal use of the tracheotomy sleeves, two connection methods of an outer sleeve and an inner sleeve are adopted according to the pipe diameter of the tracheotomy sleeves. The tracheotomy patient atomization connector is formed by selectively assembling parts according to needs.

When the inner diameter ratio of the tracheotomy tube is larger, the inner space of the tube is larger, so that a guide tube is allowed to be placed in the tube of the tracheotomy tube, the guide tube matched with the tube diameter of the tracheotomy tube can be selected to be placed in the tube of the tracheotomy tube, direct sealing between the tracheotomy tube and the placed internal guide tube is formed, and a sheath can be added to prevent the possibility of leakage between the tracheotomy tube and the guide tube. When the inner diameter of the tracheotomy tube is smaller, the tube can not be placed in the tracheotomy tube, and the tube is connected and sealed with the tube head of the tracheotomy tube in a jacket mode.

In order to provide a respiratory gas exchange space for a patient, a buffer tube is adopted, a front connecting tube is arranged at the front end of the buffer tube, and the front connecting tube is connected with a corrugated tube (the corrugated tube is sleeved on the front connecting tube); the rear end of the buffer tube is provided with a rear connecting tube which is connected with a trachea connecting tube (the trachea connecting tube is sleeved on the rear connecting tube) to form a channel for the flow of the atomized gas. The buffer as the exchange space for the breathing gas of the patient should form a relatively stable position with the patient, and in order to fix the buffer, a fixing band and a supporting plate are mounted on the buffer for fixing the buffer tube on the neck of the patient.

Trachea opens patient's atomizing connector and comprises return bend, bellows, preceding connecting pipe, freely movable joint, buffer tube, back connecting pipe, trachea connecting pipe, fixed band perforation, fixed band, backup pad.

The output port of the atomizer is generally upright, and the patient with tracheotomy is generally lying down when atomizing, so the direction can be changed by using a bent pipe. The bent pipe of the atomization connector of the tracheotomy patient serves as an optional part of a connecting part of the atomizer, one end of the bent pipe is connected and sleeved on an output port of the atomizer, and the other end of the bent pipe is sleeved on the corrugated pipe and used for changing the direction. The bellows is as the extension connecting pipe, chooses the bellows that length suits for use according to actual conditions, and under some circumstances, the bellows can be directly be connected with the atomizer, no longer need come the transition with the return bend to be connected.

The buffer tube has two functions, 1, a space for breathing gas exchange; 2. the middle connection of the gas circulation. As a space for exchanging respiratory gas, the buffer tube receives the sent atomized gas and discharges waste gas and sputum exhaled by a patient. The buffer tube should have a certain space, and the shape of a cylindrical or rectangular tube can be selected; the front end of the buffer tube is provided with a front connecting tube which is connected with the corrugated tube (the corrugated tube is sleeved on the front connecting tube). To further adjust the position of the nebulizer with the patient, a movable joint is optionally provided between the buffer tube and the front connection tube or between the front connection tube and the bellows. The movable joint is divided into two parts which can rotate, one end of the two ends of the movable joint is a straight pipe, the other end of the movable joint is a bent pipe, the buffer pipe and one end of the straight pipe of the movable joint are processed into a whole, one end of the bent pipe of the movable joint is connected with the front connecting pipe, and the adjusting range is expanded by adjusting the relative position of the arc. When the movable joint is not selected or arranged between the buffer tube and the front connecting tube, the buffer tube and the front connecting tube are processed into a whole. The rear end of the buffer is provided with a rear connecting pipe, the buffer and the rear connecting pipe are processed into a whole, and the rear connecting pipe is connected with a trachea connecting pipe (the connecting pipe sleeve of the trachea connecting pipe is sleeved on the rear connecting pipe). The front end of the buffer tube is provided with an exhaust hole, and exhaust gas exhaled by a patient is exhausted from the exhaust hole. According to material proportion, can set up a blowoff hole again in the bottom of buffer, at ordinary times with the lid closed, when having patient's exhaust sputum to persist in the buffer, open the lid, clear away the sputum through the blowoff hole.

In order to ensure that the buffer has a certain fixing function, two fixing band through holes are arranged at the rear end of the buffer tube, and fixing bands are arranged in the fixing band through holes and are used for surrounding the neck of a patient; in order to reduce the pressure of the buffer on the neck of a patient and increase the stability, a supporting plate is additionally arranged on the buffer, the supporting plate is a rectangular plate with certain deformation, a hole is arranged in the plate and is arranged at the joint of the back connecting pipe and the buffer, an outer connecting pipe or an inner connecting pipe is sleeved in the back connecting pipe, the supporting plate is fixed, the shape of the supporting plate is adjusted, two ends of the supporting plate are in contact with the neck of the patient, and three positions of the buffer are in contact with the patient.

The trachea connecting pipe is divided into an outer connecting pipe and an inner connecting pipe; the outer connecting pipe is a pipe which is not placed in the tracheotomy casing pipe and consists of a connecting pipe sleeve, an outer connecting pipe and a contraction sleeve, two ends of the outer connecting pipe are respectively connected with the connecting pipe sleeve and the contraction pipe, the connecting pipe sleeve is sleeved on the rear connecting pipe, and the contraction pipe is sleeved on the pipe head of the tracheotomy casing pipe. The inner connecting pipe consists of a connecting pipe sleeve, an inner catheter and a protective sleeve, wherein one end of the inner catheter is connected with the connecting pipe sleeve, and the protective sleeve is tightly penetrated in the inner catheter and can move but can prevent air and water from seeping. When the tightening sleeve and the sheath are sleeved on the tube head of the tracheotomy tube, the tightening sleeve, the sheath and the tracheotomy tube form certain sealing due to the elasticity of the tightening sleeve and the sheath, and the atomization gas and the like are prevented from leaking out. According to different sizes of the tube heads and the tube diameters of the tracheotomy tubes used clinically, the external catheter, the tightening sleeve, the internal catheter and the sheath are all matched in size to meet the clinical requirements.

In order to facilitate the production of the buffer and unify the specification, the connecting pipe sleeve is matched with the rear connecting pipe on the buffer and adopts the unified specification; the diameter of the catheter to be connected with the rear connecting pipe is inevitably different according to different specifications of the tracheotomy cannula, and catheters with different diameters are adopted. The end of the catheter is provided with a contraction sleeve or a sheath is arranged in the catheter, the contraction sleeve and the sheath have certain contraction force, and when the contraction sleeve and the sheath are sleeved on the tube head of the tracheotomy tube, the contraction sleeve and the sheath tightly surround the tube head of the tracheotomy tube to form certain sealing. The pressure in the trachea of a patient is not high when the patient breathes by using the tracheotomy tube, and the tightness between the tracheotomy tube and the tightening sleeve and the protective sleeve is not necessarily high, so the tightening sleeve and the protective sleeve can be directly connected with the tube head of the tracheotomy tube. The tightening sleeve is made of a circle made of elastic materials with a contraction function, or is made of an air bag, the air bag is in an inner expanding type, the outer ring is made of hard materials, the air bag expands towards the inner ring when the tightening sleeve is inflated, and the outer ring is basically unchanged. The sheath has the same function and structure as the tightening sheath, and the sheath is tightly threaded in the middle of the inner catheter. The sheath is installed in the inner catheter, and when one section of inner catheter inserted the tracheotomy sleeve pipe, the sheath cover was in tracheotomy sheathed tube head department, increased tracheotomy sheathed tube head department sealing performance, prevented that there is gas, sputum from this department seepage out, pollutes the wound. If the sealing degree between the inner catheter and the tracheotomy sleeve can be ensured, the sheath can be omitted. The catheter from the rear connecting tube to the tightening sleeve is not too long, and can be directly connected with the tightening sleeve if necessary as long as 1-2 CM is required. The size of the tightening sleeve and the sheath sleeve is consistent with the size of the tube head of the tracheotomy tube, and the tightening sleeve and the sheath sleeve are tightly sleeved on the tube head of the tracheotomy tube.

If the patient's atomizing connector is cut to trachea and trachea opens the double-pipe design production together with the trachea, no matter what the sheathed tube pipe diameter size is cut to trachea, can make the sheathed tube head of trachea incision into unified specification, the patient's atomizing connector of trachea incision also only needs the connector (reduce the cover) of a specification with the sheathed tube connection of trachea incision just can, the patient's atomizing connector of trachea incision only needs a specification can be fit for clinical needs like this, when the sheathed tube head of trachea incision and the connector design of atomizer match spare, it is more convenient to operate, it is sealed more reliable.

Claims

1. The utility model provides a patient's atomizing connector is cut to trachea, characterized by: the device consists of a bent pipe, a corrugated pipe, a front connecting pipe, a movable joint, a buffer pipe, a rear connecting pipe, a trachea connecting pipe, a fixing band perforation and a supporting plate; the trachea connecting pipe of the atomization connector for the tracheotomy patient is divided into an outer connecting pipe and an inner connecting pipe, the outer connecting pipe consists of a connecting pipe sleeve, an outer catheter and a tightening sleeve, and the inner connecting pipe consists of a connecting pipe sleeve, an inner catheter and a sheath; one end of the bent pipe is connected with the corrugated pipe, and the other end of the bent pipe is connected with the atomizer; the other end of the corrugated pipe is connected with a front connecting pipe; the rear end of the front connecting pipe can be connected with a movable joint which is arranged at the front end of the buffer, the rear end of the buffer is provided with a rear connecting pipe, and the front end of the buffer is provided with an exhaust hole; two fixing belt through holes are formed in the rear end of the buffer, and fixing belts are installed in the fixing belt through holes; the supporting plate is arranged at the rear end of the buffer and on the rear connecting pipe; the tightening sleeve and the protective sleeve have certain flexibility and are sleeved on the tube head of the tracheotomy tube; the connecting pipe sleeve is sleeved on the rear connecting pipe, the sheath is tightly penetrated in the internal catheter, and a sewage discharge hole is arranged below the buffer.