



技术领域technical field
本发明属于医用器械领域,具体是一种防压力性损伤呼吸机面罩。The invention belongs to the field of medical devices, in particular to a pressure injury-proof ventilator mask.
背景技术Background technique
呼吸机面罩作为呼吸机与患者之间的界面与患者直接接触,是用来辅助呼吸机进行通气的一个工具,在治疗过程中有着举足轻重的作用。一般患者使用呼吸机的时间最少要维持6-8h以上,面罩长时间的压迫增加了垂直压力,使颜面部面罩压迫处血流被阻断而容易发生压力性损伤,且压迫时间越长,压力性损伤导致溃疡的发生率越高。无创正压通气患者回顾性调查发现,在使用无创正压通气过程中,颜面部压力性损伤发生率为25.49%。As the interface between the ventilator and the patient, the ventilator mask is in direct contact with the patient. It is a tool used to assist the ventilator in ventilation, and plays a pivotal role in the treatment process. Generally, the patient needs to use the ventilator for at least 6-8 hours. The long-term compression of the mask increases the vertical pressure, which blocks the blood flow at the compressed part of the face mask and is prone to pressure injury. The longer the compression time, the higher the pressure. Sexual injuries lead to a higher incidence of ulcers. A retrospective survey of patients with noninvasive positive pressure ventilation found that the incidence of facial pressure injury was 25.49% during the use of noninvasive positive pressure ventilation.
目前,为了减少压力性损伤,常用的解决办法对连续使用无创呼吸机的患者每隔4小时放松1次,或者采用敷料预防无创正压通气患者鼻面部压力性损伤。但上呼吸机的患者因病情比较重,需要较长时间使用无创呼吸机,有些甚至需要每天24小时持续使用多日,有的COPD患者甚至出院后在家还要经常佩戴面罩使用家用呼吸机。目前临床采用的各种防压敷料贴到脸上,敷料与皮肤接触的一面一般都粘有一层薄薄的可溶性透明胶以固定面贴不移动,粘贴时间太久对面部有一定的刺激,增加不适,敷料而且需要经常更换,增加患者费用,敷料还是避免不了产生压力性损伤,压力性损伤指局部的皮肤或皮下软组织损伤,通常发生在骨隆突处或医疗器械相关的位置。是皮肤完整的或开放性溃疡的损伤,并可能伴有疼痛。医疗器械相关性压力性损伤,损伤部位性状通常与医疗器械性状一致。由于面罩产生的医疗器械相关性压力性损伤,导致患者皮肤出现伤口甚至感染,无法再继续持续佩戴呼吸机面罩,增加患者痛苦及医疗花费(本技术方案中的伤口指代但不局限于压力性损伤所造成的伤口)。At present, in order to reduce pressure injury, the common solution is to relax patients who are continuously using non-invasive ventilator every 4 hours, or use dressings to prevent nasal and facial pressure injury in patients with non-invasive positive pressure ventilation. However, patients on ventilators need to use non-invasive ventilators for a long time due to their severe illness, and some even need to use them 24 hours a day for several days. Some COPD patients even often wear a mask at home to use a home ventilator after being discharged from the hospital. At present, various anti-pressure dressings used clinically are attached to the face. The side of the dressing that is in contact with the skin is generally pasted with a thin layer of soluble transparent glue to fix the surface patch and not move. Discomfort, dressings need to be changed frequently, increasing patient costs, and dressings still cannot avoid pressure injuries, which refer to localized skin or subcutaneous soft tissue injuries, usually occurring at bony prominences or medical device-related locations. An injury that is an intact or open ulcer of the skin and may be painful. In medical device-related pressure injuries, the characteristics of the injury site are usually consistent with those of the medical device. Due to the medical device-related pressure injury caused by the mask, the patient's skin has wounds or even infection, and it is no longer possible to continue to wear the ventilator mask, which increases the patient's pain and medical expenses (the wound in this technical solution refers to but is not limited to pressure. wounds caused by injuries).
当代医学亟需一款好的面罩应充分结合人体面部工程学特点确保配戴舒适、密封良好、从而提高疗效并确保无创呼吸机各项功能的准确运行,尤其应在设计一款预防压力性损伤或保护已经发生压力性损伤患者的伤口时,提供一种包裹患者伤口,避免伤口受到挤压而加深溃疡及感染的呼吸机面罩。Contemporary medicine urgently needs a good face mask, which should fully combine ergonomic features to ensure comfortable wearing and good sealing, thereby improving efficacy and ensuring the accurate operation of various functions of non-invasive ventilators, especially when designing a mask to prevent pressure injuries. Or when protecting the wound of a patient who has suffered pressure injury, a ventilator mask that wraps the patient's wound and prevents the wound from being squeezed to deepen ulcers and infection.
发明内容SUMMARY OF THE INVENTION
为了解决上述问题,本发明的目的是提供一种预防压力性损伤,或者保护已经发生压力性损伤患者的伤口,包裹患者伤口避免伤口受到挤压而加深溃疡及感染的呼吸机面罩。In order to solve the above problems, the purpose of the present invention is to provide a ventilator mask that prevents pressure injury, or protects the wound of a patient who has suffered pressure injury, and wraps the patient's wound to prevent the wound from being squeezed to deepen ulcers and infections.
为了实现上述目的,本发明的技术方案如下:防压力性损伤呼吸机面罩,包括覆盖患者面部的面罩部和供输氧气的输氧机,所述面罩部和输氧机之间连通有导气管,所述面罩部包括颔部、压鼻部和口腔部,所述压鼻部的侧翼和鼻梁端都带有莫比乌斯环结构,所述莫比乌斯环的表面设有弧形凹槽,且莫比乌斯环两端与面罩部粘接,莫比乌斯环中部松弛。In order to achieve the above-mentioned purpose, the technical scheme of the present invention is as follows: an anti-pressure injury ventilator mask, including a mask part covering the patient's face and an oxygen delivery machine for supplying oxygen, and an airway is communicated between the mask part and the oxygen delivery machine, so The mask part includes a chin part, a nose pressing part and an oral cavity part, the side wings and the bridge end of the nose pressing part are all provided with a Mobius ring structure, and the surface of the Mobius ring is provided with an arc groove, In addition, both ends of the Möbius ring are bonded to the mask part, and the middle part of the Möbius ring is loose.
进一步,所述导气管表面开有缺口,缺口内部设有滑动装置,所述滑动装置包括转动销、连杆和覆盖缺口表面的推板,所述连杆位于推板底部,连杆的底部开有圆孔,任意圆孔内与导气管之间分别接独立的转动销。Further, a gap is formed on the surface of the air duct, and a sliding device is arranged inside the gap. The sliding device includes a rotating pin, a connecting rod and a push plate covering the surface of the gap, the connecting rod is located at the bottom of the push plate, and the bottom of the connecting rod is opened. There are round holes, and independent rotating pins are connected between any round holes and the airway.
进一步,所述连杆的横截面为“T”字形,连杆包括横杆和竖杆,所述横杆承托于推板,且横杆与托板固定连接,所述横杆的侧面带有凹口,所述凹口与导气管的缺口处适配连接。Further, the cross section of the connecting rod is a "T" shape, the connecting rod includes a horizontal bar and a vertical bar, the horizontal bar is supported on the push plate, and the horizontal bar is fixedly connected with the support plate, and the side of the horizontal bar is There is a notch, and the notch is adapted to connect with the notch of the airway.
进一步,所述竖杆与转动销之间缠绕有扭簧。Further, a torsion spring is wound between the vertical rod and the rotating pin.
进一步,所述颔部外凸,颔部与患者面部之间形成有空腔,颔部的外缘与患者的脸部轮廓带有回凹的过渡弧,所述过渡弧与脸部轮廓之间形状适配。Further, the chin part is convex, a cavity is formed between the chin part and the patient's face, the outer edge of the chin part and the patient's face contour have a concave transition arc, and the transition arc and the face contour are Shape fit.
进一步,所述呼吸机面罩还包括与导气管重合的进气通道,进气通道外部贴合有导向口和锁止装置,所述导向口与呼吸机面罩之间铰接有支座,导向口的直径小于进气通道。Further, the ventilator mask also includes an air intake channel that overlaps with the airway, a guide port and a locking device are attached to the outside of the intake channel, a support is hinged between the guide port and the ventilator mask, and the guide port is The diameter is smaller than the intake passage.
进一步,所述锁止装置包括铰接于导向口径向两侧的铰杆和位于进气通道的凸起,所述铰杆朝向进气通道的一侧设有与凸起形状适配的凹口。Further, the locking device includes a hinge rod hinged on two radial sides of the guide hole and a protrusion located in the intake passage, and a side of the hinge rod facing the intake passage is provided with a notch adapted to the shape of the protrusion.
进一步,所述凸起的横截面为“喇叭状”,凸起包括身部和头部,头部朝四周分割为至少4个条状,条状之间相互间隔,且条状沿凹口至进气通道的方向逐渐重合,且头部的直径大于身部。Further, the cross section of the bulge is "trumpet-shaped", the bulge includes a body and a head, the head is divided into at least 4 strips toward the periphery, the strips are spaced from each other, and the strips extend along the notch to The directions of the intake passages gradually coincide, and the diameter of the head is larger than that of the body.
名词解释:喇叭状指类似牵牛花的花骨朵形状。Explanation of terms: trumpet-shaped refers to the shape of the flower bones similar to morning glory.
采用上述方案后实现了以下有益效果1、颔部的过渡弧与患者脸部轮廓扣合,以保持呼吸机面罩的固定,随后颔部外凸的此时患者颔部的皮肤或伤口被外凸的部分包裹,避免皮肤或伤口被面罩本身压迫。After adopting the above scheme, the following beneficial effects are achieved: 1. The transition arc of the chin is buckled with the contour of the patient's face to keep the ventilator mask fixed, and then the skin or wound of the patient's chin is protruded when the chin is convex. Partial wrapping to avoid skin or wound being compressed by the mask itself.
2、由于设置了莫比乌斯结构,所以患者鼻翼两侧和鼻梁的皮肤或伤口与莫比乌斯环结构贴合时始终处于莫比乌斯环的表面位置,此时皮肤或伤口将莫比乌斯环向内压,皮肤或伤口与弧形凹槽间隙配合,减少了皮肤或伤口受到的压迫感,同时当患者表面不带伤口时,莫比乌斯环结构以其本身单面的特性,增大与患者皮肤的接触面,避免患者感染。2. Due to the Mobius structure, the skin or wounds on both sides of the patient's nose and the bridge of the nose are always on the surface of the Mobius ring when they are attached to the Mobius ring structure. The Mobius ring is pressed inward, and the skin or wound is matched with the arc-shaped groove, which reduces the pressure on the skin or the wound. Features, increase the contact surface with the patient's skin, and avoid the infection of the patient.
3、由于设置推板,此时医护人员将吸痰操作在不需拔管的情况进行,防止患者喉部痰液撒落对医护环境进行污染,同时简化了操作流程,患者,提升了操作效率。3. Due to the setting of the push plate, the medical staff will perform the sputum suction operation without extubation, preventing the sputum from the throat of the patient from polluting the medical environment, and at the same time simplifying the operation process, improving the operation efficiency for patients. .
4、吸痰完成后推板受到扭簧的作用力而自动回位,此时颔部的凹口沿导气管的缺口处滑入,避免了推板产生震动从而错位的现象,保持了密封性4. After the suction is completed, the push plate is automatically returned by the force of the torsion spring. At this time, the notch of the chin slides in along the gap of the airway, which avoids the phenomenon that the push plate vibrates and dislocates, and maintains the tightness.
5、在扣合过程中凸起的的头部由开合过程转化为收束过程,扣合完成后凸起的头部重新开合,此时对凹口进行限制卡合,避免患者拔管。5. During the buckling process, the raised head is converted from the opening and closing process to the closing process. After the buckling is completed, the raised head is re-opened and closed. At this time, the notch is limited and locked to avoid extubation of the patient. .
附图说明Description of drawings
图1为本发明实施例的主视结构图;1 is a front view structural diagram of an embodiment of the present invention;
图2为图1中A-A的剖视图;Fig. 2 is the sectional view of A-A in Fig. 1;
图3为图2与呼吸机连接的示意图;Fig. 3 is the schematic diagram that Fig. 2 is connected with ventilator;
图4为图3中导气管中推板的连接关系图。FIG. 4 is a connection relationship diagram of the push plate in the air duct in FIG. 3 .
具体实施方式Detailed ways
下面通过具体实施方式进一步详细说明:The following is further described in detail by specific embodiments:
说明书附图中的附图标记包括:面罩部1、输氧机2、导气管3、莫比乌斯环4、转动销5、连杆6、推板7、扭簧8、过渡弧9、进气通道10、导向口11、支座12、铰杆13、凸起14、凹口15。Reference numerals in the accompanying drawings include:
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
实施例基本如附图1和附图2,所示:防压力性损伤呼吸机面罩包括覆盖患者面部的面罩部1和供输氧气的输氧机2,所述面罩部1和输氧机2之间连通有导气管3,所述面罩部1包括颔部、压鼻部和口腔部,所述压鼻部的侧翼带有莫比乌斯环4结构,所述莫比乌斯环4的表面设有弧形凹槽,且莫比乌斯环4两端与面罩部1粘接,莫比乌斯环4中部松弛,颔部外凸,颔部与患者面部之间形成有空腔,颔部的外缘与患者的脸部轮廓带有回凹的过渡弧9,所述过渡弧9与脸部轮廓之间形状适配。The embodiment is basically as shown in accompanying
请参考图3,呼吸机面罩还包括与导气管3重合的进气通道10,进气通道10外部贴合有导向口11和锁止装置,所述导向口11与呼吸机面罩之间铰接有支座12,导向口11的直径小于进气通道10。锁止装置包括铰接于导向口11径向两侧的铰杆13和位于进气通道10的凸起14,所述铰杆13朝向进气通道10的一侧设有与凸起14形状适配的凹口15。Please refer to FIG. 3 , the ventilator mask also includes an
凸起14的横截面为“喇叭状”,凸起14包括身部和头部,头部朝四周分割为至少4个条状,条状之间相互间隔,且条状沿凹口15至进气通道10的方向逐渐重合,且头部的直径大于身部。The cross section of the
请参考图4,导气管3表面开有缺口,缺口内部设有滑动装置,滑动装置包括转动销5、连杆6和覆盖缺口表面的推板7,所述连杆6位于推板7底部,连杆6的底部开有圆孔,任意圆孔内与导气管3之间分别接独立的转动销5,竖杆与转动销5之间缠绕有扭簧8。Please refer to FIG. 4 , a gap is formed on the surface of the air guide tube 3, and a sliding device is arranged inside the gap. The sliding device includes a
连杆6的横截面为“T”字形,连杆6包括横杆和竖杆,横杆承托于推板7,且横杆与托板固定连接,所述横杆的侧面带有凹口15,所述凹口15与导气管3的缺口处适配连接。The cross section of the connecting rod 6 is a "T" shape, the connecting rod 6 includes a horizontal bar and a vertical bar, the horizontal bar is supported on the
具体实施过程如下:在使用过程中,医护人员将呼吸机面罩覆盖于患者面部,此时呼吸机面罩的颔部与患者的面部贴合,此时颔部的过渡弧9与患者脸部轮廓扣合,以保持呼吸机面罩的固定,随后颔部外凸的此时患者颔部的皮肤或伤口被外凸的部分包裹,避免皮肤或伤口被面罩本身压迫,皮肤在未被压迫的时候保持自然的完整情况,减少了皮肤受压迫后损伤的可能性,降低了患者面部感染的可能性。The specific implementation process is as follows: during use, the medical staff covers the face of the patient with the ventilator mask, and the chin part of the ventilator mask is fitted with the patient's face at this time, and the
当呼吸机面罩扣合后,在患者鼻翼两侧和鼻梁部位,由于设置了莫比乌斯结构,所以患者鼻翼两侧的皮肤或伤口与莫比乌斯环4结构贴合时始终处于莫比乌斯环4的表面位置,此时皮肤或伤口将莫比乌斯环4向内压,皮肤或伤口与弧形凹槽间隙配合,减少了皮肤或伤口受到的压迫感。When the ventilator mask is fastened, on both sides of the patient's nose and the bridge of the nose, due to the Mobius structure, the skin or wounds on both sides of the patient's nose are always in the
接入输氧机2时,医护人员先将导气管3依次穿过导向口11和进气通道10,避免导气管3插入时失准,从而损伤患者的会厌部,同时在完成连接后操作人员将铰杆13向上扳动,此时将铰杆13的凹口15与凸起14对准扣合,在扣合过程中凸起14的的头部由开合过程转化为收束过程,扣合完成后凸起14的头部重新开合,此时对凹口15进行限制卡合,避免患者拔管。When connecting to the oxygen delivery machine 2, the medical staff first pass the airway tube 3 through the
在需要吸痰时,医护人员将推板7移开,推板7后行时,依次带动连杆6和转动销5后移,此时推板7遮盖的缺口显露,此时医护人员通入吸痰器对患者喉部进行吸痰操作,此时将吸痰操作在不需拔管的情况进行,防止患者喉部痰液撒落对医护环境进行污染,同时简化了操作流程,患者,提升了操作效率。When phlegm needs to be sucked, the medical staff removes the
当吸痰完成后推板7受到扭簧8的作用力而自动回位,此时颔部的凹口15沿导气管3的缺口处滑入,避免了推板7产生震动从而错位的现象,保持了密封性。When the suction is completed, the
需要说明的是,在本文中,诸如第一和第二等之类的关系术语仅仅用来将一个实体或者操作与另一个实体或操作区分开来,而不一定要求或者暗示这些实体或操作之间存在任何这种实际的关系或者顺序。而且,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。It should be noted that, in this document, relational terms such as first and second are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any relationship between these entities or operations. any such actual relationship or sequence exists. Moreover, the terms "comprising", "comprising" or any other variation thereof are intended to encompass non-exclusive inclusion such that a process, method, article or device comprising a list of elements includes not only those elements, but also includes not explicitly listed or other elements inherent to such a process, method, article or apparatus.
以上所述的仅是本发明的实施例,方案中公知的具体结构及特性等常识在此未作过多描述,所属领域普通技术人员知晓申请日或者优先权日之前发明所属技术领域所有的普通技术知识,能够获知该领域中所有的现有技术,并且具有应用该日期之前常规实验手段的能力,所属领域普通技术人员可以在本申请给出的启示下,结合自身能力完善并实施本方案,一些典型的公知结构或者公知方法不应当成为所属领域普通技术人员实施本申请的障碍。应当指出,对于本领域的技术人员来说,在不脱离本发明结构的前提下,还可以作出若干变形和改进,这些也应该视为本发明的保护范围,这些都不会影响本发明实施的效果和专利的实用性。本申请要求的保护范围应当以其权利要求的内容为准,说明书中的具体实施方式等记载可以用于解释权利要求的内容。The above are only the embodiments of the present invention, and the common knowledge such as the well-known specific structures and characteristics in the scheme has not been described too much here. Those of ordinary skill in the art know that the invention belongs to the technical field before the filing date or the priority date. Technical knowledge, can know all the existing technologies in this field, and have the ability to apply conventional experimental means before the date, those of ordinary skill in the art can improve and implement this scheme in combination with their own abilities under the enlightenment given in this application, Some typical well-known structures or well-known methods should not be an obstacle to those skilled in the art from practicing the present application. It should be pointed out that for those skilled in the art, some modifications and improvements can be made without departing from the structure of the present invention. These should also be regarded as the protection scope of the present invention, and these will not affect the implementation of the present invention. Effectiveness and utility of patents. The scope of protection claimed in this application shall be based on the content of the claims, and the descriptions of the specific implementation manners in the description can be used to interpret the content of the claims.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911082577.0ACN110812650B (en) | 2019-11-07 | 2019-11-07 | An anti-pressure injury ventilator mask |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911082577.0ACN110812650B (en) | 2019-11-07 | 2019-11-07 | An anti-pressure injury ventilator mask |
| Publication Number | Publication Date |
|---|---|
| CN110812650A CN110812650A (en) | 2020-02-21 |
| CN110812650Btrue CN110812650B (en) | 2022-04-08 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911082577.0AActiveCN110812650B (en) | 2019-11-07 | 2019-11-07 | An anti-pressure injury ventilator mask |
| Country | Link |
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| CN (1) | CN110812650B (en) |
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| CN207532619U (en)* | 2017-03-24 | 2018-06-26 | 深圳市儿童医院 | Invasive ventilation device |
| CN107854760A (en)* | 2017-12-01 | 2018-03-30 | 江苏合生电子科技有限公司 | A kind of ventilator mask |
| CN208809264U (en)* | 2018-05-24 | 2019-05-03 | 武汉市中心医院(武汉市第二医院、武汉市肿瘤研究所) | A kind of painless gastroscope mask |
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| CB03 | Change of inventor or designer information | Inventor after:Huang Fengmao Inventor after:Huang Jingyan Inventor before:Li Yujia Inventor before:Huang Fengmao Inventor before:Huang Jingyan | |
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| TA01 | Transfer of patent application right | Effective date of registration:20200409 Address after:410008 Hunan province Changsha Kaifu District, Xiangya Road No. 87 Applicant after:XIANGYA HOSPITAL OF CENTRAL SOUTH University Applicant after:THE THIRD XIANGYA HOSPITAL OF CENTRAL SOUTH University Address before:410008 zuojialong, Yuelu Mountain, Changsha City, Hunan Province Applicant before:CENTRAL SOUTH University Applicant before:XIANGYA HOSPITAL OF CENTRAL SOUTH University | |
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