技术领域technical field
本实用新型涉及一种医疗器械，特别是一种顶端带吸痰孔的双腔气管插管。The utility model relates to a medical device, in particular to a double-cavity endotracheal intubation tube with phlegm suction holes on the top.
背景技术Background technique
目前，通过气管插管术手术和气管切开术建立人工呼吸通道是急救和危重病人救助、护理时最有效，最成熟，而且最常用的技术手段。气管插管和气管切开插管是气管插管术和气管切开术中建立人工呼吸管路的关键手术器械，是急救和危重病患救、护过程中的必须医疗器械。At present, establishing an artificial respiration channel through tracheal intubation and tracheotomy is the most effective, mature, and most commonly used technical means for rescue and nursing of emergency and critically ill patients. Endotracheal intubation and tracheotomy intubation are key surgical instruments for establishing artificial breathing circuits during tracheal intubation and tracheotomy, and are necessary medical instruments in the process of first aid and rescue and nursing of critically ill patients.
实施气管插管术手术和气管切开术的病患大多是急救情况下的危重病患，这类病患自身本来就容易产生痰液，自身吐痰机能很低。同时，由于建立人工呼吸通道期间病患不能自行吐痰，插入的人工呼吸通道对患者气管黏膜的刺激导致患者痰液大大增多。目前气管插管术和气管切开术期间通常采用间隔一定时间进行人工插入吸痰管抽吸、清理患者咽喉部位产生的痰液，这就会造成多次插入吸痰管给患者带来不适及对患者气管黏膜损伤，也给医护人员的护理带来大量的工作和难度，给患者和家属带来多次身心上的伤害。Most of the patients undergoing tracheal intubation and tracheotomy are critically ill patients in emergency situations. Such patients are prone to produce sputum, and their own spit function is very low. At the same time, since the patient cannot spit on his own during the establishment of the artificial breathing channel, the insertion of the artificial breathing channel stimulates the patient's tracheal mucosa, resulting in a significant increase in the patient's sputum. At present, during tracheal intubation and tracheotomy, manual insertion of a sputum suction tube is usually used at regular intervals to suck and clean up the sputum produced in the patient's throat, which will cause multiple insertions of the sputum suction tube to bring discomfort and harm to the patient. Injuries to the tracheal mucosa of patients also bring a lot of work and difficulty to the care of medical staff, and bring multiple physical and mental injuries to patients and their families.
通常要清除患者产生的痰液，需清除患者体内人工呼吸通道从气囊到墨菲眼端的痰液和人工呼吸通道从气囊到体外端的痰液。Usually, to remove the sputum produced by the patient, it is necessary to remove the sputum from the artificial respiration channel in the patient's body from the air bag to Murphy's eye and the sputum from the artificial respiration channel from the air bag to the external end.
患者体内气囊到墨菲眼端的痰液通过人工呼吸通道插入吸痰管清除，插入吸痰管相对容易，对患者呼吸道黏膜损伤的风险也比较低。The sputum from the airbag in the patient's body to Murphy's eyes is removed through the artificial respiration channel and inserted into the suction tube. Inserting the suction tube is relatively easy, and the risk of damage to the patient's respiratory mucosa is relatively low.
患者体内人工呼吸通道从气囊到体外端的痰液清除需从人工呼吸通道和人体呼吸道间插入吸痰管清除。该处吸痰由于人工呼吸通道和人体呼吸道的限制，插入吸痰管比较难，插管时对人体呼吸道黏膜的刺激和损伤的风险也大大增加。The sputum removal from the artificial breathing channel in the patient's body from the airbag to the external end needs to be removed by inserting a sputum suction tube between the artificial breathing channel and the human respiratory tract. Due to the limitations of the artificial breathing channel and the human respiratory tract, it is difficult to insert a suction tube for sputum suction, and the risk of irritation and damage to the human respiratory mucosa during intubation is also greatly increased.
此外，临床上这类患者时常需要进行痰液取样化验分析。在清除患者痰液和取样过程经常会因痰液和外界的相互污染，造成痰液样本的污染，对痰液化验分析的准确性造成影响。In addition, clinically, such patients often require sputum sampling for laboratory analysis. In the process of clearing the patient's sputum and sampling, the mutual contamination between the sputum and the outside world will often cause contamination of the sputum sample, which will affect the accuracy of the sputum analysis.
发明内容Contents of the invention
本实用新型的目的就是要解决上述背景技术中提到的问题，提供一种可以在左右支气管内部吸痰的双腔气管插管。The purpose of this utility model is to solve the problems mentioned in the above-mentioned background technology, and to provide a double-lumen tracheal intubation tube that can suck phlegm inside the left and right bronchi.
本实用新型采用的技术方案是：一种顶端带吸痰孔的双腔气管插管，其包括主体管，主体管上端连接左分管和右分管，主体管中部设有主套囊，所述右分管下端设有弯曲部，弯曲部上设有副套囊。左分管管壁内设有左充气管，左充气管下端与主套囊和副套囊连通，右分管管壁内设有右充气管，右充气管下端与主套囊和副套囊连通，主体管内壁设有螺旋形分布的铝合金丝，铝合金丝位于主套囊和副套囊之间；所述右分管在主套囊和副套囊之间的管壁上设置有吸痰孔。The technical solution adopted by the utility model is: a double-lumen endotracheal intubation tube with a sputum suction hole on the top, which includes a main tube, the upper end of the main tube is connected with a left branch pipe and a right branch pipe, and a main cuff is arranged in the middle of the main pipe tube. The lower end of the branch pipe is provided with a curved part, and a secondary cuff is arranged on the curved part. A left inflatable tube is arranged in the wall of the left branch tube, and the lower end of the left inflatable tube communicates with the main cuff and the auxiliary cuff, and a right inflatable tube is arranged in the wall of the right branch tube, and the lower end of the right inflatable tube communicates with the main cuff and the secondary cuff, The inner wall of the main tube is provided with aluminum alloy wires distributed in a spiral shape, and the aluminum alloy wire is located between the main cuff and the auxiliary cuff; the right branch tube is provided with a suction hole on the wall between the main cuff and the auxiliary cuff .
进一步的，左充气管上端设有左气阀。Further, a left air valve is provided at the upper end of the left inflation pipe.
进一步的，右充气管上端设有右气阀。Further, the upper end of the right inflation pipe is provided with a right air valve.
进一步的，主体管采用医用硅胶材料制作。Further, the main tube is made of medical silicone material.
进一步，所述吸痰孔上设置有独立的导管，所述导管设置在右分管内部，从右分管顶部开口处引出。Further, the suction hole is provided with an independent catheter, and the catheter is arranged inside the right branch pipe and drawn out from the top opening of the right branch pipe.
进一步，所述吸痰孔不止一个。Further, there is more than one suction hole.
本实用新型的有益效果是：本发明气管插管集人工呼吸通道和吸痰通道于一体，两个通道可以同时独立地工作，互不影响，有效解决了手术和护理中反复在气管内插拨吸痰管的问题，从而能够大大减轻医护人员的工作量和操作难度，能够减轻病人的痛苦和降低手术风险。而且，由于其充气通道设置在插管的管壁内，吸痰管设置于插管内部，整个外形与现有气管插管基本相同，因此临床使用时和现有气管插管的操作无任何差别，病人的感受也和插入现有气管插管相同。The beneficial effects of the utility model are: the tracheal intubation tube of the present invention integrates the artificial respiration channel and the sputum suction channel, and the two channels can work independently at the same time without affecting each other, effectively solving the problem of repeated insertion and removal in the trachea during surgery and nursing The problem of the sputum suction tube can greatly reduce the workload and operational difficulty of medical staff, and can reduce the pain of patients and reduce the risk of surgery. Moreover, because the air-inflating channel is set in the tube wall of the intubation tube, and the sputum suction tube is set inside the intubation tube, the overall shape is basically the same as that of the existing tracheal intubation, so there is no difference in clinical use from the existing tracheal intubation , the patient feels the same as inserting an existing endotracheal tube.
本发明气管插管组件在用呼吸机呼吸的同时，还能够自动清除支气管上的痰液，并且能够方便、无污染地收集痰液，保证痰液化验的准确性。The endotracheal intubation assembly of the present invention can also automatically remove the sputum on the bronchus while breathing with the ventilator, and can collect the sputum conveniently and without pollution, so as to ensure the accuracy of the sputum test.
附图说明Description of drawings
图1为本实用新型的示意图。Fig. 1 is the schematic diagram of the utility model.
附图标记说明：1-主体管、2-左分管、3-右分管、31-弯曲部、4-主套囊、5-副套囊、6-吸痰孔。Explanation of reference signs: 1-main pipe, 2-left branch pipe, 3-right branch pipe, 31-curvature, 4-main cuff, 5-secondary cuff, 6-suction hole.
具体实施方式Detailed ways
如图1，一种顶端带吸痰孔的双腔气管插管，其包括采用医用硅胶材料制作的主体管1，主体管1上端连接左分管2和右分管3，主体管1中部设有主套囊4，所述右分管3下端设有弯曲部31，弯曲部31上设有副套囊5。As shown in Figure 1, a double-lumen endotracheal intubation tube with a suction hole at the top includes a main tube 1 made of medical silicone material. The upper end of the main tube 1 is connected to the left branch tube 2 and the right branch tube 3. The cuff 4, the lower end of the right branch pipe 3 is provided with a curved part 31, and the secondary cuff 5 is provided on the curved part 31.
左分管2管壁内设有左充气管，左充气管下端与主套囊4和副套囊5连通，所述左充气管上端设有左气阀，左气阀控制左充气管的进出气。Left branch pipe 2 is provided with a left inflatable tube in the tube wall, and the lower end of the left inflatable tube is connected with the main cuff 4 and the auxiliary cuff 5. The upper end of the left inflatable tube is provided with a left air valve, and the left air valve controls the air in and out of the left inflatable tube. .
右分管3管壁内设有右充气管，右充气管下端与主套囊4和副套囊5连通。所述右充气管上端设有右气阀，右气阀控制右充气管的进出气。A right inflatable tube is arranged in the wall of the right branch pipe 3, and the lower end of the right inflatable tube communicates with the main cuff 4 and the secondary cuff 5. The upper end of the right inflation pipe is provided with a right air valve, and the right air valve controls the air in and out of the right inflation pipe.
主体管内1壁设有螺旋形分布的铝合金丝，铝合金丝位于主套囊4和副套囊5之间；所述右分管在主套囊4和副套囊5之间的管壁上设置有多个吸痰孔6。The inner wall of the main tube is provided with aluminum alloy wires distributed in a spiral shape, and the aluminum alloy wire is located between the main cuff 4 and the auxiliary cuff 5; the right branch tube is on the tube wall between the main cuff 4 and the auxiliary cuff 5 A plurality of suction holes 6 are provided.
患者体内人工呼吸通道从气囊到体外端的痰液清除需从人工呼吸通道和人体呼吸道间插入吸痰管清除。该处吸痰由于人工呼吸通道和人体呼吸道的限制，插入吸痰管比较难，插管时对人体呼吸道黏膜的刺激和损伤的风险也大大增加。The sputum removal from the artificial breathing channel in the patient's body from the airbag to the external end needs to be removed by inserting a sputum suction tube between the artificial breathing channel and the human respiratory tract. Due to the limitations of the artificial breathing channel and the human respiratory tract, it is difficult to insert a suction tube for sputum suction, and the risk of irritation and damage to the human respiratory mucosa during intubation is also greatly increased.
为了为防止上述情况发生，在右分管在主套囊4和副套囊5之间的管壁上设置有多个吸痰孔6。这使得在用呼吸机呼吸的同时，可以方便地清除患者支气管内，副套囊5到人工呼吸通道体外端的痰液。避免了在气管插管留置使用期间多次插入吸痰管给患者呼吸道黏膜带来的不适和损伤的风险。In order to prevent the above situation from taking place, a plurality of suction holes 6 are provided on the tube wall between the main cuff 4 and the secondary cuff 5 in the right branch. This makes it easy to remove the sputum from the secondary cuff 5 to the extracorporeal end of the artificial respiration channel in the patient's bronchus while breathing with the ventilator. The risk of discomfort and damage to the patient's respiratory mucosa caused by repeated insertion of the suction tube during the use of the tracheal intubation is avoided.
主体管1中部设有主套囊4，左分管2管壁内设有左充气管，左充气管下端与主套囊4和副套囊5连通。右分管3管壁内设有右充气管，右充气管下端与主套囊4和副套囊5连通。向主套囊4充气后，主套囊4使人体气管喉部以下与外界密封。Main body pipe 1 middle part is provided with main cuff 4, and left branch tube 2 tube wall is provided with left inflatable tube, and the lower end of left inflatable tube communicates with main cuff 4 and auxiliary cuff 5. A right inflatable tube is arranged in the wall of the right branch pipe 3, and the lower end of the right inflatable tube communicates with the main cuff 4 and the secondary cuff 5. After the main cuff 4 is inflated, the main cuff 4 seals the lower part of the trachea of the human body from the outside world.
在主体管1内壁设有螺旋形分布的铝合金丝，铝合金丝位于主套囊4和副套囊5之间，可以有效的增加双腔气管插管的弹性和硬度，在双腔气管插管进入人体气管内时，会更加的方便和快捷，也能减少患者的痛苦。The inner wall of the main tube 1 is provided with aluminum alloy wires distributed in a spiral shape. The aluminum alloy wires are located between the main cuff 4 and the auxiliary cuff 5, which can effectively increase the elasticity and hardness of the double-lumen endotracheal tube. When the tube enters the trachea of the human body, it will be more convenient and faster, and it can also reduce the pain of the patient.
本实用新型的有益效果是：本吸痰型气管插管融合了人工呼吸通道、吸痰通道，各通道独立使用，互不干扰。不但避免了在气管插管留置使用期间多次插入吸痰管给患者呼吸道黏膜带来的不适和损伤的风险，减轻了对患者、医护人员和患者家属心灵上的压力和伤害，而且使得气管插管留置期间的护理操作大大方便和简单了。由于人工呼吸通道、吸痰通道特殊的融合方式，使得插管主体的外形与现有气管插管基本相同，因此临床使用时和现有气管插管的操作无任何差别，病人的感受也和插入现有气管插管相同。The beneficial effect of the utility model is that: the tracheal intubation tube for sucking phlegm combines the artificial respiration channel and the sputum suction channel, and each channel is used independently without interfering with each other. It not only avoids the risk of discomfort and damage to the patient's respiratory mucosa caused by repeated insertion of the suction tube during the indwelling use of the tracheal intubation, but also reduces the psychological pressure and damage to the patient, medical staff and the patient's family members, and makes the endotracheal intubation more effective. Nursing operation during tube indwelling is greatly convenient and simple. Due to the special fusion method of the artificial breathing channel and the suction channel, the shape of the main body of the intubation tube is basically the same as that of the existing tracheal intubation. Existing endotracheal tubes are the same.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520537244.3UCN204910407U (en) | 2015-07-22 | 2015-07-22 | Two -chamber trachea cannula in phlegm hole is inhaled in top area |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520537244.3UCN204910407U (en) | 2015-07-22 | 2015-07-22 | Two -chamber trachea cannula in phlegm hole is inhaled in top area |
| Publication Number | Publication Date |
|---|---|
| CN204910407Utrue CN204910407U (en) | 2015-12-30 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201520537244.3UExpired - Fee RelatedCN204910407U (en) | 2015-07-22 | 2015-07-22 | Two -chamber trachea cannula in phlegm hole is inhaled in top area |
| Country | Link |
|---|---|
| CN (1) | CN204910407U (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110433370A (en)* | 2019-08-14 | 2019-11-12 | 江苏海德医学科技股份有限公司 | A kind of double-cavity bronchial cannula |
| CN111569234A (en)* | 2020-05-18 | 2020-08-25 | 浙江省科技宣传教育中心 | An external sputum suction tube assembly structure |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110433370A (en)* | 2019-08-14 | 2019-11-12 | 江苏海德医学科技股份有限公司 | A kind of double-cavity bronchial cannula |
| CN111569234A (en)* | 2020-05-18 | 2020-08-25 | 浙江省科技宣传教育中心 | An external sputum suction tube assembly structure |
| CN111569234B (en)* | 2020-05-18 | 2022-04-01 | 浙江省科技宣传教育中心 | An external sputum suction tube assembly structure |
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| Date | Code | Title | Description |
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| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee | Granted publication date:20151230 Termination date:20160722 |