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CN209437847U - One kind can sounding autogenous cutting casing - Google Patents

One kind can sounding autogenous cutting casing Download PDF

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Publication number
CN209437847U
CN209437847U CN201821663231.0U CN201821663231U CN209437847U CN 209437847 U CN209437847 U CN 209437847U CN 201821663231 U CN201821663231 U CN 201821663231U CN 209437847 U CN209437847 U CN 209437847U
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CN
China
Prior art keywords
main body
tracheae
casing
breathing
sounding
Prior art date
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
CN201821663231.0U
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Chinese (zh)
Inventor
郑文贺
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
People's Hospital Affiliated To Fujian University Of Traditional Chinese Medicine (fujian Provincial People's Hospital)
Original Assignee
People's Hospital Affiliated To Fujian University Of Traditional Chinese Medicine (fujian Provincial People's Hospital)
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Publication date
Application filed by People's Hospital Affiliated To Fujian University Of Traditional Chinese Medicine (fujian Provincial People's Hospital) filed Critical People's Hospital Affiliated To Fujian University Of Traditional Chinese Medicine (fujian Provincial People's Hospital)
Priority to CN201821663231.0U priority Critical patent/CN209437847U/en
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Publication of CN209437847U publication Critical patent/CN209437847U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model relates to one kind can sounding autogenous cutting casing, casing main body, breathing catheter and phonocatheter including arc;The breathing catheter is fixedly connected with casing main body inner wall;The phonocatheter is fixedly connected with casing main body inner wall close to human body glottis side;The breathing inner joint of the breathing catheter is connected to the tracheae close to lung side, and the breathing external tapping of breathing catheter is connected to ventilator;The sound inner joint of leading of the phonocatheter is connected to the tracheae close to glottis side, and the sound external tapping of leading of phonocatheter is connected to air pump, and bionical air-flow, which is travelled to and fro between the glottis above tracheae, by air pump makes human body keep vocal function;The utility model makes patient still keep vocal function during tracheostomy cannula indwelling, and the disuse atrophy and mouth nasal secretion for reducing throat's muscle group are detained the mechanical ventilationassociatepneumonia pneumonia caused, and therapeutic effect is good.

Description

One kind can sounding autogenous cutting casing
Technical field
The utility model relates to medical instruments fields, and specifically one kind can sounding autogenous cutting casing.
Background technique
With the development of severe medicine, the patient of many respiratory failures is survived because of being given treatment to, and is needed long-term The patient of Failure Treated with Mechanical Ventilation is often proposed tracheotomy and establishes artificial airway.The patient of Consciousness is carrying out autogenous cutting band When governance is treated and survived, since the not round-trip air-flow of the tracheae above air bag is by glottis, patient is caused to cry out.
With the patient that governance is treated all thirsts for the extraneous impression and discomfort for exchanging oneself, doctor also wish to by with patient Language communication accurately holds the state of an illness of patient, accurately treats.The conscious patient cried out due to for a long time can not effectively with week It encloses people and carries out communication exchange, usually face people around to the misunderstanding of oneself wish or ignore, cause increasingly burnt on patient mental Depression is considered, to influence the rehabilitation of the whole state of an illness, or even since misunderstanding of the doctor to information causes the delay of the state of an illness even to be given Mistake, invalid remedy measures, so that deterioration or the protracted course of disease of the state of an illness.
Existing autogenous cutting casing is not provided with the device for helping patient phonation, causes long-term autogenous cutting band pipe patient due to air bag The tracheae of top to glottis section is chronically at the state that no pressure, airless and secretion are detained.The mucociliary of this section of tracheae Atrophy, body of gland is loose, secretes a large amount of secretion, becomes the breeding ground of bacteria breed, especially Gram-negative bacteria and anaerobic bacteria, grind Study carefully and show: the generation of mechanical ventilationassociatepneumonia pneumonia and secretion above air bag are detained in close relations.Divide on capsule so timing is removed Secretion and the air-flow air pressure for restoring capsule epithelium healing help to reduce secretion, improve the ciliary movement of mucous membrane, reduce bacterium and grow It is raw.Meanwhile long-term autogenous cutting band pipe patient due to the long-term decompression of throat and loses air-flow, disuse atrophy is presented in throat's muscle group, and ring spoon closes Section ossifys, and leads to throat's dysfunction.The recovery of later period throat's function, process is very long and painful, and costly, while big The success rate of autogenous cutting tube drawing is reduced greatly.
In the prior art, public referring particularly to disclosing a kind of disposable tracheotomy suit packet in CN207137124U It has opened tracheostomy cannula to fix by fixed-wing and bandage, and how to have realized in the tracheae for inserting the cannula into incision; A kind of disposable tracheostomy cannula is disclosed in CN203647827U, it discloses it includes fixed disks, and how to be realized It inserts the cannula into the tracheae of incision, but the above-mentioned prior art all there is technical issues that above.
Utility model content
In order to solve the above problem present in the prior art, the utility model provide one kind can sounding autogenous cutting casing, This can sounding autogenous cutting casing patient can be made to keep the airflow at glottis when carrying out Tracheotomy in Treating, treating patient Period still keeps vocal function, reduces the atrophy of throat's muscle group and the generation of Ventilator Associated Pneumonia, and therapeutic effect is good.
The technical solution of the utility model is as follows:
One kind can sounding autogenous cutting casing, casing main body, breathing catheter and phonocatheter including arc;The breathing catheter with Casing main body inner wall is fixedly connected;The phonocatheter is fixedly connected with casing main body inner wall close to human body glottis side;It is described to exhale The breathing inner joint for inhaling conduit is connected to the tracheae close to lung side, and the breathing external tapping of breathing catheter is connected to ventilator; The sound inner joint of leading of the phonocatheter is connected to the tracheae close to glottis side, and the sound external tapping of leading of phonocatheter is connected to air pump, Bionical air-flow, which is travelled to and fro between the glottis above tracheae, by air pump makes human body keep vocal function.
Further, described to lead the arc water conservancy diversion being provided on sound inner joint for air-flow to be led to glottis in parallel along tracheae Plate.
Further, described sleeve pipe main body is fixed with shrinkable or expansion low pressure height close to breathing inner joint one end outer wall Hold air bag;Airway is fixed with far from phonocatheter side in described sleeve pipe main body;The ventilation inner joint and air bag of the airway Connection, the ventilation external tapping of airway are connected to feeder.
Further, the suction tube for juice on tracheal wall to be sucked out is fixed in described sleeve pipe main body;The attraction The liquid sucting port of pipe is connected to the tracheae above air bag, and the liquid outlet of suction tube is connected to liquid absorption device.
Further, the liquid sucting port is set on the casing main body above air bag at 10mm.
Further, the outer wall of described sleeve pipe main body is smooth curved surface;Described sleeve pipe main body and tracheae parallel section The tube body cross section of tube body circular in cross-section, casing main body and tracheae vertical component is oval.
Further, the internal diameter of described sleeve pipe main body and tracheae parallel section is 6.0-8.5mm, and casing main body and tracheae are flat The outer diameter of row part is 9.0-11.0mm;The short internal diameter of described sleeve pipe main body and tracheae vertical component is 6.0-8.5mm, casing The short outer diameter of main body and tracheae vertical component is 9.0-11.0mm;Described sleeve pipe main body and the long internal diameter of tracheae vertical component are The long outer diameter of 10.0-13.0mm, casing main body and tracheae vertical component is 12.0-15.0mm.
The utility model has the following beneficial effects:
1, the utility model one kind can sounding autogenous cutting casing, by sounding pipe can keep patient carry out Tracheotomy in Treating When keep airflow and pressure effect at glottis, so that patient is still kept vocal function during treatment, reduce throat's muscle group Atrophy and Ventilator Associated Pneumonia generation, therapeutic effect is good.
2, the utility model one kind can sounding autogenous cutting casing, deflector can make parallel current be oriented to glottis, prevent air-flow long Phase directly impacts inner surface of trachea, can effectively protect the mucous membrane of inner surface of trachea.
3, the utility model one kind can sounding autogenous cutting casing, the outer wall of casing main body is smooth curved surface, can be effectively reduced Casing main body damages cell tissue when passing in and out inside of human body.
4, the utility model one kind can sounding autogenous cutting casing, the low pressure height of shrinkable expansion holds air bag and seals convenient for autogenous cutting casing It holds one's breath tube cavity, keeps the development of successive treatment.
5, the utility model one kind can sounding autogenous cutting casing, suction tube can effectively be sucked out juice on capsule, prevent juice It is accumulated on the tracheae above air bag.
Detailed description of the invention
Fig. 1 is structural schematic diagram when the utility model is used;
Fig. 2 is the cross-sectional view of the A-A along Fig. 1;
Fig. 3 is the cross-sectional view of the B-B along Fig. 1;
Fig. 4 is the cross-sectional view of the C-C along Fig. 1;
Fig. 5 is the left view of the utility model;
Fig. 6 is the phonocatheter structural schematic diagram of the utility model.
Appended drawing reference indicates in figure are as follows:
1, casing main body;2, breathing catheter;20, inner joint is breathed;21, external tapping is breathed;3, phonocatheter;30, it leads in sound Interface;300, deflector;31, sound external tapping is led;4, air bag;40, airway;400, ventilation inner joint;401, it ventilates external Mouthful;5, suction tube;50, liquid sucting port;51, liquid outlet;6, tracheae;7, glottis.
Specific embodiment
The utility model is described in detail in the following with reference to the drawings and specific embodiments.
Referring to Fig. 1 to Fig. 6, one kind can sounding autogenous cutting casing, casing main body 1, breathing catheter 2 including arc and lead sound Pipe 3;The breathing catheter 2 is fixedly connected with 1 inner wall of casing main body;The phonocatheter 3 is with 1 inner wall of casing main body close to human body sound 7 sides of door are fixedly connected;The breathing inner joint 20 of the breathing catheter 2 is connected to the tracheae 6 close to lung side, and breathing is led The breathing external tapping 21 of pipe 2 is connected to ventilator (being not drawn into figure), so that ventilator is ventilated to tracheae 6;The phonocatheter 3 It leads sound inner joint 30 to be connected to the tracheae 6 close to 7 side of glottis, the sound external tapping 31 of leading of phonocatheter 3 (is not drawn with air pump in figure It is connected to out), so that human body is kept vocal function in the glottis 7 that bionical air-flow travels to and fro between 6 top of tracheae by air pump.
As shown in Figure 2 and Figure 6, described lead is provided with for air-flow to be led to glottis 7 along tracheae 6 in parallel on sound inner joint 30 Arc deflector 300, with the mucous membrane for preventing air-flow from directly impacting on tracheae 6.
As shown in Figures 1 to 5, described sleeve pipe main body 1 is fixed with shrinkable or swollen close to breathing 20 one end outer wall of inner joint Swollen low pressure height holds air bag 4;Airway 40 is fixed with far from 3 side of phonocatheter in described sleeve pipe main body 1;The airway 40 Ventilation inner joint 400 is connected to air bag 4, and the ventilation external tapping 401 of airway 40 is connected to feeder (being not drawn into figure), is led to Crossing feeder makes 4 expansion or shrinkage of air bag to air bag 4 is inflated for deflated.
As shown in Fig. 1, Fig. 3, Fig. 4 and Fig. 5, it is fixed in described sleeve pipe main body 1 for juice on 6 wall of tracheae to be sucked out Suction tube 5;The liquid sucting port 50 of the suction tube 5 is connected to the tracheae 6 of 4 top of air bag, the liquid outlet 51 of suction tube 5 and imbibition Device (being not drawn into figure) connection, so that the juice on 6 inner wall of tracheae is effectively sucked out in suction tube 5.
As shown in Figure 1 and Figure 5, the liquid sucting port 50 is set on the casing main body 1 at 4 top 10mm of air bag;The set Pipe main body 1, breathing catheter 2, phonocatheter 3, airway 40 and suction tube 5 are integrally formed.
Shown in as shown in Figure 1, Figure 3 and Figure 4, the outer wall of described sleeve pipe main body 1 is smooth curved surface, with reduce casing main body 1 into Cell tissue is damaged when inside of human body out;The tube body cross section of described sleeve pipe main body 1 and 6 parallel section of tracheae is in circle Shape, casing main body 1 and the tube body cross section of 6 vertical component of tracheae are oval.
Shown in as shown in Figure 1, Figure 3 and Figure 4, the internal diameter of described sleeve pipe main body 1 and 6 parallel section of tracheae be 6.0-8.5mm (such as H in Fig. 4), the outer diameter of casing main body 1 and 6 parallel section of tracheae is 9.0-11.0mm (I in such as Fig. 4);Described sleeve pipe master The short internal diameter of body 1 and 6 vertical component of tracheae is 6.0-8.5mm (D in such as Fig. 3), casing main body 1 and 6 vertical component of tracheae Short outer diameter is 9.0-11.0mm (E in such as Fig. 3);The long internal diameter of described sleeve pipe main body 1 and 6 vertical component of tracheae is 10.0- The long outer diameter of 13.0mm (F in such as Fig. 3), casing main body 1 and 6 vertical component of tracheae is 12.0-15.0mm (in such as Fig. 3 G)。
Working principle of the utility model is:
The utility model one kind can sounding autogenous cutting casing in use, 6 stoma of patient airway cut after first can sounding gas Casing is cut to inject in tracheae 6 (at this time air bag 4 be contraction state), then adjustment can sounding autogenous cutting casing installation site, through logical Gas external tapping 401 is inflated, and the expansion closing tracheae 6 of air bag 4 is made;Ventilator is connected to breathing external tapping 21 finally, is mentioned for human body For Breathing Suppotion;Air pump is connected to sound external tapping 31 is led, the running of air pump parameter is adjusted, to keep the sky of 7 lower section tracheae 6 of glottis Gas circulates back and forth, and human body is made to keep vocal function;Liquid absorption device is connected to liquid outlet 51, so that gas is effectively sucked out in suction tube 5 Juice on 6 inner wall of pipe;The utility model can make patient still keep vocal function during treatment, reduce withering for throat's muscle group The generation of contracting and mechanical ventilationassociatepneumonia pneumonia, therapeutic effect are good.
The above description is only the embodiments of the present invention, and therefore it does not limit the scope of the patent of the utility model, all Equivalent structure or equivalent flow shift made based on the specification and figures of the utility model, is applied directly or indirectly in Other related technical areas are also included in the patent protection scope of the utility model.

Claims (7)

1. one kind can sounding autogenous cutting casing, it is characterised in that: casing main body (1), breathing catheter (2) and phonocatheter including arc (3);The breathing catheter (2) is fixedly connected with casing main body (1) inner wall;The phonocatheter (3) is leaned on casing main body (1) inner wall Person of modern times's body glottis (7) side is fixedly connected;The tracheae of the breathing inner joint (20) of the breathing catheter (2) and close lung side (6) it is connected to, the breathing external tapping (21) of breathing catheter (2) is connected to ventilator;The phonocatheter (3) leads sound inner joint (30) It is connected to the tracheae (6) close to glottis (7) side, the sound external tapping (31) of leading of phonocatheter (3) is connected to air pump, will by air pump Bionical air-flow, which travels to and fro between the glottis (7) above tracheae (6), makes human body keep vocal function.
2. one kind as described in claim 1 can sounding autogenous cutting casing, it is characterised in that: described lead is arranged on sound inner joint (30) There is the arc deflector (300) for air-flow to be led to glottis (7) in parallel along tracheae (6).
3. one kind as described in claim 1 can sounding autogenous cutting casing, it is characterised in that: described sleeve pipe main body (1) is close to breathing Inner joint (20) one end outer wall is fixed with shrinkable or expansion low pressure height and holds air bag (4);It is separate in described sleeve pipe main body (1) to lead Sound pipe (3) side is fixed with airway (40);The ventilation inner joint (400) of the airway (40) is connected to air bag (4), conductance The ventilation external tapping (401) of pipe (40) is connected to feeder.
4. one kind as claimed in claim 3 can sounding autogenous cutting casing, it is characterised in that: is fixed in described sleeve pipe main body (1) For the suction tube (5) of juice on tracheae (6) wall to be sucked out;Above the liquid sucting port (50) of the suction tube (5) and air bag (4) Tracheae (6) connection, the liquid outlet (51) of suction tube (5) are connected to liquid absorption device.
5. one kind as claimed in claim 4 can sounding autogenous cutting casing, it is characterised in that: the liquid sucting port (50) is set to air bag (4) on the casing main body (1) at the 10mm of top.
6. one kind as described in claim 1 can sounding autogenous cutting casing, it is characterised in that: the outer wall of described sleeve pipe main body (1) is Smooth curved surface;The tube body circular in cross-section of described sleeve pipe main body (1) and tracheae (6) parallel section, casing main body (1) and gas The tube body cross section for managing (6) vertical component is oval.
7. one kind as claimed in claim 6 can sounding autogenous cutting casing, it is characterised in that: described sleeve pipe main body (1) and tracheae (6) The internal diameter of parallel section is 6.0-8.5mm, and the outer diameter of casing main body (1) and tracheae (6) parallel section is 9.0-11.0mm;It is described The short internal diameter of casing main body (1) and tracheae (6) vertical component is 6.0-8.5mm, casing main body (1) and tracheae (6) vertical component Short outer diameter be 9.0-11.0mm;The long internal diameter of described sleeve pipe main body (1) and tracheae (6) vertical component is 10.0-13.0mm, set The long outer diameter of pipe main body (1) and tracheae (6) vertical component is 12.0-15.0mm.
CN201821663231.0U 2018-10-15 2018-10-15 One kind can sounding autogenous cutting casing Expired - Fee Related CN209437847U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201821663231.0U CN209437847U (en) 2018-10-15 2018-10-15 One kind can sounding autogenous cutting casing

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201821663231.0U CN209437847U (en) 2018-10-15 2018-10-15 One kind can sounding autogenous cutting casing

Publications (1)

Publication Number Publication Date
CN209437847U true CN209437847U (en) 2019-09-27

Family

ID=68009628

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201821663231.0U Expired - Fee Related CN209437847U (en) 2018-10-15 2018-10-15 One kind can sounding autogenous cutting casing

Country Status (1)

Country Link
CN (1) CN209437847U (en)

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190927

CF01 Termination of patent right due to non-payment of annual fee