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CN107899118A - Zero dead space tracheal catheter respiratory system - Google Patents

Zero dead space tracheal catheter respiratory system Download PDF

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Publication number
CN107899118A
CN107899118A CN201711224029.8A CN201711224029A CN107899118A CN 107899118 A CN107899118 A CN 107899118A CN 201711224029 A CN201711224029 A CN 201711224029A CN 107899118 A CN107899118 A CN 107899118A
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CN
China
Prior art keywords
chamber
conduit
gas sampling
gas
patient
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Withdrawn
Application number
CN201711224029.8A
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Chinese (zh)
Inventor
杨明
曹常在
王铭
张媛媛
张东惠
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Yang Ming
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TIANJIN PLASTICS RESEARCH INSTITUTE
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Priority to CN201711224029.8A priority Critical patent/CN107899118A/en
Publication of CN107899118A publication Critical patent/CN107899118A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0486Multi-lumen tracheal tubes

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

The present invention relates to a kind of zero dead space tracheal catheter respiratory system, it is characterized in that:Including tracheal catheter component, breathing circuit filter, L-shaped connector, connection wye and Anesthesia machine connecting tube, tracheal catheter component includes conduit, patient's insertion end, the air bag being arranged in patient's insertion end, gas tube and charge valve, tracheal catheter component is sequentially communicated L-shaped connector, connection wye, connect Anesthesia machine connecting tube, conduit is circle close to one section of tube body cross sectional shape of patient's insertion end, conduit is oblateness close to one section of tube body section of pipe joint, at least provided with two chambers in conduit and L-shaped connector, connection wye is the Demountable in it at least provided with two chambers.Advantage is:Mechanical inefficiencies chamber can be eliminated, respiration inhibition caused by effectively alleviating anaesthetic, improves breath function due, corrects patient's body acid-base imbalance, and then can significantly improve vital sign situation.Mechanical inefficiencies chamber is eliminated especially in infant, critical patient or long-term surgery, and ICU management etc. is especially of great significance.

Description

Zero dead space tracheal catheter respiratory system
Technical field
The invention belongs to clinical treatment equipment technology field, more particularly to a kind of zero dead space tracheal catheter respiratory system.
Background technology
Clinically, dead space also known as breathes dead space, refers to the space for not participating in gas exchanges in respiratory, including Physiological dead space and mechanical inefficiencies chamber.Physiological dead space includes bronchus, tracheae, oral cavity, nasal cavity;Mechanical inefficiencies chamber includes gas Capsule gas tube, tracheal catheter, breathes breathing circuit filter, breathing circuit breeches joint.In each respiratory, exhalation process row The exhaust gas section gone out rests on dead space, and breathing process can suck human body again, cannot get gas exchanges.
Clinically, breathing dead space problem can not avoid, and physiological dead space is adapted to by patient, and anesthesia is not influenced; It is urgently to be resolved hurrily as one in clinical anesthesia how harmful effect that mechanical inefficiencies chamber or reduction mechanical inefficiencies chamber bring is eliminated The problem of.At present, breathing pattern of the patient under generalized anesthetic state is divided into two kinds of sides of autonomous respiration and Mechanical course breathing Formula.Autonomous respiration refers to patient and is breathed by itself strength, due to the respiration inhibition effect of arcotic and depositing for mechanical inefficiencies chamber It can raise gas concentration lwevel in blood samples of patients, show as blood pressure rise, increased heart rate, respiratory rate is accelerated;Machinery Control breathing refers to patient's autonomous respiration pause, carrys out assisted respiartion by lung ventilator, and due to the presence of mechanical inefficiencies chamber, lung ventilator needs The throughput and airway pressure of bigger, or faster respiratory rate are provided to maintain effectively to breathe, causes respiratory tract and lung to damage The risk of wound.The capacity of mechanical inefficiencies chamber is from tens milliliters to milliliters up to a hundred etc..Breathed every time often only in infant's anesthesia There are tens milliliters of gases, due to the presence of mechanical inefficiencies chamber, make to suck in gas that to have close to half be oneself discharge but not every time Exhaust gas through absorbing and filtering;Although will not anoxic, carbon dioxide in blood can be made to raise and bring adverse reaction.Elimination machine Tool dead space, respiration inhibition caused by can alleviating anaesthetic in the general anesthesia for retaining autonomous respiration, improves work of breathing Can, body acid-base imbalance is corrected, and then improve vital sign situation;Ventilation can be reduced in the general anesthesia of control breathing Amount, reduces pressure in respiratory tract, slows down respiratory rate, reduces respiratory system damage.Patient age weight is smaller, physical condition Poorer, operating time is longer, and the clinical meaning for eliminating mechanical inefficiencies chamber is bigger.
The content of the invention
The present invention provides one kind for technical problem present in solution known technology can eliminate mechanical inefficiencies chamber, alleviation Respiration inhibition, improvement respiratory function, correction patient's body acid-base imbalance caused by anaesthetic, and then improve life entity symptom Zero dead space tracheal catheter respiratory system of condition.
The present invention is adopted the technical scheme that to solve technical problem present in known technology:
Zero dead space tracheal catheter respiratory system, it is characterised in that:Including tracheal catheter component, L-shaped connector, connection wye and Anesthesia machine connecting tube, the tracheal catheter component include conduit, patient's insertion end, the air bag being arranged in patient's insertion end, with The gas tube and charge valve of air bag connection, the tracheal catheter component connect L-shaped connector, the L-shaped connector by pipe joint Connection wye is connected, the connection wye connects Anesthesia machine connecting tube, and the conduit is close to one section of tube body section of patient's insertion end Shape is circle, and the conduit is oblateness close to one section of tube body section of pipe joint, and the conduit is interior at least provided with two Chamber, for the L-shaped connector at least provided with two chambers, the connection wye is the Demountable in it at least provided with two chambers.
The present invention can also adopt the following technical scheme that:
The conduit of the tracheal catheter component is circle close to one section of tube body section of patient's insertion end, in round tube body It is respectively venting cavity and inflatable chamber equipped with two chambers, described inflatable chamber one end is communicated with air bag, and the other end is connected with gas tube, The conduit is flat round tube close to the tube body of one section of pipe joint, and three chambers are equipped with flat round tube, are respectively exhaled Air cavity, suction muffler and gas sampling chamber, one end of the gas sampling chamber are connected with conduit circle tube body and flat round tube Position connects, and the expiration chamber and suction muffler in the flat round tube are connected with the venting cavity in round tube body, and the L-shaped connects Head and connection wye are equipped with three chambers corresponding with the expiration chamber, suction muffler and gas sampling chamber of conduit, the gas sampling The other end of chamber is connected with the second gas sampling cavity of three chamber connection wyes, and the conduit connects three chamber L-shaped by pipe joint Connector, the three chambers L-shaped connector connect three chamber connection wyes, and the side of the three chambers connection wye is equipped with and gas sampling chamber The second gas sampling joint of connection, the three chambers connection wye connect Anesthesia machine connecting tube;
One end of the L-shaped connector is the interface end being connected with connection wye, and the other end is patient end, is set in L shape connectors There are three-cavity structure corresponding with each chamber of laryngeal mask snorkel, respectively expiration chamber, suction muffler and gas sampling chamber.
The three chambers connection wye includes the second housing, on the second housing equipped with patient interface end, Anesthesia machine output terminal And anesthesia machine input terminal, second housing are equipped with the second filter core, are connected with the side of connection wye and gas sampling chamber The gas sampling joint of connection, the 3rd filter core is equipped with gas sampling intracavitary.
The conduit of the tracheal catheter component is circle close to one section of tube body section of patient's insertion end, in round tube body It is respectively venting cavity and inflatable chamber equipped with two chambers, described inflatable chamber one end is communicated with air bag, and the other end is connected with gas tube, It is connected position equipped with the outlet of gas sampling chamber and gas sampling chamber, the gas with flat round tube in conduit circle tube body One end of sampling cavity is exported by gas sampling chamber and is communicated with conduit, and the other end of gas sampling chamber is connected with external gas and adopts Sample pipe, the external gas sampler connect external gas sampling joint by connector;The conduit close to L-shaped connector one Duan Guanti sections are oblateness, and two-chamber, respectively expiration chamber and suction muffler, the oblate pipe are equipped with flat round tube Internal expiration chamber and suction muffler is connected with the venting cavity in round tube body;The conduit connects two-chamber L by pipe joint Shape connector, the two-chamber L-shaped connector connect two-chamber connection wye, and the two-chamber connection wye connects Anesthesia machine connecting tube;
One end of the L-shaped connector is the interface end being connected with connection wye, and the other end is patient end, is set in L shape connectors There are double cavity structure corresponding with each chamber of laryngeal mask snorkel, respectively expiration chamber and suction muffler.
The external gas sampling joint includes the 3rd housing, input end connector, output end connector and the 4th filter core, The 4th filter core is housed in 3rd housing, the 3rd shell one end is connected with input end connector, and the 3rd housing other end is consolidated It is connected to output end connector.
Zero dead space tracheal catheter respiratory system, it is characterised in that:Connect including tracheal catheter component, breathing circuit filter, L-shaped Head, connection wye and Anesthesia machine connecting tube, tracheal catheter component include conduit, patient's insertion end, are arranged in patient's insertion end Air bag, the gas tube and charge valve that are connected with air bag, the tracheal catheter component connects breath by pipe joint Device, the breathing circuit filter connect L-shaped connector, and the L-shaped connector connects connection wye, and the connection wye connection Anesthesia machine connects Adapter, the conduit close to patient's insertion end one section of tube body cross sectional shape for circle, the conduit close to pipe joint one Duan Guanti sections are oblateness, are equipped with two chambers in the round tube body of the conduit, in the flat round tube of the conduit extremely Two chambers are equipped with less, and for the breathing circuit filter at least provided with two chambers, the L-shaped connector and Y shapes connector are double cavity structure.
The conduit of the tracheal catheter component is equipped with two chambers in the circle segments tube body of patient's insertion end, is respectively Venting cavity and inflatable chamber, described inflatable chamber one end connect gas cell, other end connection airbag inflation pipe;The tracheal catheter group Three chambers, respectively expiration chamber, suction muffler and gas sampling chamber, the oblateness are equipped with the conduit oblateness section tube body of part Expiration chamber and suction muffler in tube body are connected with the venting cavity in round tube body, and one end of the gas sampling chamber is with being arranged on Conduit circle tube body is connected the gas sampling chamber outlet at position with flat round tube, is equipped with the breathing circuit filter Three chambers corresponding with oblate conduit, the L-shaped connector and connection wye are double cavity structure, on breathing circuit filter be equipped with The first gas sampling joint of gas sampling chamber connection;The conduit connects breathing circuit filter by pipe joint, described to exhale Filter connection two-chamber L-shaped connector is drawn through, the two-chamber L-shaped connector connects two-chamber connection wye, the two-chamber connection wye connection fiber crops Liquor-saturated machine connecting tube.
The breathing circuit filter includes the first housing, is equipped with machine end in the first shell one end, the first housing other end is set There is patient end, the middle part of first housing is more than machine end and patient end, and suction is equipped with the first housing middle part Gas filtration chamber, exhaled gas filter chamber and gas sampling chamber, the suction gas filtration chamber, exhaled gas filter chamber are gentle Sampler body intracavitary is equipped with the first filter core 2-8, the affixed gas sampling joint of the first housing upper outside, and the gas is adopted Sample connector is connected with gas sampling chamber.
The conduit of the tracheal catheter component is equipped with two chambers in the circle segments tube body of patient's insertion end, is respectively Venting cavity and inflatable chamber, are connected position equipped with the outlet of gas sampling chamber, the gas in conduit circle tube body with flat round tube One end of sampler body chamber is exported by gas sampling chamber and communicated with conduit, and the other end of the gas sampling chamber is connected with external Gas sampler, the external gas sampler connect external gas sampling joint, inflatable chamber one end connection by connector Gas cell, other end connection airbag inflation pipe;Be equipped with two chambers in the tube body of the oblateness conduit, respectively expiration chamber with Suction muffler, expiration chamber and suction muffler in the flat round tube are connected with the venting cavity in round tube body, the breath It is equipped with two chambers corresponding with oblate conduit in device, the L-shaped connector and connection wye are double cavity structure, the two-chamber Y shape Connector connects Anesthesia machine connecting tube.
The breathing circuit filter includes the first housing, is equipped with machine end in the first shell one end, the first housing other end is set There is patient end, the middle part of first housing is more than machine end and patient end, and suction is equipped with the first housing middle part Gas filtration chamber, exhaled gas filter chamber and gas sampling chamber, it is described to suck in gas filtration chamber and exhaled gas filter chamber Equipped with the first filter core.
The present invention has the advantages and positive effects of:Since the present invention uses above-mentioned technical proposal, i.e., by by tracheae Supravasal catheter design, which is circular and oblate cross-sectional, conduit is interior is equipped with two-chamber or segment section three-cavity structure, breath Device, L-shaped connector and connection wye are designed as two-chamber or three-cavity structure, so that connection corresponding with the tracheal catheter of two-chamber or three chambers, Original connection wye is designed as detachable double cavity structure and is connected with L-shaped connector by breathing circuit.In this way, from patient's glottis Rise, be individually connected by the double channel catheter of tracheal catheter with the connecting tube of Anesthesia machine, there is no shared tube chamber;Due to anesthesia With the presence of unidirectional valve inside machine, this system is set to form two independent air-breathings and exhalation path, and breathed every time Loop is formed in journey.When the patient inhales, inspiratory valve open expiratory valve close, volatile anesthetic mixture of oxygen it is new Fresh gas enters patient body from air suction way.During patient expiration, inspiratory valve is closed expiratory valve and is opened, and is mixed with dioxy The exhaled gas of change carbon, volatile anesthetic and partial oxidation enters the exhaust gas absorption device in Anesthesia machine from exhalation path, complete Hypersorption, which is fallen, to be changed into live gas with oxygen mix after carbon dioxide and is inhaled by a patient in next respiratory cycle.In this way, exhale The mechanical inefficiencies chamber inhaled in dead space is completely eliminated.Mechanical inefficiencies chamber is eliminated, can in the general anesthesia for retaining autonomous respiration Respiration inhibition caused by alleviate anaesthetic, improves respiratory function, corrects body acid-base imbalance, and then improve vital sign Situation;Throughput can be reduced in the general anesthesia of control breathing, pressure in respiratory tract is reduced, slows down respiratory rate, is reduced Respiratory system damages.Patient age weight is smaller, and physical condition is poorer, and operating time is longer, eliminates the clinic of mechanical inefficiencies chamber Meaning is bigger.
Brief description of the drawings
Fig. 1 is the structure diagram of the embodiment of the present invention 1;
Fig. 2 is the right view of Fig. 1;
Fig. 3 is tracheal catheter component structure diagram in Fig. 1;
Fig. 3 a are the A portions enlarged drawings in Fig. 3;
Fig. 3 b are the B portions enlarged drawings in Fig. 3;
Fig. 3 c are the C portions enlarged drawings in Fig. 3;
Fig. 3 d are the A-A sectional views in Fig. 3;
Fig. 3 e are the B-B sectional views in Fig. 3;
Fig. 3 f are the A direction views in Fig. 3;
Fig. 3 g are the B direction views in Fig. 3;
Fig. 3 h are the C-C sectional views in Fig. 3 f;
Fig. 4 is the top view of Fig. 3;
Fig. 5 is the structure diagram of 1Y shape connectors of the embodiment of the present invention;
Fig. 5 a are the left views of Fig. 5;
Fig. 5 b are the top views of Fig. 5;
Fig. 6 is the structure diagram of 1L shape connectors of the embodiment of the present invention;
Fig. 6 a are the right views of Fig. 6;
Fig. 6 b are the bottom views of Fig. 6 a;
Fig. 7 is the structure diagram of the embodiment of the present invention 2;
Fig. 8 is the right view of Fig. 7;
Fig. 9 is the tracheal catheter component structure diagram of the embodiment of the present invention 2;
Fig. 9 a are the D portions enlarged drawings of Fig. 9;
Fig. 9 b are the E portions enlarged drawings of Fig. 9;
Figure 10 is the top view of Fig. 9;
Figure 11 is the structure diagram of 2Y shape connectors of the embodiment of the present invention;
Figure 11 a are the left views of Figure 11;
Figure 11 b are the top views of Figure 11;
Figure 12 is the external gas sampling joint structure diagram of the embodiment of the present invention 2;
Figure 13 is the L-shaped joint design schematic diagram of the embodiment of the present invention 2;
Figure 13 a are the right views of Figure 13;
Figure 13 b are the bottom views of Figure 13;
Figure 14 is the structure diagram of the embodiment of the present invention 3;
Figure 15 is the right view of Figure 14;
Figure 16 is the structure diagram of 3 breathing circuit filter of the embodiment of the present invention;
Figure 16 a are the left views of Figure 16;
Figure 16 b are the D-D sectional views of Figure 16;
Figure 16 c are the C direction views of Figure 16;
Figure 16 d are the D direction views of Figure 16;
Figure 17 is the structure diagram of the embodiment of the present invention 4;
Figure 18 is the right view of Figure 17;
Figure 19 is the structure diagram of 4 breathing circuit filter of the embodiment of the present invention;
Figure 19 a are the side views of Figure 19;
Figure 19 b are the E-E sectional views of Figure 19;
Figure 19 c are the E direction views of Figure 19;
Figure 19 d are the F direction views of Figure 19.
In figure:1st, tracheal catheter component;1-1, conduit;1-1A, venting cavity;1-1B, expiration chamber;1-1C, gas sampling Chamber;1-1D, inflatable chamber;1-1E, suction muffler;1-2, patient's insertion end;1-3, air bag;1-4, gas tube;1-5, charge valve;1- 6th, pipe joint;
2nd, breathing circuit filter;2-1, the first housing;2-2, machine end;2-3, patient end;2-4, first gas sampling connect Head;2-5, first gas sampling cavity;2-6, suction gas filtration chamber;2-7, exhaled gas filter chamber;2-8, the first filter core;
3rd, L-shaped connector;3-1, Anesthesia machine interface end;3-2, patient end;
4th, connection wye;4-1, patient interface end;4-2, Anesthesia machine output terminal;4-3, anesthesia machine input terminal;4-4, second Filter core;4-5, second gas sampling cavity;4-6, the 3rd filter core;4-7, second gas sampling joint;4-8, the second housing;
5th, external gas sampling joint;5-1, the 3rd housing;5-2, input end connector;5-3, output end connector;5-4, Four filter cores;
6th, external gas sampler;7th, Anesthesia machine connecting tube.
Embodiment
In order to further understand the content, features and effects of the present invention, the following examples are hereby given, and coordinate attached Figure describes in detail as follows:
Embodiment 1,
Please refer to Fig.1-Fig. 6 b, zero dead space tracheal catheter respiratory system, including tracheal catheter component 1, L shapes connector 3, Y shape Connector 4 and Anesthesia machine connecting tube 7, the tracheal catheter component include conduit 1-1, patient's insertion end 1-2, are arranged on patient and insert Enter the air bag 1-3 on end, the gas tube 1-4 connected with air bag and charge valve 1-5, the conduit to connect by pipe joint 1-6 L-shaped connector, the L-shaped connector connect connection wye, and the connection wye connects Anesthesia machine connecting tube, and the conduit is close to patient One section of tube body cross sectional shape of insertion end is circle, and the conduit is oblateness close to one section of tube body section of pipe joint, Described gas tube one end and the circular tube body of conduit and the connection of flat round tube joint, the conduit are interior at least provided with two Chamber, for the L-shaped connector at least provided with two chambers, the connection wye is the Demountable in it at least provided with two chambers.
In the present embodiment, the conduit of the tracheal catheter component is circle close to one section of tube body section of patient's insertion end, Two chambers are equipped with round tube body, are respectively that venting cavity 1-1A and inflatable chamber 1-1D, described inflatable chamber one end are communicated with air bag, The other end is connected with gas tube.The conduit is flat round tube close to the tube body of one section of pipe joint, in flat round tube Equipped with three chambers, respectively expiration chamber 1-1B, suction muffler 1-1E and gas sampling chamber 1-1C, exhaling in the flat round tube Air cavity and suction muffler are connected with the venting cavity in round tube body, one end of the gas sampling chamber and be arranged on circular tube body and The gas sampling chamber outlet of flat round tube connecting portion.The L-shaped connector and connection wye are equipped with oblate with conduit Corresponding three chambers of expiration chamber 1-1B, suction muffler 1-1E and gas sampling chamber 1-1C of shape tube body, the gas sampling chamber it is another One end is connected with the second gas sampling cavity 4-5 of three chamber connection wyes.The conduit connects three chamber L-shaped by pipe joint and connects Head, the three chambers L-shaped connector connect three chamber connection wyes, and the side of the three chambers connection wye is equipped with to be connected with gas sampling chamber The second gas sampling joint 4-7 connect, the three chambers connection wye connection Anesthesia machine connecting tube 7.
In the present embodiment, the connection wye 4 of three chamber includes the second housing 4-8, is connect on the second housing equipped with patient Mouth end 4-1, Anesthesia machine output terminal 4-2 and anesthesia machine input terminal 4-3, second housing are equipped with the second filter core 4-4, are connect in Y shape The second gas sampling joint 4-7 connected with second gas sampling cavity 4-5 is connected with the side of head, is sampled in second gas Intracavitary is equipped with the 3rd filter core 4-6.
In the present embodiment, one end of the L-shaped connector 3 is the interface end 3-1 being connected with connection wye, and the other end is patient 3-2 is held, three-cavity structure corresponding with each chamber of laryngeal mask snorkel, respectively expiration chamber 1-1A, suction muffler 1- are equipped with L-shaped connector 3 1B and gas sampling chamber 1-1C.
The operation principle of the present embodiment 1 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, L-shaped connector is sequentially connected and the Y shape with filter core connects Head, connection wye connect Anesthesia machine, the gas sampler and Y shape that Anesthesia machine or patient monitor are connected by Anesthesia machine connecting tube 7 Gas sampling joint connection on connector.From on patient's glottis, venting cavity 1-1A, expiration chamber 1-1B and the suction of tracheal catheter Air cavity 1-1E is connected by L-shaped connector, connection wye and Anesthesia machine connecting tube 7 with Anesthesia machine, and there is no shared tube chamber;Due to With the presence of unidirectional valve inside Anesthesia machine, this system is set to form two independent air-breathings and exhalation path, and breathing every time During form loop.Gas sampling passes through the gas sampling chamber 1-1C of conduit, L-shaped connector and connection wye with filter core Second gas sampling joint 4-7 is realized.
During patient breaths, inspiratory valve opens expiratory valve and closes, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and is opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb It is changed into live gas with oxygen mix after carbon dioxide to be inhaled by a patient in next respiratory cycle.In this way, breathing dead space In mechanical inefficiencies chamber be completely eliminated.
Embodiment 2,
Refer to Fig. 7-Figure 13 b, zero dead space tracheal catheter respiratory system, including tracheal catheter component 1, L shapes connector 3, Y Shape connector 4 and Anesthesia machine connecting tube 7, the tracheal catheter component include conduit 1-1, patient's insertion end 1-2, are arranged on patient Air bag 1-3 in insertion end, the gas tube 1-4 connected with air bag and charge valve 1-5, the conduit are connected by pipe joint 1-6 Logical L-shaped connector, the L-shaped connector connect connection wye, and the connection wye connects Anesthesia machine connecting tube, and the conduit is close to trouble One section of tube body cross sectional shape of person's insertion end is circle, and the conduit is oblateness close to one section of tube body section of pipe joint, Described gas tube one end and the circular tube body of conduit and the connection of flat round tube joint, the conduit are interior at least provided with two Chamber, for the L-shaped connector at least provided with two chambers, the connection wye is the Demountable in it at least provided with two chambers.
In the present embodiment, the conduit 1-1 of the tracheal catheter component is circle close to one section of tube body section of patient's insertion end Shape, is equipped with two chambers in round tube body, and venting cavity 1-1A and inflatable chamber 1-1D, described inflatable chamber one end are communicated with air bag, separately One end is connected with gas tube.Adopted at the circular tube body position that is connected with flat round tube equipped with the outlet of gas sampling chamber and gas Sample chamber 1-1C, one end of the gas sampling chamber is exported by gas sampling chamber to be communicated with conduit, the other end of gas sampling chamber External gas sampler 6 is connected with, the external gas sampler connects external gas sampling joint 5 by connector.It is described to lead Pipe is oblateness close to one section of tube body section of L-shaped connector, and two-chamber, respectively expiration chamber 1-1B are equipped with flat round tube Connected with suction muffler 1-1E, the expiration chamber 1-1B and suction muffler 1-1E with the venting cavity 1-1A in round tube body.The conduit Two-chamber L-shaped connector is connected by pipe joint, the two-chamber L-shaped connector connects two-chamber connection wye, and the two-chamber connection wye connects Connect Anesthesia machine connecting tube 7.
In the present embodiment, one end of the connection wye 4 is patient interface end 4-1, and the other end is respectively Anesthesia machine output 4-2 and anesthesia machine input terminal 4-3 is held, the second filter core 4-4 is equipped with Anesthesia machine output terminal 4-2 and anesthesia machine input terminal 4-3.
In the present embodiment, the external gas sampling joint 5 includes the 3rd housing 5-1, input end connector 5-2, output terminal Connector 5-3 and the 4th filter core 5-4, is equipped with the 4th filter core in the 3rd housing, and the 3rd shell one end is connected with input termination Head, the 3rd housing other end are connected with output end connector.
In the present embodiment, one end of the L-shaped connector 3 is the interface end 3-1 being connected with connection wye, and the other end is patient 3-2 is held, double cavity structure corresponding with each chamber of laryngeal mask snorkel, respectively expiration chamber 1-1A and suction muffler are equipped with L-shaped connector 3 1-1B。
The operation principle of the present embodiment 2 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, L-shaped connector is sequentially connected and the Y shape with filter core connects Head, connection wye connect Anesthesia machine, the gas sampler and Y shape that Anesthesia machine or patient monitor are connected by Anesthesia machine connecting tube 7 The connection of the external gas sampling joint with filter core on connector.From on patient's glottis, the venting cavity 1-1A of tracheal catheter, exhale Air cavity 1-1A and suction muffler 1-1E is connected by L-shaped connector, connection wye and Anesthesia machine connecting tube 7 with Anesthesia machine, is not present Share tube chamber;Due to, with the presence of unidirectional valve, making this system form two independent air-breathings logical with exhaling inside Anesthesia machine Road, and form loop in each respiratory.Gas sampling chamber 1-1C of the gas sampling by conduit, external gas sampling Pipe 6 and external gas sampling joint 5 are realized.
During patient breaths, inspiratory valve opens expiratory valve and closes, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and is opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb It is changed into live gas with oxygen mix after carbon dioxide to be inhaled by a patient in next respiratory cycle.In this way, breathing dead space In mechanical inefficiencies chamber be completely eliminated.
Embodiment 3,
Please refer to Fig.1 4- Figure 16 d, zero dead space tracheal catheter respiratory system, including tracheal catheter component 1, breathing circuit filter 2nd, L-shaped connector 3, connection wye 4 and Anesthesia machine connecting tube 7, the tracheal catheter component include conduit 1-1, patient's insertion end 1- 2nd, the air bag 1-3 being arranged in patient's insertion end, the gas tube 1-4 and charge valve 1-5 that are connected with air bag, the tracheal catheter Component connects breathing circuit filter by pipe joint 1-6, and the breathing circuit filter connects L-shaped connector, and the L-shaped connector connects Y Shape connector, the connection wye connect Anesthesia machine connecting tube.One section tube body cross sectional shape of the conduit close to patient's insertion end For circle, the conduit is oblateness close to one section of tube body section of pipe joint, and two are equipped with the round tube body of the conduit A chamber, the flat round tube of the conduit is interior at least provided with two chambers, and the breathing circuit filter is at least provided with two chambers, the L Shape connector and connection wye are double cavity structure.
In the present embodiment, the conduit of the tracheal catheter component is equipped with two in the circle segments tube body of patient's insertion end A chamber, is respectively venting cavity 1-1A and inflatable chamber 1-1D, and described inflatable chamber one end connects gas cell, and other end connection air bag fills Tracheae.Three chambers, respectively expiration chamber 1-1B, suction muffler 1-1E and gas sampling are equipped with the conduit oblateness section tube body Chamber 1-1C, the expiration chamber 1-1B and suction muffler 1-1E are connected with the venting cavity 1-1A in round tube body, the gas sampling chamber One end with being arranged on conduit circle tube body and flat round tube is connected the gas sampling chamber outlet at position, it is described to exhale It is drawn through in filter and is equipped with three chambers corresponding with oblate conduit, is equipped with what is connected with gas sampling chamber on breathing circuit filter First gas sampling joint 2-4.The L-shaped connector and connection wye are double cavity structure, and the conduit is connected by pipe joint Breathing circuit filter, the breathing circuit filter connect two-chamber L-shaped connector, and the two-chamber L shapes connector connects two-chamber connection wye, described Two-chamber connection wye connects Anesthesia machine connecting tube.
In the present embodiment, the breathing circuit filter 2 includes the first housing 2-1, and machine end 2- is equipped with the first shell one end 2, the first housing other end is equipped with patient end 2-3, and the middle part of first housing is more than machine end 2-2 and patient end 2- 3, suction gas filtration chamber 2-6, exhaled gas filter chamber 2-7 and first gas sampling cavity are equipped with the first housing middle part The first filter is equipped with 2-5, the suction gas filtration chamber 2-6, exhaled gas filter chamber 2-7 and first gas sampling cavity 2-5 Core 2-8.The affixed first gas sampling joint 2-4 of first housing upper outside, the first gas sampling joint and first Gas sampling chamber connects.
In the present embodiment, the structure of the L-shaped connector is identical with the L-shaped joint design in embodiment 2.
In the present embodiment, one end of the connection wye 4 is patient interface end 4-1, and the other end is respectively Anesthesia machine output Hold 4-2 and anesthesia machine input terminal 4-3.
The operation principle of the present embodiment 3 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, is sequentially connected breathing circuit filter, L-shaped connector and Y shape Connector, connection wye connect Anesthesia machine by Anesthesia machine connecting tube 7, and the gas sampler that Anesthesia machine or patient monitor are connected is with exhaling The gas sampling joint connection being drawn through on filter.From on patient's glottis, the venting cavity 1-1A of tracheal catheter, expiration chamber 1-1B, Suction muffler 1-1E is connected with Anesthesia machine, is not present by breathing circuit filter, L-shaped connector, connection wye and Anesthesia machine connecting tube 7 Share tube chamber;Due to, with the presence of unidirectional valve, making this system form two independent air-breathings logical with exhaling inside Anesthesia machine Road, and form loop in each respiratory.Gas sampling is equipped with first by the gas sampling chamber 1-1C of conduit, in it The breathing circuit filter 2 of filter core 2-8 and the first gas sampling joint 2-4 that is arranged on outside breathing circuit filter housing are realized.
During patient breaths, inspiratory valve opens expiratory valve and closes, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and is opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb It is changed into live gas with oxygen mix after carbon dioxide to be inhaled by a patient in next respiratory cycle.In this way, breathing dead space In mechanical inefficiencies chamber be completely eliminated.
Embodiment 4,
Please refer to Fig.1 7- Figure 19 d, zero dead space tracheal catheter respiratory system, including tracheal catheter component 1, breathing circuit filter 2nd, L-shaped connector 3, connection wye 4 and Anesthesia machine connecting tube 7, the tracheal catheter component include conduit 1-1, patient's insertion end 1- 2nd, the air bag 1-3 being arranged in patient's insertion end, the gas tube 1-4 and charge valve 1-5 that are connected with air bag, the tracheal catheter Component connects breathing circuit filter by pipe joint 1-6, and the breathing circuit filter connects L-shaped connector, and the L-shaped connector connects Y Shape connector, the connection wye connect Anesthesia machine connecting tube.One section tube body cross sectional shape of the conduit close to patient's insertion end For circle, the conduit is oblateness close to one section of tube body section of pipe joint, and two are equipped with the round tube body of the conduit A chamber, the flat round tube of the conduit is interior to be equipped with two chambers at least provided with two chambers, the breathing circuit filter, and the L-shaped connects Head and connection wye are double cavity structure.The conduit is equipped with two chambers in the circle segments tube body of patient's insertion end, is respectively Venting cavity 1-1A chambers and inflatable chamber 1-1D, gas sampling chamber is equipped with the conduit circle tube body position that is connected with flat round tube Outlet, one end of the gas sampling chamber is exported by gas sampling chamber to be communicated with conduit, the other end of the gas sampling chamber External gas sampler 6 is connected with, the external gas sampler connects external gas sampling joint 5 by connector.It is described Inflatable chamber one end connects gas cell, other end connection airbag inflation pipe;Two chambers are equipped with the tube body of the oblateness conduit, Respectively expiration chamber 1-1B and suction muffler 1-1E, the expiration chamber 1-1B and suction muffler 1-1E and the venting cavity in round tube body 1-1A is connected.Two corresponding with oblate conduit expiration chamber 1-1B and suction muffler 1-1E are equipped with the breathing circuit filter 2 Chamber, the L-shaped connector and connection wye are double cavity structure, and the two-chamber connection wye connects Anesthesia machine connecting tube.
In the present embodiment, the breathing circuit filter 2 includes the first housing 2-1, and machine end 2- is equipped with the first shell one end 2, the first housing other end is equipped with patient end 2-3, and the middle part of first housing is more than machine end 2-2 and patient end 2- 3, suction gas filtration chamber 2-6, exhaled gas filter chamber 2-7, the suction gas filtration are equipped with the first housing middle part The first filter core 2-8 is equipped with chamber 2-6 and exhaled gas filter chamber 2-7.
In the present embodiment, the external gas sampling joint 5 includes the 3rd housing 5-1, input end connector 5-2, output terminal Connector 5-3 and the 4th filter core 5-4, is equipped with the 4th filter core in the 3rd housing, and the 3rd shell one end is connected with input termination Head, the 3rd housing other end are connected with output end connector.
In the present embodiment, the L-shaped connector is identical with the L-shaped joint design in embodiment 2.
In the present embodiment, one end of the connection wye 4 is patient interface end 4-1, and the other end is respectively Anesthesia machine output Hold 4-2 and anesthesia machine input terminal 4-3.
The operation principle of the present embodiment 4 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, is sequentially connected breathing circuit filter, L-shaped connector and Y shape Connector, connection wye connect Anesthesia machine, the gas sampler and gas that Anesthesia machine or patient monitor are connected by Anesthesia machine connecting tube 7 External gas sampling joint connection with filter core on pipe conduit.From on patient's glottis, the venting cavity 1-1A of tracheal catheter, exhale Air cavity 1-1B and suction muffler 1-1E passes through breathing circuit filter, L-shaped connector, connection wye and Anesthesia machine connecting tube 7 and Anesthesia machine phase Connection, there is no shared tube chamber;Due to, with the presence of unidirectional valve, making this system form two independent suctions inside Anesthesia machine Gas and exhalation path, and form loop in each respiratory.Gas sampling passes through the gas sampling chamber 1-1C of conduit, outer Gas sampler 6 and external gas sampling joint 5 are put to realize.
During patient breaths, inspiratory valve opens expiratory valve and closes, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and is opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb It is changed into live gas with oxygen mix after carbon dioxide to be inhaled by a patient in next respiratory cycle.In this way, breathing dead space In mechanical inefficiencies chamber be completely eliminated.
Embodiment described in attached drawing of the present invention is exemplary, and is only used for explaining the present invention, and it is not intended that to this The limitation of invention.

Claims (10)

  1. A kind of 1. zero dead space tracheal catheter respiratory system, it is characterised in that:Including tracheal catheter component, L-shaped connector, connection wye With Anesthesia machine connecting tube, the tracheal catheter component include conduit, patient's insertion end, the air bag being arranged in patient's insertion end, The gas tube and charge valve connected with air bag, the tracheal catheter component connect L-shaped connector by pipe joint, and the L-shaped connects Head connection connection wye, the connection wye connect Anesthesia machine connecting tube, and the conduit is cut close to one section of tube body of patient's insertion end Face shape is circle, and the conduit is oblateness close to one section of tube body section of pipe joint, and the conduit is interior at least provided with two A chamber, for the L-shaped connector at least provided with two chambers, the connection wye is the Demountable in it at least provided with two chambers.
  2. 2. zero dead space tracheal catheter respiratory system according to claim 1, it is characterised in that:The tracheal catheter component Conduit close to one section of tube body section of patient's insertion end for circle, two chambers are equipped with round tube body, be respectively venting cavity with fill Air cavity, described inflatable chamber one end are communicated with air bag, and the other end is connected with gas tube, pipe of the conduit close to one section of pipe joint Body is flat round tube, and three chambers, respectively expiration chamber, suction muffler and gas sampling chamber are equipped with flat round tube, described One end of gas sampling chamber is connected position connection with conduit circle tube body and flat round tube, exhaling in the flat round tube Air cavity and suction muffler are connected with the venting cavity in round tube body, and the L-shaped connector and connection wye are equipped with the expiration with conduit Second gas of chamber, suction muffler and corresponding three chambers of gas sampling chamber, the other end of the gas sampling chamber and three chamber connection wyes Sampler body chamber connects, and the conduit connects three chamber L-shaped connectors by pipe joint, and the three chambers L-shaped connector connects three chamber Y shapes and connects Head, the side of the three chambers connection wye are equipped with the second gas sampling joint being connected with gas sampling chamber, the three chambers Y shape Connector connects Anesthesia machine connecting tube;
    One end of the L-shaped connector is the interface end that is connected with connection wye, and the other end is patient end, is equipped with L-shaped connector and larynx The corresponding three-cavity structure of each chamber of cover snorkel, respectively expiration chamber, suction muffler and gas sampling chamber.
  3. 3. zero dead space tracheal catheter respiratory system according to claim 2, it is characterised in that:The three chambers connection wye bag The second housing is included, on the second housing equipped with patient interface end, Anesthesia machine output terminal and anesthesia machine input terminal, second housing Equipped with the second filter core, the gas sampling joint connected with gas sampling chamber is connected with the side of connection wye, in gas sampling Intracavitary is equipped with the 3rd filter core.
  4. 4. zero dead space tracheal catheter respiratory system according to claim 1, it is characterised in that:The tracheal catheter component Conduit close to one section of tube body section of patient's insertion end for circle, two chambers are equipped with round tube body, be respectively venting cavity with fill Air cavity, described inflatable chamber one end are communicated with air bag, and the other end is connected with gas tube, in conduit circle tube body and flat round tube phase Connecting portion is equipped with the outlet of gas sampling chamber and gas sampling chamber, and one end of the gas sampling chamber is exported by gas sampling chamber Communicated with conduit, the other end of gas sampling chamber is connected with external gas sampler, and the external gas sampler passes through connector Connect external gas sampling joint;The conduit is oblateness close to one section of tube body section of L-shaped connector, in flat round tube Equipped with two-chamber, respectively expiration chamber and suction muffler, expiration chamber and suction muffler in the flat round tube with round tube body Venting cavity connects;The conduit connects two-chamber L-shaped connector by pipe joint, and the two-chamber L-shaped connector connection two-chamber Y shape connects Head, the two-chamber connection wye connect Anesthesia machine connecting tube;
    One end of the L-shaped connector is the interface end that is connected with connection wye, and the other end is patient end, is equipped with L-shaped connector and larynx The corresponding double cavity structure of each chamber of cover snorkel, respectively expiration chamber and suction muffler.
  5. 5. zero dead space tracheal catheter respiratory system according to claim 4, it is characterised in that:The external gas sampling connects Head includes the 3rd housing, input end connector, output end connector and the 4th filter core, and the 4th filter core is housed in the 3rd housing, described 3rd shell one end is connected with input end connector, and the 3rd housing other end is connected with output end connector.
  6. A kind of 6. zero dead space tracheal catheter respiratory system, it is characterised in that:Connect including tracheal catheter component, breathing circuit filter, L-shaped Head, connection wye and Anesthesia machine connecting tube, tracheal catheter component include conduit, patient's insertion end, are arranged in patient's insertion end Air bag, the gas tube and charge valve connected with air bag, the tracheal catheter component connect breathing circuit filter, institute by pipe joint Breathing circuit filter connection L-shaped connector is stated, the L-shaped connector connects connection wye, and the connection wye connects Anesthesia machine connecting tube, institute It is circle that conduit, which is stated, close to one section of tube body cross sectional shape of patient's insertion end, and the conduit is cut close to one section of tube body of pipe joint Face is oblateness, and two chambers are equipped with the round tube body of the conduit, and the flat round tube of the conduit is interior at least provided with two Chamber, the breathing circuit filter are double cavity structure at least provided with two chambers, the L-shaped connector and connection wye.
  7. 7. zero dead space tracheal catheter respiratory system according to claim 6, it is characterised in that:The tracheal catheter component Conduit is equipped with two chambers in the circle segments tube body of patient's insertion end, respectively venting cavity and inflatable chamber, the inflatable chamber one End connection gas cell, other end connection airbag inflation pipe;Three are equipped with the conduit oblateness section tube body of the tracheal catheter component A chamber, respectively expiration chamber, suction muffler and gas sampling chamber, expiration chamber and suction muffler and round tube in the flat round tube Internal venting cavity connection, one end of the gas sampling chamber is with being arranged on conduit circle tube body and flat round tube phase connection The gas sampling chamber outlet of position, the breathing circuit filter is interior to be equipped with three chambers corresponding with oblate conduit, and the L-shaped connects Head and connection wye are double cavity structure, and the first gas sampling joint connected with gas sampling chamber is equipped with breathing circuit filter;Institute State conduit and breathing circuit filter is connected by pipe joint, the breathing circuit filter connects two-chamber L-shaped connector, and the two-chamber L-shaped connects Head connection two-chamber connection wye, the two-chamber connection wye connect Anesthesia machine connecting tube.
  8. 8. zero dead space tracheal catheter respiratory system according to claim 7, it is characterised in that:The breathing circuit filter includes First housing, is equipped with machine end, the first housing other end is equipped with patient end, the centre of first housing in the first shell one end Position is more than machine end and patient end, be equipped with the first housing middle part suction gas filtration chamber, exhaled gas filter chamber and Gas sampling chamber, suction gas filtration chamber, exhaled gas filter chamber and the gas sampling intracavitary are equipped with the first filter core 2-8, The affixed gas sampling joint of first housing upper outside, the gas sampling joint are connected with gas sampling chamber.
  9. 9. zero dead space tracheal catheter respiratory system according to claim 6, it is characterised in that:The tracheal catheter component Conduit is equipped with two chambers in the circle segments tube body of patient's insertion end, is respectively venting cavity and inflatable chamber, in conduit round tube Body is connected position with flat round tube equipped with the outlet of gas sampling chamber, and one end of the gas sampling chamber passes through gas sampling chamber Outlet is communicated with conduit, and the other end of the gas sampling chamber is connected with external gas sampler, the external gas sampler External gas sampling joint is connected by connector, described inflatable chamber one end connects gas cell, other end connection airbag inflation pipe;Institute State and two chambers, respectively expiration chamber and suction muffler are equipped with the tube body of oblate conduit, the expiration chamber in the flat round tube Connected with suction muffler with the venting cavity in round tube body, two corresponding with oblate conduit are equipped with the breathing circuit filter Chamber, the L-shaped connector and connection wye are double cavity structure, and the two-chamber connection wye connects Anesthesia machine connecting tube.
  10. 10. zero dead space tracheal catheter respiratory system according to claim 9, it is characterised in that:The breathing circuit filter bag The first housing is included, machine end is equipped with the first shell one end, the first housing other end is equipped with patient end, in first housing Between position be more than machine end and patient end, suction gas filtration chamber, exhaled gas filter chamber are equipped with the first housing middle part With gas sampling chamber, described suck in gas filtration chamber and exhaled gas filter chamber is equipped with the first filter core.
CN201711224029.8A 2017-11-29 2017-11-29 Zero dead space tracheal catheter respiratory system Withdrawn CN107899118A (en)

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CN111481785A (en) * 2020-05-07 2020-08-04 孙志华 Constant-current type low-ineffective-cavity breathing machine
WO2024103984A1 (en) * 2022-11-15 2024-05-23 杨明 Airway management system

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TW200533399A (en) * 2004-02-12 2005-10-16 Atsuo F Fukunaga Multifunctional integrated filter and breathing conduit
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Publication number Priority date Publication date Assignee Title
CN111481785A (en) * 2020-05-07 2020-08-04 孙志华 Constant-current type low-ineffective-cavity breathing machine
WO2024103984A1 (en) * 2022-11-15 2024-05-23 杨明 Airway management system

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Application publication date: 20180413