技术领域technical field
本发明涉及一种装置，该装置可以减少膨胀的气管内，在受到过高压力的影响下，在组织中发生的气囊营养组织病变和损坏。The present invention relates to a device for reducing the lesions and damages of the vegetative tissues of the dilated trachea, which occur in the tissue under the influence of excessive pressure.
背景技术Background technique
在目前的应用插管（气管内管插入的过程）使用过程中，用25厘米水柱压力对嵌套使用气管插管气囊进行充气。如果压力保持在较低水平，病人不能通过人工呼吸达到所期望标准，得不到人体所需的空气量，还会由于口腔呼吸引起误吸，使口内的分泌物及体液进入肺部。根据分析和研究，提出的报告称，这种压力会使气管内部表皮生成气泡，产生压力导致气管表皮细胞坏死，造成气管内部狭窄并进而撕裂气管。大多数这种损害是永久性的，因此至关重要。During the current application of intubation (the procedure of endotracheal tube insertion), the nested endotracheal tube balloon is inflated with 25 cm of water column pressure. If the pressure is kept at a low level, the patient cannot achieve the desired standard through artificial respiration, and cannot get the air volume required by the human body. It will also cause aspiration due to oral breathing, causing secretions and body fluids in the mouth to enter the lungs. Based on analysis and research, it was reported that this pressure causes air bubbles to form in the epidermis of the trachea, and the resulting pressure causes necrosis of the epithelial cells of the trachea, resulting in narrowing of the interior of the trachea and subsequent tearing of the trachea. Most of this damage is permanent and therefore critical.
发明内容Contents of the invention
本发明的目的是提供一种消除气管损害的嵌套使用气管插管气囊系统，当支气管内插管嵌套气囊产生压力，将对气管所造成的损害减少到最低限度。The purpose of the present invention is to provide a nested tracheal intubation air bag system for eliminating tracheal damage, which minimizes damage to the trachea when the endotracheal intubation nested air bag generates pressure.
本发明的嵌套使用气管插管气囊系统，是以尽量减少气管内管系统损坏为工作原理，通过操作控制气囊压力的变化，保证正常吸气和呼气的呼吸装置。The airbag system for nested endotracheal intubation of the present invention is based on the working principle of minimizing damage to the endotracheal tube system, and is a respiratory device that controls the change of airbag pressure through operation to ensure normal inhalation and exhalation.
不同于当前使用的气管内管的工作原理，帮助呼吸的过程中使用第二弹性气囊，呼吸压力对内部弹性气囊进行通风，弹性气囊被放置在嵌套气囊中，并通过四个直径为4毫米的孔帮助降压，使弹性气囊在第二气囊管内部被打开膨胀。因此，气管插管嵌套气囊下方的气管并不保持在一个恒定的压力下，不会造成组织损坏。由于压力是固定的气管插管嵌套气囊上，将有6-8厘米的水压作用，对口腔进入肺部的分泌物和体液的压力产生阻力。Different from the working principle of the endotracheal tube currently used, a second elastic balloon is used to assist the breathing process. The breathing pressure ventilates the inner elastic balloon. The hole in the hole helps reduce the pressure, so that the elastic balloon is opened and inflated inside the second balloon tube. Therefore, the trachea below the nested balloon of the endotracheal tube is not kept under a constant pressure and does not cause tissue damage. Since the pressure is fixed on the nested air bag of the endotracheal tube, there will be 6-8 cm of water pressure, which will produce resistance to the pressure of secretions and body fluids entering the lungs from the oral cavity.
由于内侧气囊是有弹性的，气囊气体被放空时，压力可以避免流体的分泌物进入内侧气囊的可能性，也可以防止积聚在内侧气囊中。通过嵌套气囊充气装置充气的压力控制装置，根据气囊的移动设备允许气压情况，在6-8厘米的水压作用下气囊就会膨胀。Since the inner airbag is elastic, when the airbag gas is emptied, the pressure can avoid the possibility of fluid secretions entering the inner airbag, and can also prevent accumulation in the inner airbag. Through the pressure control device inflated by the nested airbag inflator, according to the allowable air pressure of the mobile device of the airbag, the airbag will expand under the action of 6-8 cm of water pressure.
本发明的气囊系统可以应用到所有的口腔、鼻腔和气管内插管和气管切开手术中。在各个呼吸阶段，随着外部嵌套气囊压力变化，同时施加机械按摩以支持循环运动。外置的嵌套气囊根据传统应用方式，充气膨胀达到气管面积。The balloon system of the present invention can be applied to all oral cavity, nasal cavity and endotracheal intubation and tracheotomy operations. During each phase of breathing, mechanical massage is applied simultaneously to support circular motion as the pressure of the outer nested cells varies. The external nested air bag is inflated to reach the tracheal area according to the traditional application method.
本发明可以产生压力变化的嵌套气囊系统，不需要任何其他电子或机械设备。用于呼吸机、麻醉设备和呼吸电路时无需任何额外的部件或配件。The present invention can generate a nested air bag system with pressure variation without any other electronic or mechanical equipment. No additional parts or accessories are required for use with ventilators, anesthesia equipment and breathing circuits.
附图说明Description of drawings
图1是本发明实施例的俯视图；Fig. 1 is the top view of the embodiment of the present invention;
图2是本发明的一种弹性气囊系统的放大示意图；Fig. 2 is the enlarged schematic diagram of a kind of elastic air bag system of the present invention;
图3是本发明的一种弹性气囊系统上的切孔的放大示意图；Fig. 3 is the enlarged schematic diagram of the cut hole on a kind of elastic air bag system of the present invention;
图4是本发明实施例的俯视图和侧视图。Figure 4 is a top view and a side view of an embodiment of the invention.
其中：in:
1、气管内管嵌套气囊/外部气囊；2、第二气囊/弹性气囊；3、气孔/切孔。1. Endotracheal tube nested air bag/external air bag; 2. Second air bag/elastic air bag; 3. Stoma/cut hole.
具体实施方式Detailed ways
参考图1-4，本发明的的消除气管损害的嵌套使用气管插管气囊系统包括外部气囊1，配以嵌套充气压力控制装置，控制充气压力为6-8厘米水柱压力。在外置嵌套的内部，有更富有弹性结构的第二气囊2（参考图1）。在此气囊的帮助下，气管内管表面的气囊打开4个气孔3，直径为4毫米的孔（应用时，根据管的直径变化，孔的直径将发生变化）使弹性气囊的压力施加到患者的感应呼吸作用中，尽可能多的感应吸气并使吸气压力（25厘米水柱压力）在充气气管嵌套气囊外面反映出来。在呼气过程中，弹性气囊系统内的压力消失，气管进入腔管的内腔中，通过内管组织中所提供的空气管从而完全掌握气管内管的嵌套气囊压力，通过不断地保持压力，使其引起的组织损伤最小化。此外，弹性气囊2放气后的内部形状（参考图2）不允许分泌物积聚成气泡。嵌套气囊开放的孔洞的总表面面积必须等于所用的管的内管腔表面面积。这些孔洞开放的结构和布置安排，不会造成空气紊流，防止分泌物积聚，并不会导致呼吸噪音。Referring to Figures 1-4, the nested endotracheal intubation airbag system for eliminating tracheal damage of the present invention includes an external airbag 1 equipped with a nested inflation pressure control device to control the inflation pressure to 6-8 centimeters of water column pressure. Inside the outer nest, there is a second airbag 2 with a more elastic structure (refer to FIG. 1 ). With the help of this balloon, the balloon on the surface of the endotracheal tube opens 4 air holes 3, holes with a diameter of 4 mm (when applied, the diameter of the hole will change according to the diameter of the tube) so that the pressure of the elastic balloon is applied to the patient In the induction respiration function, as much induction as possible and the inspiratory pressure (25 cm water column pressure) are reflected outside the airbag nested in the inflatable trachea. During exhalation, the pressure in the elastic air bag system disappears, and the trachea enters the lumen of the lumen tube, and the air tube provided by the inner tube tissue can completely control the nested air bag pressure of the endotracheal tube, by continuously maintaining the pressure , to minimize tissue damage. Furthermore, the deflated internal shape of the elastic balloon 2 (cf. Fig. 2 ) does not allow secretions to accumulate as air bubbles. The total surface area of the holes opened by the nested balloon must be equal to the inner lumen surface area of the tube used. The open structure and arrangement of these pores does not cause air turbulence, prevents accumulation of secretions, and does not cause breathing noise.
参考图4中的俯视图a，气孔3的位置可以一目了然；从侧视图b上气孔3的位置也清晰可见。Referring to the top view a in FIG. 4 , the position of the air hole 3 can be seen at a glance; the position of the air hole 3 is also clearly visible from the side view b.
使用嵌套气管内管的气囊系统的操作，由实验室研究（表1）标示系统描述了所设计的气囊系统操作的压力逻辑并绘制图形曲线。在表1中的通风压力（表1-2）和气囊内的压力（表1-1）同时进行测量。此气囊系统设计目标，旨在应用到所有的口腔、鼻腔和气管内插管和气管切开手术。The operation of the balloon system using a nested endotracheal tube, indicated by laboratory studies (Table 1) describes the pressure logic of the designed balloon system operation and draws graphical curves. In Table 1 the ventilation pressure (Table 1-2) and the pressure inside the air bag (Table 1-1) were measured simultaneously. This balloon system is designed for use in all oral, nasal and endotracheal intubation and tracheostomy procedures.
在各个呼吸阶段，随着外部嵌套气囊压力变化，同时施加机械按摩，支持循环运动。外置的嵌套气囊根据传统应用方式，充气膨胀达到气管面积。During each phase of breathing, mechanical massage is applied simultaneously with the pressure changes of the outer nested cells to support the circular movement. The external nested air bag is inflated to reach the tracheal area according to the traditional application method.
此产生压力变化的嵌套气囊系统，任何其他电子或机械设备是不需要的。呼吸机，麻醉设备和呼吸电路无需任何额外的部件或配件。No other electronic or mechanical devices are required for this nested bladder system that produces pressure changes. The ventilator, anesthesia equipment and breathing circuit do not require any additional parts or accessories.
使用嵌套气囊充气的压力控制装置，可以使充气压力如愿达到6-8厘米水柱压力。Using the pressure control device for inflating nested airbags, the inflation pressure can reach 6-8 centimeters of water column pressure as desired.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TR201304017 | 2013-04-03 | ||
| TRA201304017 | 2013-04-03 |
| Publication Number | Publication Date |
|---|---|
| CN104096304Atrue CN104096304A (en) | 2014-10-15 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310467611.2APendingCN104096304A (en) | 2013-04-03 | 2013-10-09 | Nested use of endotracheal intubation balloon system to eliminate tracheal damage |
| Country | Link |
|---|---|
| CN (1) | CN104096304A (en) |
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| US5452715A (en)* | 1993-08-26 | 1995-09-26 | Boussignac; Georges | Tube for assisting breathing |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| Date | Code | Title | Description |
|---|---|---|---|
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| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | Application publication date:20141015 | |
| RJ01 | Rejection of invention patent application after publication |