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CN207203198U - A kind of mask for the breathing of non-intubatton type intravenous anesthesia patient-monitoring - Google Patents

A kind of mask for the breathing of non-intubatton type intravenous anesthesia patient-monitoring Download PDF

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Publication number
CN207203198U
CN207203198U CN201720168769.3U CN201720168769U CN207203198U CN 207203198 U CN207203198 U CN 207203198U CN 201720168769 U CN201720168769 U CN 201720168769U CN 207203198 U CN207203198 U CN 207203198U
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monitoring
breathing
adapter
patient
oxygen
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张子银
刘耿华
马武华
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First Affiliated Hospital of Guangzhou University of Chinese Medicine
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First Affiliated Hospital of Guangzhou University of Chinese Medicine
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Abstract

本实用新型公开了一种用于非插管型静脉全麻患者监测呼吸的面罩,用于医疗器械技术领域,包括罩体、氧气导管、CO2监测导管和鼻导管,罩体上设有可在外侧连接氧气导管的第一转接头和可在外侧连接CO2监测导管的第二转接头,鼻导管位于罩体内部,鼻导管包括直管和设在所述直管上的两个可伸入鼻孔中的侧管,所述直管的两端均通过柔性的连接管接入第二转接头。本实用新型结合给氧以及监测呼吸末二氧化碳,既可以给予患者氧气防止出现缺氧,又可以及时监测患者的呼吸情况,如果呼吸频率减慢或者没有呼吸,可在监护仪上显示CO2波形越来越少或者消失,此时可通过手控加压给氧的方式使患者及时得到氧气,以避免发生患者缺氧发现不及时,出现低氧血症的情况。

The utility model discloses a mask for monitoring the respiration of patients with non-intubated intravenous general anesthesia, which is used in the technical field of medical equipment and includes a mask body, an oxygen catheter, a CO2 monitoring catheter and a nasal catheter. The first adapter connected to the oxygen catheter on the outside and the second adapter connected to the CO2 monitoring catheter on the outside, the nasal catheter is located inside the mask, and the nasal catheter includes a straight tube and two tubes on the straight tube that can be inserted into the nostrils. In the side pipe, both ends of the straight pipe are connected to the second adapter through a flexible connecting pipe. The utility model combines oxygen supply and monitoring of end-breathing carbon dioxide, which can not only give the patient oxygen to prevent hypoxia, but also monitor the patient's breathing situation in time. If the breathing rate slows down or there is no breathing, the CO2 waveform can be displayed on the monitor. At this time, the patient can get oxygen in time by manual pressurized oxygen supply, so as to avoid the occurrence of hypoxemia if the hypoxia is not detected in time.

Description

一种用于非插管型静脉全麻患者监测呼吸的面罩A mask for monitoring breathing of patients under non-intubated intravenous general anesthesia

技术领域technical field

本实用新型用于医疗器械技术领域,特别是涉及一种用于非插管型静脉全麻患者监测呼吸的面罩。The utility model is used in the technical field of medical devices, in particular to a mask for monitoring breathing of non-intubated intravenous general anesthesia patients.

背景技术Background technique

近年来,随着国家逐渐放开二孩政策,大部分家庭选择生第二胎,但是经常会遇到不孕的情况,因此,宫腔镜手术是一个经常选择的手术方式。它成为妇科出血性疾病和宫内病变的首选检查方法,然而此种手术方式会对麻醉提出较高的要求。In recent years, as the country gradually liberalizes the two-child policy, most families choose to have a second child, but they often encounter infertility. Therefore, hysteroscopic surgery is a frequently chosen surgical method. It has become the preferred examination method for gynecological hemorrhagic diseases and intrauterine lesions. However, this surgical method puts forward higher requirements for anesthesia.

对于此种患者的麻醉方式,我们选择非插管型静脉全麻,一般选择芬太尼家族药物复合丙泊酚,给予这两个药物后患者一般会出现或轻或重的呼吸抑制,患者通过面罩吸氧,至于给药后患者是否有呼吸,我们一般通过观察胸廓起伏,或者观察脉搏氧饱和度,但是有时患者盖得被子较厚,无法很细微的观察到胸廓起伏情况,以及当我们观察脉搏氧饱和度时,如果患者脉搏氧饱和度已经下降到90%以下时,这时通过面罩加压给氧化的话,虽然对患者没有很大影响,但是缺氧也对患者部分组织的氧供产生了一定的副作用。另外,如果我们观察不及时会造成很严重的医疗事故。鉴于此,我们发明一种十分方便且易于监测患者呼吸的带导管面罩。For the anesthesia method for such patients, we choose non-intubated intravenous general anesthesia, and generally choose fentanyl family drugs combined with propofol. After the administration of these two drugs, patients generally experience mild or severe respiratory depression. Oxygen inhalation by face mask. As for whether the patient is breathing after administration, we usually observe the chest rise or pulse oxygen saturation. When the pulse oxygen saturation is reached, if the patient's pulse oxygen saturation has dropped below 90%, if the mask is pressurized to oxidize at this time, although it does not have a great impact on the patient, the hypoxia will also affect the oxygen supply of some tissues of the patient. certain side effects. In addition, if we fail to observe in time, it will cause serious medical accidents. In view of this, we invented a very convenient and easy to monitor the patient's breathing with a mask mask.

实用新型内容Utility model content

为解决上述问题,本实用新型提供一种用于非插管型静脉全麻患者监测呼吸的面罩,其使用方便且易于监测患者呼吸,避免医疗事故的发生。In order to solve the above problems, the utility model provides a mask for non-intubated intravenous general anesthesia patients to monitor the breathing, which is convenient to use and easy to monitor the patient's breathing, so as to avoid the occurrence of medical accidents.

本实用新型解决其技术问题所采用的技术方案是:一种用于非插管型静脉全麻患者监测呼吸的面罩,包括罩体、氧气导管、CO2监测导管和鼻导管,所述罩体上设有可在外侧连接氧气导管的第一转接头和可在外侧连接CO2监测导管的第二转接头,所述鼻导管位于罩体内部,鼻导管包括直管和设在所述直管上的两个可伸入鼻孔中的侧管,所述直管的两端均通过柔性的连接管接入第二转接头。The technical solution adopted by the utility model to solve the technical problems is: a mask for non-intubated intravenous general anesthesia patients to monitor breathing, including a mask body, an oxygen catheter, a CO2 monitoring catheter and a nasal catheter, the mask body There is a first adapter that can be connected to an oxygen catheter on the outside and a second adapter that can be connected to a CO2 monitoring catheter on the outside. The nasal catheter is located inside the mask. The nasal catheter includes a straight tube and a The two side tubes on the tube can extend into the nostrils, and both ends of the straight tubes are connected to the second adapter through flexible connecting tubes.

进一步作为本实用新型技术方案的改进,所述鼻导管采用挠性材料制作,两所述侧管具有向内侧收拢从而可夹紧鼻中隔的夹角。As a further improvement of the technical solution of the utility model, the nasal cannula is made of flexible material, and the two side tubes have an included angle that is folded inward so as to clamp the nasal septum.

进一步作为本实用新型技术方案的改进,所述第一转接头于罩体的外侧形成第一螺纹接口,所述氧气导管的一端通过第一螺帽与第一螺纹接口对接,另一端与供氧设备相连。As a further improvement of the technical solution of the utility model, the first adapter forms a first threaded interface on the outside of the cover, one end of the oxygen conduit is connected to the first threaded interface through the first nut, and the other end is connected to the oxygen supply The device is connected.

进一步作为本实用新型技术方案的改进,所述第二转接头于罩体的外侧形成第二螺纹接口,所述CO2监测导管的一端通过第二螺帽与第二螺纹接口对接,另一端与具有CO2监测功能的监护仪相连。As a further improvement of the technical solution of the utility model, the second adapter forms a second threaded interface on the outside of the cover, one end of the CO2 monitoring conduit is connected to the second threaded interface through a second nut, and the other end is connected to the second threaded interface. A monitor with CO2 monitoring function is connected.

进一步作为本实用新型技术方案的改进,所述罩体上设有第三转接头,罩体内侧设有与所述第三转接头紧密连接的进食管。As a further improvement of the technical solution of the present invention, a third adapter is provided on the cover body, and a feeding tube tightly connected to the third adapter is provided inside the cover body.

进一步作为本实用新型技术方案的改进,所述罩体的边缘设有卷边或气囊。As a further improvement of the technical solution of the utility model, the edge of the cover body is provided with curling or an air bag.

本实用新型的有益效果:本实用新型结合给氧以及监测呼吸末二氧化碳,既可以给予患者氧气防止出现缺氧,又可以及时监测患者的呼吸情况,如果呼吸频率减慢或者没有呼吸,可在监护仪上显示CO2波形越来越少或者消失,此时可通过手控加压给氧的方式使患者及时得到氧气,以避免发生患者缺氧发现不及时,出现低氧血症的情况。Beneficial effects of the utility model: the utility model combines oxygen supply and monitoring of end-breathing carbon dioxide, which can not only give the patient oxygen to prevent hypoxia, but also monitor the patient's breathing condition in time. The CO 2 waveform displayed on the instrument is less and less or disappears. At this time, the patient can get oxygen in time by manual pressurized oxygen supply, so as to avoid the occurrence of hypoxemia caused by the lack of oxygen discovery in time.

本实用新型的优势主要是既可以给予患者充分的氧供,又可以实时监测患者的呼吸,只要手术室的监护仪具有CO2监测功能均可使用本实用新型,本耗材使用方便,可及时处理麻醉过程中出现患者频率过慢或者没有呼吸的情况,避免患者出现低氧血症的情况,以使患者的各个组织得到充分的氧供。The advantage of this utility model is that it can not only provide sufficient oxygen supply to the patient, but also monitor the patient's breathing in real time. As long as the monitor in the operating room has the function of CO2 monitoring, the utility model can be used. This consumable is easy to use and can be processed in time. During anesthesia, if the frequency of the patient is too slow or there is no breathing, avoid hypoxemia in the patient, so that the various tissues of the patient can receive sufficient oxygen supply.

附图说明Description of drawings

下面结合附图对本实用新型作进一步说明:Below in conjunction with accompanying drawing, the utility model is further described:

图1是本实用新型结构示意图。Fig. 1 is the structural representation of the utility model.

具体实施方式Detailed ways

参照图1,其显示出了本实用新型之较佳实施例的具体结构。以下将详细说明本实用新型各部件的结构特点,而如果有描述到方向( 上、下、左、右、前及后) 时,是以图1所示的结构为参考描述,但本实用新型的实际使用方向并不局限于此。With reference to Fig. 1, it has shown the concrete structure of the preferred embodiment of the present utility model. The structural characteristics of each part of the utility model will be described in detail below, and if there is a description of the direction (up, down, left, right, front and back), the structure shown in Figure 1 is used as a reference description, but the utility model The actual use direction is not limited to this.

本实用新型提供了一种用于非插管型静脉全麻患者监测呼吸的面罩,包括罩体1、氧气导管2、CO2监测导管3和鼻导管4,罩体采用透明材料制作,所述罩体1上设有可在外侧连接氧气导管2的第一转接头11和可在外侧连接CO2监测导管3的第二转接头12,所述鼻导管4位于罩体1内部,鼻导管4包括直管41和设在所述直管41上的两个可伸入鼻孔中的侧管42,所述直管41的两端均通过柔性的连接管43接入第二转接头12。第一转接头11和氧气导管2采用可拆卸连接方式,具体的:所述第一转接头11于罩体1的外侧形成第一螺纹接口,所述氧气导管2的一端通过第一螺帽与第一螺纹接口对接,需要拆卸或组配时,拧松或拧紧第一螺帽即可,氧气导管2的另一端与供氧设备相连,供氧设备设置于麻醉机上,用于向罩体内部输送氧气,第二转接头12和CO2监测导管3也采用可拆卸连接方式,具体的:所述第二转接头12于罩体的外侧形成第二螺纹接口,所述CO2监测导管3的一端通过第二螺帽与第二螺纹接口对接,需要拆卸或组配时,拧松或拧紧第二螺帽即可, CO2监测导管3的另一端与具有CO2监测功能的监护仪相连,用于检测患者呼出的CO2The utility model provides a mask for non-intubation intravenous general anesthesia patients to monitor breathing, comprising a mask body 1, an oxygen conduit 2, a CO2 monitoring conduit 3 and a nasal conduit 4, the mask body is made of transparent materials, the The cover body 1 is provided with a first adapter 11 that can be connected to the oxygen catheter 2 on the outside and a second adapter 12 that can be connected to the CO2 monitoring catheter 3 on the outside. The nasal catheter 4 is located inside the mask body 1, and the nasal catheter 4 It includes a straight tube 41 and two side tubes 42 arranged on the straight tube 41 that can extend into the nostrils. Both ends of the straight tube 41 are connected to the second adapter 12 through a flexible connecting tube 43 . The first adapter 11 and the oxygen conduit 2 adopt a detachable connection, specifically: the first adapter 11 forms a first threaded interface on the outside of the cover body 1, and one end of the oxygen conduit 2 is connected to the oxygen conduit 2 through the first nut. The first threaded interface is docked. When it needs to be disassembled or assembled, just loosen or tighten the first nut. The other end of the oxygen conduit 2 is connected to the oxygen supply equipment. To transport oxygen, the second adapter 12 and the CO2 monitoring conduit 3 also adopt a detachable connection, specifically: the second adapter 12 forms a second threaded interface on the outside of the cover, and the CO2 monitoring conduit 3 One end is docked with the second threaded interface through the second nut. When it needs to be disassembled or assembled, just loosen or tighten the second nut. The other end of the CO2 monitoring catheter 3 is connected to a monitor with CO2 monitoring function. Used to detect CO 2 exhaled by the patient.

使用时,先将鼻导管4的侧管插入患者的鼻孔,然后用罩体1罩住患者的口鼻,通过氧气导管2完成罩体1内的氧气供应,通过鼻导管4和CO2监测导管3将患者呼出的CO2实时通过具有CO2监测功能的监护仪监测,从而结合给氧以及监测呼吸末二氧化碳,既可以给予患者氧气防止出现缺氧,又可以及时监测患者的呼吸情况,如果呼吸频率减慢或者没有呼吸,可在监护仪上显示CO2波形越来越少或者消失,此时可通过手控加压给氧的方式使患者及时得到氧气,以避免发生患者缺氧发现不及时,出现低氧血症的情况。When in use, first insert the side tube of the nasal catheter 4 into the patient's nostril, then cover the patient's mouth and nose with the mask body 1, complete the oxygen supply in the mask body 1 through the oxygen catheter 2, and monitor the catheter through the nasal catheter 4 and CO 3. The CO 2 exhaled by the patient is monitored in real time by a monitor with CO 2 monitoring function, so that combined with oxygen supply and monitoring of end-tidal carbon dioxide, it can not only give the patient oxygen to prevent hypoxia, but also monitor the patient's breathing condition in time. If breathing If the frequency slows down or there is no breathing, the CO 2 waveform can be displayed on the monitor less and less or disappears. At this time, the patient can get oxygen in time by manual pressurized oxygen supply, so as to avoid the occurrence of hypoxia. , with hypoxemia.

本实用新型的优势主要是既可以给予患者充分的氧供,又可以实时监测患者的呼吸,只要手术室的监护仪具有CO2监测功能均可使用本实用新型,本耗材使用方便,可及时处理麻醉过程中出现患者频率过慢或者没有呼吸的情况,避免患者出现低氧血症的情况,以使患者的各个组织得到充分的氧供。The advantage of this utility model is that it can not only provide sufficient oxygen supply to the patient, but also monitor the patient's breathing in real time. As long as the monitor in the operating room has the function of CO2 monitoring, the utility model can be used. This consumable is easy to use and can be processed in time. During anesthesia, if the frequency of the patient is too slow or there is no breathing, avoid hypoxemia in the patient, so that the various tissues of the patient can receive sufficient oxygen supply.

其中,为了避免两侧管42从患者的鼻孔中脱出,所述鼻导管4采用挠性材料制作,两所述侧管42具有向内侧收拢从而可夹紧鼻中隔的夹角。Wherein, in order to prevent the side tubes 42 from protruding from the patient's nostrils, the nasal cannula 4 is made of flexible material, and the two side tubes 42 have an included angle that can be gathered inwardly so as to clamp the nasal septum.

此外,为了方便患者进食,所述罩体1上设有第三转接头13,罩体1内侧设有与所述第三转接头13紧密连接的进食管,使用者可以通过吸管与和第三转接头13连接,并通过进食管吸入粥、汤、稀饭和水等流食性东西,大大提高了所述氧气面罩的便捷性和安全性。而且,所述罩体1的边缘设有卷边或气囊14,使罩体能紧紧吸附在面部皮肤上,不仅提高了所述氧气面罩的利用率,而且使得使用者佩戴更为舒适,大大减轻 了面罩对面部的挤压。In addition, in order to facilitate patients to eat, the cover body 1 is provided with a third adapter 13, and the inner side of the cover body 1 is provided with a feeding tube closely connected with the third adapter 13, and the user can connect with the third adapter 13 through a straw. Adapter 13 is connected, and liquid food things such as porridge, soup, porridge and water are sucked through the feeding tube, which greatly improves the convenience and safety of the oxygen mask. Moreover, the edge of the cover body 1 is provided with curling or air bag 14, so that the cover body can be tightly adsorbed on the facial skin, which not only improves the utilization rate of the oxygen mask, but also makes it more comfortable for the user to wear, greatly reducing the The compression of the mask to the face is reduced.

本实用新型不仅仅适合非插管型静脉全麻的宫腔镜手术,对于其他类型的非插管型静脉全麻手术也适合(日间手术室的小儿包皮环切术,小儿蛙型石膏外固定术以及各种类型的非插管型静脉全麻患者),面罩分为成人和儿童两种。The utility model is not only suitable for hysteroscopic surgery with non-intubation type venous general anesthesia, but also suitable for other types of non-intubation type venous general anesthesia operations (children's circumcision in daytime operating room, children's frog-shaped plaster surgery) Fixation and various types of non-intubated intravenous general anesthesia), masks are divided into two types: adults and children.

当然,本发明创造并不局限于上述实施方式,熟悉本领域的技术人员在不违背本实用新型精神的前提下还可作出等同变形或替换,这些等同的变型或替换均包含在本申请权利要求所限定的范围内。Of course, the present invention is not limited to the above-mentioned embodiments. Those skilled in the art can also make equivalent modifications or replacements without violating the spirit of the present utility model. These equivalent modifications or replacements are all included in the claims of this application. within the limited range.

Claims (6)

  1. A kind of 1. mask for the breathing of non-intubatton type intravenous anesthesia patient-monitoring, it is characterised in that:Led including cover body, oxygen Pipe, CO2Monitoring tube and nose conduit, the cover body be provided with can outside connect oxygen catheter the first adapter and can be outside Side connects CO2Second adapter of monitoring tube, the nose conduit are located inside cover body, and nose conduit includes straight tube and is located at described Two side pipes that can be stretched into nostril on straight tube, the both ends of the straight tube pass through the switching of connecting tube access second of flexibility Head.
  2. 2. the mask according to claim 1 for the breathing of non-intubatton type intravenous anesthesia patient-monitoring, it is characterised in that:Institute State nose conduit to make using flexible material, two side pipes, which have to inner side, to be collapsed so as to clamp the angle of nasal septum.
  3. 3. the mask according to claim 1 for the breathing of non-intubatton type intravenous anesthesia patient-monitoring, it is characterised in that:Institute State the first adapter and form the first hickey in the outside of cover body, one end of the oxygen catheter passes through the first nut and first Hickey docks, and the other end is connected with oxygen supply equipment.
  4. 4. the mask according to claim 1 for the breathing of non-intubatton type intravenous anesthesia patient-monitoring, it is characterised in that:Institute State the second adapter and form the second hickey, the CO in the outside of cover body2One end of monitoring tube by the second nut with Second hickey docks, and the other end is with having CO2The patient monitor of monitoring function is connected.
  5. 5. the mask according to claim 1 for the breathing of non-intubatton type intravenous anesthesia patient-monitoring, it is characterised in that:Institute State cover body and be provided with the 3rd adapter, be provided with the inside of cover body with the 3rd adapter it is close-connected enter oesophagus.
  6. 6. the mask according to claim 1 for the breathing of non-intubatton type intravenous anesthesia patient-monitoring, it is characterised in that:Institute The edge for stating cover body is provided with crimping or air bag.
CN201720168769.3U 2017-02-23 2017-02-23 A kind of mask for the breathing of non-intubatton type intravenous anesthesia patient-monitoring Expired - Fee Related CN207203198U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110960765A (en) * 2019-12-10 2020-04-07 中南大学湘雅二医院 A surgical auxiliary ventilation system with intraoperative respiratory status monitoring function

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110960765A (en) * 2019-12-10 2020-04-07 中南大学湘雅二医院 A surgical auxiliary ventilation system with intraoperative respiratory status monitoring function

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