CN111150914A

CN111150914A - Respiratory support airway clearing device for critical medicine department

Info

Publication number: CN111150914A
Application number: CN202010052993.2A
Authority: CN
Inventors: 黄立; 钟永
Original assignee: Xiangya Hospital of Central South University
Current assignee: Xiangya Hospital of Central South University
Priority date: 2020-01-17
Filing date: 2020-01-17
Publication date: 2020-05-15

Abstract

An airway patency device for respiratory support in the intensive care department, comprising a neck pillow, a support plate, an intubation tube, a connecting tube, a converter, a pressure regulating valve, a negative pressure device, a waste bottle, and an intubation support device; the support A neck pillow and an intubation support device are arranged on the board; the intubation is connected with a connecting pipe through a joint, a waste bottle and a converter are arranged on the connecting pipe, the connecting pipe is connected with a negative pressure device, and a regulating device is arranged on the negative pressure device. pressure valve; the converter includes a casing, a filter pad, a sleeve, a one-way valve valve, and a spring; the casing is cylindrical, the two ends are connected with the connecting pipe, and the left end of the casing is provided with a circular groove, A filter pad is arranged in the annular groove; an annular step is arranged on the right side of the annular groove, and a sleeve is arranged on the right side of the annular step. The sleeve can slide left and right in the casing, and the right side of the sleeve is arranged A spring is arranged, a one-way valve valve is arranged in the sleeve, and a through hole is arranged on the casing and the sleeve; the device fully guarantees the smooth breathing of the patient.

Description

Respiratory support airway clearing device for critical medicine department

Technical Field

The invention relates to the technical field of medical instruments, in particular to an airway clearing device for respiratory support of a severe medical department.

Background

The patency of the airway is usually reflected by the flow of breathing gas, the gas flow is in direct proportion to the diameter of the airway, and the larger the diameter of the airway is, the more unobstructed the flow is; otherwise, the airway is spasm, stenosis or blockage, the diameter of the airway becomes smaller, and the gas flow is slowed down. In general, the above theory is correct, but ignores another important factor. The gas flow rate is related to the driving pressure of the gas flow, in addition to the pipe diameter. The higher the driving pressure, the faster the gas flow rate for the same pipe diameter. Therefore, it is not comprehensive to reflect airway patency with gas flow alone. Airway resistance checks may remedy this deficiency. In the critical medical science department, the most common medical means is to breathe management and breath support for acute respiratory insufficiency and other various critical patients, but the breathing machine used at present can work effectively only under the condition that the airway is unobstructed, and many critical medical science department patients are often accompanied with the condition that respiratory tract phlegm or blood clots are blocked, so that the respiratory support treatment means is influenced, and great inconvenience is brought to doctor treatment and patients. The existing airway patency device has the following defects:

1. the patient needs to keep the respiratory tract continuously unobstructed, and the airway is kept unobstructed clinically by a head raising and neck raising method, wherein when the existing airway unobstructed device is inserted, one hand is placed on the forehead of the patient to enable the head to lean backwards, and the other hand is placed behind the neck of the patient to support the neck; the operation is complicated, the use is inconvenient, and the labor intensity is high;

2. when the patient encounters intraoral foreign matters (including secretions), the patient needs to be removed in time by a manipulation, the airway obstruction device usually sucks the intraoral foreign matters by negative pressure, the existing airway obstruction device cannot adjust air pressure, and the patient feels very strong discomfort.

3. The patient need breathe through the unobstructed ware of air flue after inserting the unobstructed ware of air flue, and the unobstructed ware of current air flue is direct to be connected with negative pressure device, and the patient can't breathe through the unobstructed ware of air flue, causes the patient to breathe the difficulty.

Disclosure of Invention

In order to solve the problems, the invention provides an airway clearing device for respiratory support of a critical medicine department. The airway smoothening device can adjust negative pressure through the pressure adjusting valve, the patient can use the airway smoothening device more comfortably, the neck back pillow is arranged, the neck of the patient can be supported by the neck back pillow when the airway smoothening device is inserted, manual support is not needed, and the labor intensity of medical personnel is reduced; the airway unobstructed device can support the patient to breathe, and when the patient does not suck foreign matters in the mouth, the airway unobstructed device is automatically communicated with the outside, so that the patient can breathe smoothly.

In order to achieve the technical purpose and achieve the technical effects, the invention is realized by the following technical scheme:

an airway clearing device for respiratory support of critical medicine department comprises a pillow at the back of the neck, a support plate, an insertion tube, a connecting tube, a converter, a pressure regulating valve, a negative pressure device, a waste bottle and an insertion tube support device; the back neck pillow can lift the neck of a patient, so that medical personnel can insert the insertion tube conveniently, and the insertion tube supporting device has a fixed supporting function on the insertion tube; the intubation is connected with a connecting pipe through a joint, a waste bottle and a converter are arranged on the connecting pipe, the waste bottle stores sucked waste, the connecting pipe is connected with a negative pressure device, and a pressure regulating valve is arranged on the negative pressure device and can regulate negative pressure;

the converter comprises a shell, a filter pad, a sleeve, a one-way valve and a spring; the shell is cylindrical, two ends of the shell are connected with the connecting pipe, the left end of the shell is provided with an annular groove, and a filter pad is arranged in the annular groove and can prevent waste from being sucked into the negative pressure device; the right side of the circular groove is provided with a circular step, the right side of the circular step is provided with a sleeve, the sleeve can slide left and right in the shell, the right side of the sleeve is provided with a spring, a one-way valve is arranged in the sleeve, the shell and the sleeve are both provided with through holes, and when the sleeve is positioned at the left position, the through holes of the shell are coaxially communicated with the through holes of the sleeve; the pressure that one-way valve opened be greater than the elasticity of spring, when negative pressure ware produced the negative pressure, the sleeve was inhaled and is moved to the right, and when the sleeve was located the right position, one-way valve opened, and telescopic through-hole and casing through-hole dislocation, the realization separates with the external world.

Further limiting, the pillow at the back of the neck is an inflatable pillow, an inflation inlet is arranged on the side face of the pillow at the back of the neck, the height of the inflatable pillow is increased along with the entering of air, and the height of the neck of a patient can be adjusted.

Further inject, the front end of intubate be the plug, the plug is oval plug, conveniently inserts, has the through-hole on the plug, the end is the joint, connects through pegging graft and is connected with the connecting pipe.

Further limiting, a pressure gauge is arranged on the pressure regulating valve, an adjusting knob is arranged on the right side of the pressure regulating valve, the pressure is adjusted through the adjusting knob, and a pressure value is read through the pressure gauge.

Further limit, the negative pressure ware on be provided with inching switch and normally moving switch, the patient needs to breathe, negative pressure usually can only be just need stop for several seconds, need the interval negative pressure, give the patient breathing time, so set up inching switch control negative pressure ware, press inching switch, the work of negative pressure ware, let go up inching switch, negative pressure ware stop work.

Further inject, intubate strutting arrangement include cardan shaft and clamping device, clamping device passes through the cardan shaft and is connected with the backup pad, clamping device centre gripping fixes the intubate, the cardan shaft can support and fix the intubate.

Another object of the present invention is to provide a method for using an airway obstruction device for supporting respiration of a critical care medical department, which is used for patients with airway obstruction in the critical care medical department, and specifically includes the following steps:

step one, a patient lies on a bed, the neck of the patient leans against a pillow at the back of the neck, the pillow at the back of the neck is inflated, the pillow at the back of the neck is lifted up, the head of the patient is tilted backwards, and the intubation is facilitated;

inserting an intubation tube, connecting the intubation tube with a connecting tube through a joint, moving the intubation tube supporting device to a proper position of a patient, and fixedly supporting the intubation tube by using the intubation tube supporting device, wherein the intubation tube is stable;

step three, when encountering intraoral foreign matters (including secretions), the intraoral foreign matters are sucked out through the negative pressure device, the negative pressure is adjusted through the adjusting knob on the right side of the pressure adjusting valve, the patient does not feel great discomfort, the negative pressure device is started through the inching switch, the negative pressure device works for a few seconds and stops working again, and the breathing of the patient is ensured.

The invention has the beneficial effects that: this severe medical science branch of academic or vocational study is breathed and is supported with unobstructed ware of gas channel has following advantage:

1. the neck of the patient can be lifted through the pillow behind the neck, so that the head of the patient can be automatically tilted backwards, the medical staff does not support the neck of the patient with hands any more, the intubation of the medical staff is facilitated, and the labor intensity of the medical staff is greatly reduced;

2. the device is provided with the pressure regulating valve which can read and regulate the negative pressure, the negative pressure is controllable, foreign matters in a negative pressure suction port of a patient do not feel uncomfortable too much, and the patient cannot be injured;

3. this severe medical science branch of academic or vocational study is breathed and is supported fully ensure patient's breathing with unobstructed ware of gas channel, the trachea is inserted to the unobstructed ware of current gas channel, unobstructed ware of gas channel and negative pressure ware UNICOM, easily cause the patient to breathe not smooth problem, the patient is uncomfortable to be felt strongly, and this severe medical science branch of academic or vocational study is breathed and is supported can not appear breathing not smooth problem with unobstructed ware of gas channel, fully guarantee external atmospheric pressure and unobstructed ware UNICOM through being provided with the converter, the patient can breathe by oneself, during the suction foreign matter, through inching control negative pressure ware, it is convenient to open and stop.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.

FIG. 1 is a schematic diagram of a critical care respiratory support airway pater;

FIG. 2 is a schematic cross-sectional view of a normal station of the converter;

fig. 3 is a schematic sectional structure diagram of the converter negative pressure station.

In the drawings, the components represented by the respective reference numerals are listed below:

1-support plate, 2-pillow behind neck, 201-inflation inlet, 3-cannula, 301-plug, 302-connector, 4-connecting pipe, 5-converter, 501-shell, 502-filter pad, 503-sleeve, 504-one-way valve, 505-spring, 506-shell opening, 507-sleeve opening, 6-pressure regulating valve, 601-pressure gauge, 602-adjusting knob, 7-negative pressure device, 701-inching switch, 702-normally-operated switch, 8-waste bottle, 9-cannula support device, 901-clamping device.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-3, an airway clearing device for respiratory support in critical medicine department comprises a pillow 2 behind the neck, a support plate 1, an insertion tube 3, a connecting tube 4, a converter 5, a pressure regulating valve 6, a negative pressure device 7, a waste bottle 8 and an insertion tube support device 9; the back neck pillow 2 and the intubation tube supporting device 9 are arranged on the supporting plate 1, the back neck pillow 2 can lift the neck of a patient, the intubation tube 3 can be conveniently inserted by medical personnel, and the intubation tube supporting device 9 has a fixed supporting function on the intubation tube; the intubation tube 3 is connected with a connecting tube 4 through a joint 302, a waste bottle 8 and a converter 5 are arranged on the connecting tube 4, the waste bottle 8 stores sucked waste, the connecting tube 4 is connected with a negative pressure device 7, and a pressure regulating valve 6 is arranged on the negative pressure device 7 and can regulate negative pressure;

the converter 5 comprises a shell 501, a filter pad 502, a sleeve 503, a one-way valve 504 and a spring 505; the shell 501 is cylindrical, two ends of the shell are connected with the connecting pipe 4, the left end of the shell 501 is provided with an annular groove, a filter pad 502 is arranged in the annular groove, and the filter pad 502 can prevent waste from being sucked into the negative pressure device 7; the right side of the circular groove is provided with a circular step, the right side of the circular step is provided with a sleeve 503, the sleeve 503 can slide left and right in the shell 501, the right side of the sleeve 503 is provided with a spring 505, a one-way valve 504 is arranged in the sleeve 503, through holes are arranged on the shell 501 and the sleeve 503, and when the sleeve 503 is positioned at the left position, the through hole 506 of the shell 501 is coaxially communicated with the through hole 507 of the sleeve 503; the opening pressure of the one-way valve 504 is greater than the elastic force of the spring 505, when the negative pressure device 7 generates negative pressure, the sleeve 503 is sucked to move to the right, when the sleeve 503 is positioned at the right position, the one-way valve 504 is opened, and the through hole 507 of the sleeve 503 is staggered with the through hole 506 of the shell 501, so that the one-way valve is separated from the outside.

The pillow 2 behind the neck is an inflatable pillow, an inflation inlet 201 is formed in the side face of the pillow behind the neck, the height of the inflatable pillow 2 is increased along with the entering of air, and the height of the neck of a patient can be adjusted.

The front end of the insertion tube 3 is a plug 301, the plug 301 is an oval plug, the insertion is convenient, a through hole is formed in the plug 301, the tail end of the plug is a connector 302, and the connector 302 is connected with the connecting tube 4 through insertion.

The pressure regulating valve 6 is provided with a pressure gauge 601 on the upper surface, an adjusting knob 602 on the right surface, the pressure is adjusted by the adjusting knob 602, and the pressure value is read by the pressure gauge 601.

The inching switch 701 and the normally-operated switch 702 are arranged on the negative pressure device 7, a patient needs to breathe, the negative pressure can be stopped only after several seconds, the interval negative pressure is needed, and the breathing time is given to the patient, so the inching switch 701 is arranged to control the negative pressure device, the inching switch 701 is pressed, the negative pressure device 7 works, the inching switch 701 is released, and the negative pressure device 7 stops working.

The intubation tube supporting device 9 includes a universal shaft and a clamping device 901, the clamping device 901 is connected to the supporting plate 1 through the universal shaft, the intubation tube 3 is clamped and fixed by the clamping device 901, and the intubation tube 3 can be supported and fixed by the universal shaft.

The first embodiment of the present invention: the invention provides a use method of an airway obstruction device for respiratory support of a critical medical department, which is used for patients with airway obstruction and other airway obstruction in the critical medical department, and specifically comprises the following steps:

step one, a patient lies on a bed, the neck of the patient leans against the back-neck pillow 2, the back-neck pillow 2 is inflated, the back-neck pillow 2 is lifted up to lift the neck of the patient, the head of the patient leans backwards, and the insertion tube 3 is conveniently inserted;

step two, inserting the cannula 3, connecting the cannula 3 with the connecting pipe 4 through the joint 302, moving the cannula fixing device 9 to a proper position of a patient, fixedly supporting the cannula 3 by using the cannula supporting device 9, and stabilizing the cannula 3;

step three, when the foreign matters (including secretion) in the mouth are met, the foreign matters in the mouth are sucked out through the negative pressure device 7, the negative pressure is adjusted through the adjusting knob 602 on the right side of the pressure adjusting valve 6, the patient does not feel great discomfort, the negative pressure device 7 is started through the inching switch 701, the negative pressure device 7 works for a few seconds and stops working again, and the breathing of the patient is guaranteed.

Second embodiment of the present invention: the airway clearing device for respiratory support in the critical medicine department is used for patients with airway obstruction and the like in the critical medicine department; the negative pressure device provided with the inching switch and the pressure regulating valve can be used for other devices needing negative pressure to suck waste, such as a sputum aspirator and a urinary catheter; the converter of the device is used for the sputum aspirator and can effectively ensure the smooth breathing of the patient; the pillow behind the neck can be used for cushioning the limbs of the patient and the like.

In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example.

The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The invention is limited only by the claims and their full scope and equivalents.

Claims

1. an airway unobstructed device for respiratory support in intensive care medicine department, is characterized in that, comprises neck pillow, support plate, intubation, connecting pipe, converter, pressure regulating valve, negative pressure device, waste bottle, intubation support The support plate is provided with a neck pillow and an intubation support device; the intubation is connected with a connecting pipe through a joint, and the connecting pipe is provided with a waste bottle and a converter, and the waste bottle stores the sucked waste and is connected to The pipe is connected to the negative pressure device, and the negative pressure device is provided with a pressure regulating valve, which can adjust the negative pressure;

The converter includes a casing, a filter pad, a sleeve, a one-way valve valve, and a spring; the casing is cylindrical, and the two ends are connected with the connecting pipe. The left end of the casing is provided with a circular groove, and the circular groove There is a filter pad inside, which can prevent waste from being sucked into the negative pressure device; the right side of the circular groove is provided with a circular step, and the right side of the circular step is provided with a sleeve, and the sleeve can be installed on the casing. Slide left and right, the right side of the sleeve is provided with a spring, the sleeve is provided with a one-way valve valve, the casing and the sleeve are provided with through holes, when the sleeve is in the left position, the through-hole of the casing is The hole is coaxially communicated with the through hole of the sleeve; the opening pressure of the one-way valve valve is greater than the elastic force of the spring, when the negative pressure device generates negative pressure, the sleeve is sucked and moved to the right, and when the sleeve is in the right position, the single The valve is opened to the valve, and the through hole of the sleeve and the through hole of the casing are dislocated to achieve isolation from the outside world.

2 . The airway patency device for respiratory support in the intensive care department according to claim 1 , wherein the pillow behind the neck is an inflatable pillow, and an inflatable port is provided on the side of the pillow behind the neck. 3 .

3. A kind of airway patency device for respiratory support in intensive medicine department according to claim 1, it is characterized in that, the front end of described intubation is a plug, and the plug is an oval plug, the plug is provided with a through hole, and the end is The joint is connected to the connecting pipe by plugging.

4 . The airway patency device for respiratory support in the department of intensive care according to claim 1 , wherein a pressure gauge is provided on the top of the pressure regulating valve, and an adjustment knob is provided on the right side. 5 .

5. A kind of airway patency device for respiratory support in critical care medicine department according to claim 1, is characterized in that, described negative pressure device is provided with jog switch and normal motion switch, and set jog switch to control negative pressure device , press the jog switch, the negative pressure device works, release the jog switch, the negative pressure device stops working.

6 . The airway patency device for respiratory support in the intensive care department according to claim 1 , wherein the intubation support device comprises a universal shaft and a clamping device, and the clamping device is connected to the universal shaft through the universal shaft. 7 . The support plate is connected, the clamping device clamps and fixes the intubation tube, and the universal shaft can support and fix the intubation tube.

7. The method for using an airway patency device for respiratory support in intensive medicine according to any one of claims 1-6, characterized in that in step 1, the patient lies on the bed, and the neck leans on the pillow behind the neck On the back of the neck, inflate the back of the neck pillow, the back of the neck pillow is raised to lift the patient's neck, and the patient's head is tilted back, which is convenient for intubation; step 2, insert the intubation, connect the intubation with the connecting The tube support device is moved to the appropriate position of the patient, and the intubation device is fixed and supported by the intubation support device, and the intubation is stable; Step 3. When encountering foreign bodies or secretions in the mouth, suction the foreign bodies in the mouth through a negative pressure device, and adjust the intubation device. The adjustment knob on the right side of the pressure valve adjusts the negative pressure, and the patient will not experience too much discomfort. Start the negative pressure device by pressing the switch, and the negative pressure device will work for a few seconds and stop for a while to ensure the patient's breathing.

8. A kind of airway patency device for respiratory support in intensive medicine department according to one of claims 1-6, it is characterized in that, a kind of airway patency device for respiratory support in intensive medical department can be used for breathing in intensive medical department The support airway patency device is used for patients with airway obstruction such as airway obstruction in the intensive care department; the device is equipped with a negative pressure device with a jog switch and a pressure regulating valve, which can be used for other devices that require negative pressure to suck out waste, Such as a sputum suction device and a urinary catheter; the converter of the device is used for a sputum suction device, which can effectively ensure the smooth breathing of the patient; the pillow behind the neck can be used to raise the patient's limbs.