Improved device for percutaneous tracheotomy

A technique of tracheotomy and outer cannula, applied in the directions of tracheal intubation, catheter, application, etc., can solve the problems of difficult insertion, failure of tracheotomy, insufficient hardness, etc. The effect of easy pumping verification

Pending Publication Date: 2021-10-01
JINSHAN HOSPITAL FUDAN UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] Disadvantages of the current percutaneous tracheotomy set: (1) The puncture needle outer tube is made of plastic material, which is not hard enough. After the puncture needle is withdrawn, if the patient coughs, it will cause the trachea and skin to move, and the tube lumen will be compressed or Bending, making subsequent guidewire placement difficult
In addition, the head end of the cannula lacks a direction guiding function, and the guide wire inserted into the trachea may mistakenly enter the head end, resulting in failure of tracheotomy
There is no scale marking on the outer cannula, so the puncture depth cannot be accurately controlled
(2) The puncture needle has a sharp bevel incision, which is easy to damage the neck blood vessels and nerves around the puncture tract
(3) The guide wire also lacks scale marks, which makes it difficult to accurately control the depth of the guide wire
[0006] However, the above technical solutions have not completely solved all the defects of the aforementioned percutaneous tracheotomy set. At present, there is an urgent need for a device that can keep the puncture cavity unobstructed, strictly control the correct direction of the guide wire, control the puncture depth, reduce the damage during the puncture and The guide wire is inserted into the depth-controllable percutaneous tracheostomy device, and there are no relevant reports so far

Method used

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  • Improved device for percutaneous tracheotomy
  • Improved device for percutaneous tracheotomy
  • Improved device for percutaneous tracheotomy

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0048] See figure 1 , figure 1 It is a structural schematic diagram of an improved device for percutaneous tracheotomy of the present invention. The device includes an outer cannula 1 , a puncture needle 2 and a guide wire 3 . The outer sleeve 1 is provided with an outer sleeve body 11 and an outer sleeve tail end 12 . The outer casing body 11 is made of stainless steel and is linear as a whole. The outer wall is provided with an outer casing scale mark 111. The outer casing scale mark 111 is black and white stripes, and the distance between adjacent stripes is 1 cm.

[0049] See figure 2 , figure 2 yes figure 1 Partial enlarged view of A. The head end of the outer sleeve body 11 is designed with a spoon-shaped slope. exist Figure 7 ( Figure 7 It is the assembly diagram of the outer cannula and puncture needle figure 2 ), it can be seen that the side wall on one side of the outer sleeve body 11 is longer than the side wall on the other side, and the longer side ...

Embodiment 2

[0061] The improved device for percutaneous tracheotomy in this embodiment is basically the same as that in Embodiment 1, except that the first identification part 123 on the wall of the outer tube connection base 122 is a trapezoidal notch, and the The second marking part 223 on the outer wall of the puncture needle connection base 221 is an inverted trapezoidal block matched with the first marking part 123 (see Figure 7 , Figure 7 It is a structural schematic diagram of the connection base of the outer cannula and the connection base of the puncture needle in embodiment 2).

[0062] This embodiment illustrates that for the first identification part 123 and the second identification part 223, it is not limited to the connection mode of the bar-shaped notch and the bar-shaped block, but also can be any other connection mode, such as matching trapezoidal notch and inverted Trapezoidal blocks, triangular notches and triangular blocks, and more.

Embodiment 3

[0064] An improved instrument set for percutaneous tracheostomy, the improved instrument set for percutaneous tracheostomy includes an outer tube 1, a puncture needle 2 and a guide wire 3 as described in Embodiment 1 or 2 . Also includes blade, skin expander, guide forceps, and tracheal cannula. The kit contains all the surgical instruments needed for percutaneous tracheostomy, and it is more convenient to use together.

[0065] Regarding the improved device for percutaneous tracheotomy of the present invention, it should be noted that: the outer tube 1 is made of stainless steel, which ensures that the outer tube 1 will not be squeezed by the surrounding tissue after the puncture needle 2 withdraws, causing the lumen In case of occlusion or narrowing, the channel is always unobstructed, and the subsequent insertion of the guide wire 3 is smoother and more convenient; the rigid structure also ensures that the overtube 2 will not be displaced or the puncture direction will not...

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Abstract

The invention relates to an improved device for percutaneous tracheotomy. The device comprises an outer sleeve, a puncture needle and a guide wire. The outer sleeve is made of stainless steel materials, the whole outer sleeve is in a linear shape, outer sleeve scale marks are arranged on the outer wall of the outer sleeve, the head end of the outer sleeve is designed to be of a spoon-shaped inclined face, an outer sleeve connecting base is arranged at the tail end of the outer sleeve, and a first identification component is arranged on the outer sleeve connecting base; the position of the first identification part on the outer sleeve connecting base is used for indicating the direction of a guide wire guided by the spoon-shaped inclined surface at the head end of the outer sleeve; a puncture needle connecting base is arranged at the tail end of the puncture needle, a second identification component is arranged on the outer wall of the puncture needle connecting base, and the second identification component is matched with the first identification component; and guide wire scale marks are arranged on the outer wall of the guide wire. The device can realize accurate, safe and convenient implementation of percutaneous tracheotomy.

Description

technical field [0001] The invention relates to the technical field of medical instruments, in particular to an improved device for percutaneous tracheotomy. Background technique [0002] Tracheotomy is a common clinical operation, and it is suitable for critically ill patients who require long-term mechanical ventilation and maintain airway patency due to various etiologies. Compared with traditional tracheostomy, percutaneous tracheostomy has the advantages of less surgical trauma, safe and simple operation, and fewer related complications. At present, percutaneous tracheostomy is commonly used in clinical practice, and the instrument used is percutaneous tracheostomy. The incision set includes a blade, a puncture needle, an outer cannula, a skin expander, a guide wire, a guide forceps, and a disposable tracheal cannula. The operation process is as follows: (1) The blade cuts the epidermis. (2) The puncture needle with a cannula is used to puncture the trachea (3rd-4th ca...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61M16/04A61B17/34A61B90/00
CPCA61M16/0465A61M16/0472A61B17/34A61B17/3415A61B17/3417A61B17/3494A61B90/08A61B2017/3454A61B2090/08021
Inventor 沈晓
Owner JINSHAN HOSPITAL FUDAN UNIV
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