CN101785893A - Umbrella-shaped cuff trachea cannula - Google Patents

Umbrella-shaped cuff trachea cannula Download PDF

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Publication number
CN101785893A
CN101785893A CN201010125752A CN201010125752A CN101785893A CN 101785893 A CN101785893 A CN 101785893A CN 201010125752 A CN201010125752 A CN 201010125752A CN 201010125752 A CN201010125752 A CN 201010125752A CN 101785893 A CN101785893 A CN 101785893A
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China
Prior art keywords
cuff
umbrella
trachea cannula
trachea
air
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Pending
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CN201010125752A
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Chinese (zh)
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丁宝纯
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Individual
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Individual
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Publication date
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Priority to CN201010125752A priority Critical patent/CN101785893A/en
Publication of CN101785893A publication Critical patent/CN101785893A/en
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Abstract

The invention provides an umbrella-shaped cuff trachea cannula. A closed cuff is bonded to the periphery of a section of trachea cannula, a cuff air injection hole is formed on the trachea cannula part of the cuff section and communicated with an air injection tube, the air injection tube extends out of the trachea cannula wall and is connected to an air release valve, the air release valve is communicated with an air bag through a conduit, and the upper part of the air bag is connected with an air injection port in which an air injection valve is arranged. The front part of the cuff is an umbrella-shaped wall, the front side of the umbrella-shaped wall is connected with a limit net, and the limit net is provided with a plurality of limit meshes. Compared with the conventional cuff trachea cannula, the umbrella-shaped cuff trachea cannula can automatically adjust the pressure between the cuff and the human trachea wall so as to prevent over-high pressure from destroying the trachea mucosa and prevent air leakage. Moreover, the umbrella-shaped cuff trachea cannula is convenient and smooth to plug and pull, and is suitable to be used as a trachea cannula and a trachea cutting cannula in the field of medical equipment.

Description

Umbrella-shaped cuff trachea cannula
Technical field
The present invention is to provide the apparatus of medical instruments field, specifically umbrella-shaped cuff trachea cannula.
Background technology
Tracheal intubation is in the medical procedure, inserts the utensil that person's windpipe is ventilated.Its structure is: be with the envelope capsule in the intubate periphery, be communicated with air injection pipe on the envelope capsule.The cover capsule overwhelming majority who uses is the high air bag that holds of low pressure at present, in the process of using, in order to prevent the generation of gas leak phenomenon, must inject certain gas in the cover capsule, thereby produce greater than the airway pressure in the venting process, reaches the effect of closed airway.This pressure can act directly on the tunica mucosa tracheae undoubtedly, if pressure is less, gas leak phenomenon takes place easily.If but pressure is excessive, pressing time is long partially, and the serious consequence of ischemic necrosis will take place tunica mucosa tracheae.Most clinical experiences of doctor that rely on are assessed the accuracy extreme difference to the pressure of cover capsule in the present clinical use.Even use the pressure checking device of specialty to monitor, also be difficult to determine the optimum and the Changing Pattern of working pressure, and process is loaded down with trivial details, because patient's airway pressure constantly changes through regular meeting, the pressure in the cover capsule is difficult to accurately grasp.In addition, in order to prevent to overlap the compressing of capsule to the person's windpipe mucosa, the method that usually adopting fixes time is interrupted venting solves, but in this operating process, the cover capsule can produce bigger undulatory property variation to the pressure of person's windpipe mucosa, the air flue mucosa is subjected to the stimulation of this variation, tends to produce violent choking and coughs etc. uncomfortablely, and patient's hemodynamics all can be had a strong impact on.And, the time period in the venting of cover capsule, have a large amount of gases and spill, cause hypoventilation.Also have when the venting of cover capsule, intraoral secretions can flow in the trachea, increases the nursing difficulty, and severe patient also can cause sends out intrapulmonary infection.
Summary of the invention
In order to overcome the shortcoming of existing tracheal intubation, the invention provides umbrella-shaped cuff trachea cannula.This intubate reaches on cover capsule air injection pipe by the setting that changes cover scrotiform shape and the spacing net of cover capsule vent valve is set, and solves the technical problem by the automatic regulating sleeve capsule of airway pressure and moderate thrust of person's windpipe wall and air flue sealing.
The scheme that technical solution problem of the present invention is adopted is: the cover capsule that is bonded with sealing in the periphery of one section tracheal intubation, in the tracheal intubation position in cover capsule interval, be provided with cover capsule injecting hole and be communicated with air injection pipe, air injection pipe is stretched out by the tracheal intubation wall and is connected on the vent valve, on vent valve, be connected with air bag again by pipeline, top at air bag is connected with gas injection port, is provided with the gas injection valve in it.The front portion of cover capsule is the umbrella shape wall, is connected with spacing net in umbrella shape wall front side, is provided with some spacing mesh on the net spacing.
Good effect, because the present invention is connected with vent valve on air injection pipe, can be as the case may be to inflation or venting in the cover capsule, make it tightly to seal with person's windpipe and keep suitable pressure, the setting of spacing net, guarantee to overlap the beveled structure of capsule front end, and in breathing, produce airway pressure, prevent the generation of gas leak phenomenon; Because promoting the cover capsule, airway pressure closely contacts with the suitable of person's windpipe wall, thereby, reduce the excessive generation that causes person's windpipe infringement or the too small bad sealing of pressure to cause gas leak phenomenon of cover bag pressure power.And, in use, also can not stimulate trachea, cause patient's discomfort, and anti-stream can not appear, phenomenon such as mistake suction etc.Suit to use as tracheal intubation, tracheostomy cannula at medical instruments field.
Description of drawings
Fig. 1 is a structure chart of the present invention
Fig. 2 is the right TV structure sketch map of the present invention
Among the figure, 1. tracheal intubation, 2. cover capsule, 2.1. umbrella shape wall, the spacing net of 2.2., the spacing mesh of 2.21., 2.3. cover capsule injecting hole, 2.4. air injection pipe, 3. vent valve, 4. air bag, 5. gas injection port, 5.1. gas injection valve.
The specific embodiment
According to the figure, be bonded with the cover capsule 2 of sealing in the periphery of one section tracheal intubation 1, in the tracheal intubation position in cover capsule interval, be provided with cover capsule injecting hole 2.3 and be communicated with air injection pipe 2.4, air injection pipe is stretched out by the tracheal intubation wall and is connected on the vent valve 3, on vent valve, be connected with air bag 4 again by pipeline, be connected with gas injection port 5 on the top of air bag, be provided with gas injection valve 5.1 in it.The front portion of cover capsule is a umbrella shape wall 2.1, is connected with spacing net 2.2 in umbrella shape wall front side, at spacing several spacing mesh 2.21 that is provided with on the net.
Vent valve communicates with atmosphere.
The two ends and the tracheal intubation of cover capsule are bonding, and inflation back cover capsule front end is the umbrella shape shape.
The gas injection valve is a check valve.
Air bag has the effect of buffering air pressure, simultaneously the size of observing gas pressure in the air bag according to its drum, flat degree.
The umbrella shape wall is umbrella shape, when the umbrella shape wall is under pressure, can make cover capsule space compression, thereby increase thrust with inner surface of trachea, play the effect that cover capsule and inner surface of trachea seal, keep at any time between tracheal intubation and the person's windpipe preventing the generation of gas leak phenomenon at the minute-pressure state.
Use of the present invention
1, is inserted in the person's windpipe from human oral cavity, utilizes it to reach the ventilation purpose.
2, insert from human body neck cervical region tracheotomy mouth, utilize it to reach the ventilation purpose.
After carrying out the person's windpipe intubate, at first, sleeve bag gas-filling is expanded by gas injection valve and air bag and air injection pipe a certain amount of gas of injection in the cover capsule, the cover capsule is closely contacted with the person's windpipe inwall, thus the space between sealing intubate and the person's windpipe.When the gas of cover in the capsule reaches certain pressure, open vent valve, emit unnecessary gas in the cover capsule, air pressure and atmospheric pressure in the cover capsule are equal to, at this moment, in venting process, increasing of airway pressure can act directly on the umbrella shape wall that overlaps capsule, because the setting of spacing net, the cover bag pressure is contracted, produce the force value that is equal to airway pressure, this pressure can make in the cover capsule and produce same pressure, make it closely to contact, prevent the generation of gas leak phenomenon with inner surface of trachea.Cover intraluminal pressure source relies on the airway pressure that produces in the venting process fully, makes the cover capsule keep suitable pressure to make between intubate and the person's windpipe automatically and reaches closed state, is unlikely to cause the damage of person's windpipe again.
The present invention compares superior part with traditional trachea cannula
1, before trachea cannula inserts person's windpipe, air in the cuff is extracted out fully, be close to the trachea cannula tube wall to guarantee cuff, be beneficial to inserting smoothly of trachea cannula, after trachea cannula reaches the precalculated position, in cuff, inject proper amount of gas, open so that cuff fully expands, and make cuff and tunica mucosa tracheae close contact. Then, open vent valve, cuff is communicated with atmosphere, like this, cuff and tunica mucosa tracheae are in bonding state, but cuff does not have pressure to tunica mucosa tracheae, then vent valve cuts out. In venting process, be subjected to the effect of airway pressure, airway pressure increases, and order about the umbrella shape wall and compress to the cuff position, make cuff keep swelling state, produce the pressure that cuff outer wall and tunica mucosa tracheae keep sealing, the pressure that this moment, cuff acted on the tunica mucosa tracheae is equal to airway pressure just, does not therefore have Leakage Gas; During expiration, along with the gradually attenuating of airway pressure, the pressure that acts on umbrella shape wall and the cuff also can lower gradually, and by the gas effect in the cuff, the pressure on the tunica mucosa tracheae is reduced simultaneously, until be zero. In whole venting process, cuff equates with airway pressure with the pressure of tunica mucosa tracheae junction always, and changes with the variation of airway pressure. The cuff that has not only fundamentally solved traditional trachea cannula continues the drawback of compressing tunica mucosa tracheae for a long time, has also solved the part airway pressure simultaneously and change the drawback that patient greatly leaks air when increasing airway pressure. Patient safety is comfortable.
2, for the patient of indivedual reservation autonomous respirations, in the autonomous respiration process, owing to negative pressure in the air flue can occur, in order to prevent the generation of reflux erroneous aspiration, as long as in cuff, inject a small amount of gas, make the interior pressure of cuff greater than intake negative-pressure, will finely address this problem, at this moment, the same effect of umbrella shape cuff and traditional cuff performance.
3, when the needs extubation, do not need to emit the gas in the cuff, only open vent valve, cuff is communicated with atmosphere, in the process of tube drawing, owing to retain certain gas in the cuff, can preferably the secretion of cuff upper end be taken out of, if be obstructed at tracheostenosis places such as glottises, because cuff and atmosphere opening, gas can overflow automatically, cuff is reduced, thereby extract trachea cannula smoothly.

Claims (1)

1. umbrella-shaped cuff trachea cannula, it is characterized in that: the cover capsule (2) that is bonded with sealing in the periphery of one section tracheal intubation (1), in the tracheal intubation position in cover capsule interval, be provided with cover capsule injecting hole (2.3) and be communicated with air injection pipe (2.4), air injection pipe is stretched out by the tracheal intubation wall and is connected on the vent valve (3), on vent valve, be connected with air bag (4) again by pipeline, be connected with gas injection port (5) on the top of air bag, be provided with gas injection valve (5.1) in it, the front portion of cover capsule is umbrella shape wall (2.1), be connected with spacing net (2.2) in umbrella shape wall front side, at spacing several spacing mesh (2.21) that is provided with on the net.
CN201010125752A 2010-03-17 2010-03-17 Umbrella-shaped cuff trachea cannula Pending CN101785893A (en)

Priority Applications (1)

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CN201010125752A CN101785893A (en) 2010-03-17 2010-03-17 Umbrella-shaped cuff trachea cannula

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Application Number Priority Date Filing Date Title
CN201010125752A CN101785893A (en) 2010-03-17 2010-03-17 Umbrella-shaped cuff trachea cannula

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CN101785893A true CN101785893A (en) 2010-07-28

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102727979A (en) * 2012-06-26 2012-10-17 丁宝纯 Double-layer cuff trachea cannula
CN108325041A (en) * 2018-04-23 2018-07-27 柳州市人民医院 It can continue the trachea cannula of inflation
CN112472243A (en) * 2020-12-12 2021-03-12 常州安康医疗器械有限公司 Visual puncture outfit with fixing frame
CN114796770A (en) * 2022-04-24 2022-07-29 四川大学华西医院 Artificial airway air bag for multi-point position bag wall pressure measurement

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3769983A (en) * 1970-08-26 1973-11-06 A Meray Medical devices
US3995643A (en) * 1975-01-13 1976-12-07 Merav Abraham D Intratracheal tube
EP0010880A1 (en) * 1978-10-09 1980-05-14 Dovecourt Limited Cuffed Endotracheal and Tracheostomy Tubes
US20060278235A1 (en) * 2005-06-14 2006-12-14 White Steven C Tracheal tube with above the cuff drainage
WO2009044192A2 (en) * 2007-09-29 2009-04-09 Muhammed Aslam Nasir Airway device
CN201631859U (en) * 2010-03-17 2010-11-17 丁宝纯 Umbrella type cuff tracheal cannula

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3769983A (en) * 1970-08-26 1973-11-06 A Meray Medical devices
US3995643A (en) * 1975-01-13 1976-12-07 Merav Abraham D Intratracheal tube
EP0010880A1 (en) * 1978-10-09 1980-05-14 Dovecourt Limited Cuffed Endotracheal and Tracheostomy Tubes
US20060278235A1 (en) * 2005-06-14 2006-12-14 White Steven C Tracheal tube with above the cuff drainage
WO2009044192A2 (en) * 2007-09-29 2009-04-09 Muhammed Aslam Nasir Airway device
CN201631859U (en) * 2010-03-17 2010-11-17 丁宝纯 Umbrella type cuff tracheal cannula

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102727979A (en) * 2012-06-26 2012-10-17 丁宝纯 Double-layer cuff trachea cannula
CN108325041A (en) * 2018-04-23 2018-07-27 柳州市人民医院 It can continue the trachea cannula of inflation
CN112472243A (en) * 2020-12-12 2021-03-12 常州安康医疗器械有限公司 Visual puncture outfit with fixing frame
CN114796770A (en) * 2022-04-24 2022-07-29 四川大学华西医院 Artificial airway air bag for multi-point position bag wall pressure measurement

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Application publication date: 20100728