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CN201076664Y - Numeric control double-gasbag trachea casing - Google Patents

Numeric control double-gasbag trachea casing Download PDF

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Publication number
CN201076664Y
CN201076664Y CNU2006200402369U CN200620040236U CN201076664Y CN 201076664 Y CN201076664 Y CN 201076664Y CN U2006200402369 U CNU2006200402369 U CN U2006200402369U CN 200620040236 U CN200620040236 U CN 200620040236U CN 201076664 Y CN201076664 Y CN 201076664Y
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CN
China
Prior art keywords
trachea
air sac
tube
air
sleeve tube
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CNU2006200402369U
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Chinese (zh)
Inventor
卢根娣
席淑华
周立
陶红
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Priority to CNU2006200402369U priority Critical patent/CN201076664Y/en
Priority to CNU2007201416861U priority patent/CN201076665Y/en
Application granted granted Critical
Publication of CN201076664Y publication Critical patent/CN201076664Y/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model relates to the technical field of a medical apparatus, namely a digital control double air sacs trachea sleeve tube. The utility model improves the existing single air sac trachea sleeve tube into a double air sacs trachea sleeve tube, after the air sac is aerated, the gap between the trachea sleeve tube and the inner wall of the trachea is closed, the air sac can be alternately used, the time that the air sac compresses the local trachea mucosa is shortened, thereby the complication such as ischemia, blister and necrotize of a trachea mucosa or tracheal stenosis which is caused by compressing the inner wall of the trachea for a long time can be prevented or reduced. The digital control air sac pressure monitoring instrument is utilized to control press and time, which can alternately charge and discharge air for the double air sac in a certain time, and maintain the pressure in the air sac in a stable value.

Description

一种数控双气囊气管套管 A kind of numerically controlled double air bag tracheal tube

技术领域 technical field

本实用新型涉及医疗器械技术领域,是一种数控双气囊气管套管。The utility model relates to the technical field of medical equipment, which is a numerically controlled double-airbag tracheal tube.

背景技术 Background technique

临床上,施以气管切开术的患者往往需置入气管套管以保持呼吸道通畅。现有的气管套管包括外套管和管芯两部分。其中外套管由套管、指示球囊、充气管、充气阀、固定翼、气囊组成。固定翼位于套管近端的外壁,气囊位于套管远端的外壁,充气管一端穿过固定翼与套管的衔接处,沿套管的管壁延伸并与气囊相连,充气管的另一端为指示球囊和充气阀,管芯置于外套管内,近端为两个方形薄片,其覆盖在外套管近端管口,远端呈圆锥状,刚好伸出外套管远端管口,其作用是在插入气管时一方面可防止气管内的分泌物进入外套管内,另一方面光滑的圆锥状表面可防止损伤气管内壁。使用时,将外套管连同管芯从气管切开口处插入并由固定翼固定,抽出管芯,用针筒连接充气阀通过充气管给气囊充气,使气囊封闭住外套管外壁与气管内壁之间的空隙,这样既可防止机械通气时发生漏气,又可防止口咽部的分泌物或鼻饲管的内容物进入下呼吸道。Clinically, patients undergoing tracheotomy often need to be placed with a tracheal tube to keep the airway open. Existing tracheal tubes include two parts, an outer tube and a tube core. Wherein the outer casing is composed of a casing, an indicating balloon, an inflation tube, an inflation valve, a fixed wing, and an air bag. The fixed wing is located on the outer wall of the proximal end of the cannula, and the air bag is located on the outer wall of the far end of the cannula. One end of the inflatable tube passes through the connection between the fixed wing and the cannula, extends along the tube wall of the cannula and is connected with the air bag, and the other end of the inflatable tube In order to indicate the balloon and inflation valve, the tube core is placed in the outer sleeve, and the proximal end is two square sheets, which cover the proximal nozzle of the outer sleeve, and the distal end is conical, just protruding from the distal nozzle of the outer sleeve. The function is to prevent the secretions in the trachea from entering the outer tube when inserting the trachea, and on the other hand, the smooth conical surface can prevent damage to the inner wall of the trachea. When in use, insert the outer cannula together with the stylet through the opening of the trachea and fix it with the fixed wings, pull out the stylet, connect the inflation valve with the syringe to inflate the airbag through the inflation tube, and make the airbag close the gap between the outer wall of the outer tube and the inner wall of the trachea This will not only prevent air leakage during mechanical ventilation, but also prevent oropharyngeal secretions or the contents of the nasogastric tube from entering the lower respiratory tract.

然而上述气管套管存在以下不足:1.外套管只设一个气囊,气管壁受气囊长时间的压迫易出现粘膜缺血、糜烂、坏死或造成肉芽肿进而导致气管狭窄等症状,1969年Cooper和Grillo证实气管套管的气囊充气后仅48小时,气管粘膜已有溃疡形成,1984年Wited证实气管狭窄的发生与插管时间的长短有关,在插管超过11天的患者中,12%发生气道狭窄,而通常使用的时间为2~3周,所以上述各症状的发生率较高;2.气囊依靠注射器充气,充气量难以控制,充气多了气囊压力过高压迫气管壁易使粘膜缺血、糜烂、坏死;充气少了气囊压力过低则机械通气时发生漏气。这是现有气管套管所难以解决的问题。However, the above-mentioned tracheal tube has the following disadvantages: 1. The outer tube only has one air bag, and the long-term compression of the air bag on the tracheal wall is prone to mucosal ischemia, erosion, necrosis or granuloma and then causes symptoms such as tracheal stenosis. In 1969, Cooper and Grillo confirmed that only 48 hours after the balloon inflation of the tracheal tube, the tracheal mucosa was ulcerated. In 1984, Wited confirmed that the occurrence of tracheal stenosis was related to the length of intubation time. Among patients who were intubated for more than 11 days, 12% developed gas The airway is narrow, and the usual time of use is 2 to 3 weeks, so the incidence of the above symptoms is relatively high; 2. The airbag is inflated by a syringe, and the amount of inflation is difficult to control. If the airbag is inflated too much, the pressure of the airbag is too high to compress the tracheal wall, which will easily cause mucosal defect. Blood, erosion, and necrosis; air leakage occurs during mechanical ventilation if the air bag pressure is too low. This is a problem that the existing tracheal tubes are difficult to solve.

发明内容:Invention content:

本实用新型的目的是提供一种数控双气囊气管套管,将现有的气管套管由单气囊改为双气囊,即外套管远端的外壁设有两个气囊,分别与各自的充气管相连,以使交替充、放气,防止气管内壁由于长时间受压而出现气管粘膜缺血、糜烂、坏死等症状;并将充气阀与数控气囊压力监控仪相连,以使用数控方式控制气囊内的充气压力和两气囊交替充、放气的时间。从而克服现有气管套管存在的技术问题。The purpose of this utility model is to provide a kind of numerical control double-airbag tracheal tube, which changes the existing tracheal tube from a single airbag to a double-airbag, that is, the outer wall at the far end of the outer tube is provided with two airbags, which are respectively connected with the respective inflatable tubes. Connected to make alternate inflation and deflation, to prevent tracheal mucosal ischemia, erosion, necrosis and other symptoms due to long-term pressure on the inner wall of the trachea. The inflation pressure and the time for the two airbags to inflate and deflate alternately. Thereby, the technical problems existing in the existing tracheal tube can be overcome.

本实用新型包括外套管1、管芯2两部分,外套管1由套管1.1、固定翼1.2、气囊1.3、充气管1.4、充气阀1.5和指示球囊1.6组成,其特征在于有两个气囊、两根充气管、两个充气阀和两个指示球囊。还可包括气囊压力监控仪3,两个充气阀1.5分别与气囊压力监控仪3的两根充、放气管3.1连接。气囊压力监控仪与市售的四肢手术中使用的数控气压止血带的监控仪类似。The utility model includes two parts, an outer casing 1 and a tube core 2. The outer casing 1 is composed of a casing 1.1, a fixed wing 1.2, an airbag 1.3, an inflatable tube 1.4, an inflatable valve 1.5 and an indicating balloon 1.6. It is characterized in that there are two airbags , two inflation tubes, two inflation valves and two indicator balloons. It can also include an airbag pressure monitor 3, and two inflation valves 1.5 are respectively connected with two inflation and deflation pipes 3.1 of the airbag pressure monitor 3. The balloon pressure monitor is similar to that of commercially available digitally controlled pneumatic tourniquets used in extremity surgery.

本实用新型由于双气囊的交替使用缩短了局部气管粘膜受压时间从而减少了并发症,由于采用数控气囊压力监控仪,不仅能定时为双气囊交替充、放气,而且能自动测定并维持压力,使操作更为科学简便,当然如果不用数控气囊压力监控仪,则可用手工给双气囊交替充、放气。The utility model shortens the compression time of the local tracheal mucous membrane due to the alternate use of double airbags, thereby reducing complications. Due to the use of a numerically controlled airbag pressure monitor, it can not only inflate and deflate the double airbags alternately at regular intervals, but also automatically measure and maintain the pressure. , making the operation more scientific and convenient. Of course, if the numerical control airbag pressure monitor is not used, the double airbags can be inflated and deflated alternately by hand.

附图说明 Description of drawings

图1为本实用新型的整体结构示意图Fig. 1 is the overall structural representation of the utility model

图2为本实用新型的外套管整体气囊结构示意图Fig. 2 is the schematic diagram of the overall airbag structure of the outer tube of the present invention

图3为本实用新型的管芯结构示意图Fig. 3 is the schematic diagram of the die structure of the utility model

具体实施方式:Detailed ways:

现结合附图和实施例,对本实用新型作详细描述。Now in conjunction with accompanying drawing and embodiment, the utility model is described in detail.

本实用新型气管套管由外套管1、管芯2、数控气囊压力监控仪3三部分组成,其中外套管1由套管1.1、固定翼1.2、二个气囊1.3、分别与二个气囊相连的两根充气管1.4及其充气阀1.5和气压指示球囊1.6组成,由两根充气阀1.5分别与气囊压力监控仪3的两个充、放气管3.1连接。The trachea sleeve of the utility model is composed of three parts: an outer tube 1, a tube core 2, and a numerically controlled airbag pressure monitor 3, wherein the outer tube 1 is composed of a sleeve 1.1, a fixed wing 1.2, two airbags 1.3, which are connected to the two airbags respectively Two inflation tubes 1.4 and its inflation valve 1.5 and air pressure indicating balloon 1.6 are composed of two inflation valves 1.5 respectively connected with two inflation and deflation tubes 3.1 of the airbag pressure monitor 3.

管芯2的头部2.1呈圆锥状,尾端2.2呈方形片状,中间的管体2.3长度与套管1.1匹配。当管芯与外套管套合时,管芯的头部2.1刚好伸出套管1.1的远端管口,管芯尾端2.2的圆片正好覆盖于套管1.1的近端管口。The head 2.1 of the tube core 2 is in the shape of a cone, the tail end 2.2 is in the shape of a square sheet, and the length of the tube body 2.3 in the middle matches the length of the casing 1.1. When the tube core is sleeved with the outer sleeve, the head 2.1 of the tube core just protrudes from the distal nozzle of the sleeve 1.1, and the disc at the tail end 2.2 of the tube core just covers the proximal nozzle of the sleeve 1.1.

实施例1:Example 1:

本实用新型包括外套管1、管芯2两部分,外套管的套管1.1呈120°弧形弯曲,长90mm(内弧78mm,外弧102mm),外径11.9mm,内径8mm,气囊充气后外径为32mm,两侧厚度为15mm,两气囊间距为5mm。充气指示球囊1.6Φ30mm,充气管1.4长度为300mm。The utility model includes two parts: an outer casing 1 and a tube core 2. The casing 1.1 of the outer casing is curved at 120°, with a length of 90mm (inner arc 78mm, outer arc 102mm), outer diameter 11.9mm, inner diameter 8mm, after the airbag is inflated The outer diameter is 32mm, the thickness on both sides is 15mm, and the distance between the two airbags is 5mm. The inflatable indicator balloon is 1.6Φ30mm, and the length of the inflation tube 1.4 is 300mm.

实施例2:Example 2:

本实用新型由外套管1、管芯2和数控气囊压力监控仪3三部分组成,外套管1、管芯2同实施例1,所用的数控气囊压力监控仪同数控气压止血带的监控仪。The utility model is composed of an outer tube 1, a tube core 2 and a numerically controlled air bag pressure monitor 3. The outer tube 1 and the tube core 2 are the same as in Embodiment 1, and the used numerically controlled air bag pressure monitor is the same as the monitor for a numerically controlled pneumatic tourniquet.

Claims (2)

1. two air bag tracheal casing pipe, comprise trocar sheath (1), tube core (2) two parts, trocar sheath (1) is made up of sleeve pipe (1.1), fixed-wing (1.2), air bag (1.3), gas tube (1.4), charge valve (1.5) and indication sacculus (1.6), it is characterized in that having two air bags, two gas tubes, two charge valves and two indication sacculus.
2. by described pair of air bag tracheal casing pipe of claim 1, it is characterized in that also comprising gasbag pressure monitor controller (3), two charge valves (1.5) fill with two of gasbag pressure monitor controller (3) respectively, bleeder pipe (3.1) is connected.
CNU2006200402369U 2006-03-16 2006-03-16 Numeric control double-gasbag trachea casing Expired - Fee Related CN201076664Y (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CNU2006200402369U CN201076664Y (en) 2006-03-16 2006-03-16 Numeric control double-gasbag trachea casing
CNU2007201416861U CN201076665Y (en) 2006-03-16 2007-03-15 Numeric control double-gasbag trachea casing

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNU2006200402369U CN201076664Y (en) 2006-03-16 2006-03-16 Numeric control double-gasbag trachea casing

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CN201076664Y true CN201076664Y (en) 2008-06-25

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104147671A (en) * 2014-07-22 2014-11-19 柯明耀 Tracheal cannula for improving safety of intra-tracheal interventional diagnosis and treatment
CN107889465A (en) * 2015-05-25 2018-04-06 米兰比可卡大学 Control the method for pressure of tracheal tampon, positive pressure respirator and manage intubated patient secretion method
CN109475718A (en) * 2016-04-12 2019-03-15 安全医疗设计有限责任公司 Safe urinary catheter and method of manufacture

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104147671A (en) * 2014-07-22 2014-11-19 柯明耀 Tracheal cannula for improving safety of intra-tracheal interventional diagnosis and treatment
CN107889465A (en) * 2015-05-25 2018-04-06 米兰比可卡大学 Control the method for pressure of tracheal tampon, positive pressure respirator and manage intubated patient secretion method
CN109475718A (en) * 2016-04-12 2019-03-15 安全医疗设计有限责任公司 Safe urinary catheter and method of manufacture
US11541203B2 (en) 2016-04-12 2023-01-03 Safe Medical Design, Inc. Safe urinary catheter and manufacturing method

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Legal Events

Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20080625

Termination date: 20110316