Monitoring type pressure sore prevention trachea cannula

Abstract

The invention relates to the technical field of trachea cannulas, and provides a monitoring type pressure sore prevention trachea cannula which comprises a trachea cannula and a cannula fixator, the trachea cannula penetrates through the interior of the cannula fixator, the cannula fixator comprises a fixator body, a sliding plate, a top cover and a bandage, and through the arrangement of the cannula fixator, the sliding plate and other structures, the pressure sore prevention trachea cannula can be effectively monitored. The cannula fixator adopts high-density dressing and an elastic bandage to ensure that the cannula fixator is tightly attached to the mouth of a patient and is comfortable, the design of a sliding plate can be flexibly adjusted according to requirements, a clamping structure of an embedded block and an elastic rubber pad is stable and reliable, a top cover is in threaded connection, a cannula body can be easily fixed, meanwhile, a visible window is provided, and the visual effect is good. Oral cavity diagnosis and treatment, sputum suction, oral cavity nursing, specimen reserving and taking and other operations are facilitated, respirator-associated pneumonia is effectively prevented, the safety of a patient and clinical operation convenience are improved, and the problem of pressure sores in the prior art is solved through the technical scheme.

Description

Technical Field

[0001] The present invention relates to the technical field of endotracheal intubation, and in particular to a monitoring type anti-pressure sore endotracheal intubation. Background Art

[0002] Currently, endotracheal intubation is an emergency technique in which a special endotracheal tube (usually a disposable plastic tube with a cuff) is placed into the trachea through the mouth or nose and the glottis.

[0003] In medical practice, pressure sores, as a common complication, often trouble patients and medical workers, especially when it comes to invasive medical devices such as endotracheal tubes. Because they need to maintain the fixation and patency of the airway for a long time during use, they often inevitably produce strong and / or long-term pressure on the surrounding tissues. This pressure, sometimes combined with shear force, can easily cause localized damage to the skin and (or) subcutaneous soft tissues, namely, pressure sores. During the fixation process of the endotracheal tube, its fixator often needs to be close to the skin around the patient's mouth to ensure the stability of the endotracheal tube and prevent slippage. However, this close contact and long-term compression, especially at the bone protuberance or in areas with weak skin, will significantly increase the risk of pressure sores. Although the existing endotracheal tube design can meet the clinical treatment needs to a certain extent, it still has obvious deficiencies in reducing the occurrence of pressure sores. Therefore, how to improve the design of the endotracheal tube and its fixator to reduce the incidence of pressure sores in patients and improve the comfort and safety of treatment has become a technical problem that needs to be solved urgently in the current medical field. Summary of the invention

[0004] The present invention provides a monitoring type anti-pressure sore endotracheal cannula, which solves the problem of pressure sore generation in the related art.

[0005] The technical solution of the present invention is as follows: A monitoring type anti-pressure sore endotracheal cannula, comprising an endotracheal cannula and a cannula holder, wherein the endotracheal cannula passes through the inside of the cannula holder, and the cannula holder comprises a holder body, a sliding plate, a top cover and a binding strap, wherein the holder body is installed inside the cannula holder, and the bottom of the cannula holder is fixedly connected to a dressing plate, and the inside of the holder body is fixedly connected to two symmetrically arranged long axes, and the sliding plate is movably sleeved on the outer circumferential surfaces of the two long axes, and the inside of the sliding plate is fixedly connected to a fixing tube, and the top of the fixing tube is fixedly connected to a threaded connecting block, and the top threaded sleeve of the threaded connecting block is provided with a top cover, and both sides of the cannula holder connecting body are fixedly connected to fixing blocks, and one side of the fixing block is fixedly connected to a binding strap.

[0006] As a preferred solution of the present invention, the threaded connection block is fixedly connected to a limiting connection block inside, a pressing tongue is movably sleeved on the outer circumference of the limiting connection block, and a connecting spring is commonly connected to the pressing tongue and the limiting connection block.

[0007] As a preferred solution of the present invention, the top sliding assembly of the fixer body is equipped with two embedded blocks and two paddles, the embedded blocks and the paddles fit together, one side of the embedded blocks is provided with elastic rubber, and the embedded blocks and the sliding plate fit together.

[0008] As a preferred embodiment of the present invention, the endotracheal tube includes a tube body and two cuffs. The tube body is slidably assembled inside the fixed tube. The two cuffs are fixedly mounted on the outer circumferential surface of the tube body. One side of the two cuffs is fixedly connected to an inflation connecting tube, and one end of the two inflation connecting tubes is commonly connected to an indicator balloon.

[0009] As a preferred solution of the present invention, a turntable is rotatably installed inside the indicator balloon, a limit sealing pad is fixedly connected to the top of the turntable, a pull button is fixedly connected to the bottom of the turntable, and through grooves are provided inside the limit sealing pad and the turntable, and the through groove fits with one of the inflation connecting tubes.

[0010] As a preferred solution of the present invention, a charging connector is installed inside the cannula body, a connecting cable is installed on one side of the charging connector, and a camera is installed on one end of the connecting cable.

[0011] As a preferred solution of the present invention, a drug injection tube is fixedly connected to one side of the cannula body, a sputum suction tube is fixedly connected to the inside of the cannula body, one end of the sputum suction tube is fixedly connected to a sputum suction joint, and the tops of the two cuffs are provided with sputum suction holes, and the sputum suction tube is connected to the two sputum suction holes. As a preferred solution of the present invention, a friction pad is provided on the outer peripheral surface of the top cover, the strap is "H"-shaped, a circular elastic bandage is designed at the center of the strap to fit the anatomical position of the human skull - "herringbone suture", and Velcro is provided on the strap.

[0012] The working principle and beneficial effects of the present invention are: 1. The present invention adopts the arrangement of the cannula holder, the sliding plate and other structures. The cannula holder adopts high-density dressing and elastic bandage to ensure a close fit and comfort with the patient's mouth. The sliding plate design can be flexibly adjusted according to needs. The clamping structure of the embedded block and the elastic rubber pad is stable and reliable. The top cover is connected by threads, which can easily fix the cannula body and provide a visual window, which is convenient for diagnosis and treatment, sputum suction, oral care, specimen collection and other operations, effectively preventing ventilator-associated pneumonia, and improving patient safety and clinical operation convenience.

[0013] 2. The present invention is equipped with a tracheal tube, a cuff and other structures. The tracheal tube is equipped with a drug injection tube and a charging connector, which is convenient for real-time monitoring (whether the tracheal tube body is in the main airway, the compression of the tracheal inner wall, whether there is aspiration, the amount of sputum in the trachea, etc.) and injection of drugs. Its unique turntable and limit sealing pad design can realize the alternating inflation and deflation of the two cuffs at intervals according to clinical needs, which can effectively prevent pressure sores in the airway. At the same time, two air bags are controlled through one inlet, which reduces the risk of tube slippage caused by too many tubes, and provides patients with a safer and more comfortable intubation experience. BRIEF DESCRIPTION OF THE DRAWINGS

[0014] The present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.

[0015] Figure 1 It is a schematic diagram of the overall structure of the present invention; Figure 2 It is a schematic diagram of the overall structure of the cannula holder of the present invention; Figure 3 This is a schematic diagram of the internal structure of the cannula holder of the present invention; Figure 4 A top view of the threaded connection block of the present invention; Figure 5 It is a side view of the threaded connection block of the present invention; Figure 6 This is a schematic diagram of the overall structure of the tongue depressor of the present invention; Figure 7 This is a schematic diagram of the overall structure of the indicator balloon of the present invention; Figure 8 A top view of the internal structure of the balloon of the present invention; Fig. 9 The bottom view shows the internal structure of the balloon of the present invention.

[0016] In the figure: 1. endotracheal tube; 11. tube body; 12. cuff; 13. inflation connecting tube; 14. indicator balloon; 15. turntable; 151. limit sealing pad; 152. pull button; 16. injection tube; 17. connecting cable; 171. charging connector; 172. camera; 18. suction tube; 181. suction connector; 182. suction hole.

[0017] 2. Intubation holder; 21. Holder body; 210. Dressing plate; 211. Long axis; 212. Sliding plate; 213. Embedded block; 214. Elastic rubber; 215. Pick; 22. Fixing tube; 221. Threaded connection block; 222. Limiting connection block; 223. Connecting spring; 224. Depressor tongue; 23. Top cover; 231. Friction pad; 24. Fixing block; 241. Strap; 242. Velcro. DETAILED DESCRIPTION

[0018] The following will be combined with the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0019] Example 1 like Figure 1 to Figure 9 As shown, a monitoring type anti-pressure sore endotracheal intubation comprises an endotracheal intubation 1 and an intubation holder 2, wherein the endotracheal intubation 1 passes through the interior of the intubation holder 2, and is characterized in that the intubation holder 2 comprises a holder body 21, a sliding plate 212, a top cover 23 and a binding strap 241, wherein the holder body 21 is installed inside the intubation holder 2, a dressing plate 210 is fixedly connected to the bottom of the intubation holder 2, two symmetrically arranged long axes 211 are fixedly connected inside the holder body 21, a sliding plate 212 is movably sleeved on the outer circumferential surfaces of the two long axes 211, a fixed tube 22 is fixedly connected inside the sliding plate 212, a threaded connection block 221 is fixedly connected to the top of the fixed tube 22, and a threaded sleeve 221 is threaded on the top of the threaded connection block 221. A top cover 23 is provided, and both sides of the cannula holder 2 connected to the main body are fixedly connected with fixing blocks 24, and one side of the fixing block 24 is fixedly connected with a strap 241. Through the arrangement of the cannula holder 2, the sliding plate 212 and other structures, the cannula holder 2 adopts high-density dressings and elastic bandages to ensure a close fit and comfort with the patient's mouth. The sliding plate 212 design can be flexibly adjusted according to clinical needs. The clamping structure of the embedded block 213 and the elastic rubber 214 pad is stable and reliable. The top cover 23 is connected by threads, which can easily fix the cannula body 11 and provide a visual window, which is convenient for diagnosis and treatment, sputum suction, oral care, specimen collection and other operations, can effectively prevent ventilator-associated pneumonia, and improve patient safety and the convenience of clinical operations.

[0020] like Figure 1 to Figure 6 As shown, the threaded connection block 221 is fixedly connected to the limiting connection block 222 inside, and a pressing tongue 224 is movably sleeved on the outer circumference of the limiting connection block 222. The pressing tongue 224 and the limiting connection block 222 are commonly connected with a connecting spring 223.

[0021] like Figure 1~Figure 3 As shown, the top sliding assembly of the fixing body 21 is provided with two embedded blocks 213 and two paddles 215 , the embedded blocks 213 and the paddles 215 fit together, one side of the embedded blocks 213 is provided with elastic rubber 214 , and the embedded blocks 213 and the sliding plate 212 fit together.

[0022] like Figure 1~Figure 4 As shown, a friction pad 231 is provided on the outer peripheral surface of the top cover 23, the strap 241 is "H"-shaped, and a circular elastic bandage is designed at the center of the strap 241 to fit the anatomical position of the human skull - the "herringbone suture", and Velcro 242 is provided on the strap 241.

[0023] In this embodiment, the endotracheal tube 1 is inserted into the main airway of the human body, and then an appropriate amount of gas is injected into the cuff 12 through the indicator balloon 14 (so that the internal pressure of the cuff 12 is 20-30 mmhg). At this time, the cuff 12 fits the inner wall of the trachea to prevent slipping, and then the cannula holder 2 is inserted into the cannula body 11, and the fixing tube 22 is wrapped by the patient's mouth and teeth. The skin around the lips fits the high-density dressing plate 210 on the holder body 21, and then the bandage 241 is passed around the anatomical position of the human skull - the "lambda suture", so that the circular elastic bandage on the center of the bandage 241 fits the "lambda suture", which can prevent the bandage from shifting during use, and finally the bandage 241 is fixed by the Velcro 242. After the cannula holder 2 is completed, the position of the sliding plate 212 can be slid and replaced every few hours according to clinical needs to prevent the fixing tube 22 from always pressing the same part of the tongue surface and the skin around the lips to cause pressure damage to the corresponding skin and subcutaneous soft tissue. The operation is as follows: slide the sliding plate 212, and the sliding of the sliding plate 212 is limited by the long axis 211. After the sliding plate 212 is slid to the desired position, the embedded block 213 is inserted into the interior of the fixer body 21. The embedded block 213 is provided with an elastic rubber pad 214 to assist in the clamping. After the embedded block 213 is clamped, the paddle 215 is inserted to fix the embedded block 213. After the embedded block 213 is fixed, the position of the sliding plate 212 is fixed; The process of removing the endotracheal tube 1 is as follows: loosen the Velcro 242, rotate the top cover 23, and release the fixing effect of the tongue depressor 224 on the tube body 11, remove the tube holder 2, then connect the suction device to the sputum suction connector 181, suck out the sputum in the trachea, and finally suck out the gas in the cuff 12 through the indicator balloon 14, and then remove the endotracheal tube 1; Through the setting of the cannula holder, sliding plate and other structures, the cannula holder adopts high-density dressing and elastic bandage to ensure a close and comfortable fit with the patient's mouth and head skin. The sliding plate design can be flexibly adjusted according to clinical needs. The clamping structure between the embedded block and the elastic rubber pad is stable and reliable. The top cover is connected by threads, which can easily fix the cannula body and provide a visual window to facilitate diagnosis, suction, oral care, specimen collection and other operations. It can effectively prevent ventilator-associated pneumonia and improve patient safety and the convenience of clinical operations.

[0024] Example 2 like Figure 1 to Figure 9 As shown, the endotracheal cannula 1 includes a cannula body 11 and two cuffs 12. The cannula body 11 is slidably assembled inside the fixed tube 22. The two cuffs 12 are fixedly sleeved on the outer peripheral surface of the cannula body 11. One side of the two cuffs 12 is fixedly connected to an inflation connecting tube 13. One end of the two inflation connecting tubes 13 is commonly connected to an indicator balloon 14. Through the arrangement of the endotracheal cannula 1, the cuffs 12 and other structures, the endotracheal cannula 1 is equipped with a drug injection tube 16 and a charging connector 171, which is convenient for real-time monitoring (whether the endotracheal cannula body is in the main The unique design of the turntable 15 and the limit seal 151 can realize the alternating inflation and deflation of the two cuffs 12 at regular intervals according to clinical needs, reduce the long-term compression of the instrument on the local skin and subcutaneous soft tissue, and effectively prevent pressure damage in the airway. At the same time, the two air bags 12 are controlled through one entrance, which indirectly reduces the risk of tube slippage caused by too many tubes, providing patients with a safer and more comfortable intubation experience.

[0025] like Figure 1 to Figure 9 As shown, a turntable 15 is rotatably installed inside the indicating balloon 14, a limit seal 151 is fixedly connected to the top of the turntable 15, a pull button 152 is fixedly connected to the bottom of the turntable 15, and through grooves are provided inside the limit seal 151 and the turntable 15, which fit with one of the inflation connecting tubes 13.

[0026] like Figure 1 As shown, a charging connector 171 is installed inside the cannula body 11 , a connecting cable 17 is installed on one side of the charging connector 171 , and a camera 172 is installed on one end of the connecting cable 17 .

[0027] like Figure 1 As shown, a drug injection tube 16 is fixedly connected to one side of the cannula body 11, a sputum suction tube 18 is fixedly connected to the inside of the cannula body 11, one end of the sputum suction tube is fixedly connected to a sputum suction connector 181, and sputum suction holes 182 are provided on the tops of the two cuffs 12, and the sputum suction tube 18 is connected to the two sputum suction holes 182.

[0028] In this embodiment, based on the same concept as in Embodiment 1, this embodiment proposes: When the endotracheal tube 1 is in use, medicine can be injected through the injection tube 16, and an external video connection device can be connected through the charging connector 171. Through the connection between the video connection device and the charging connector 171, the image of the camera 172 can be monitored in real time (to confirm whether the tube body 11 is in the main airway, whether there is aspiration, tracheal wall compression, sputum volume in the trachea, etc.). After the tube body 11 is inserted into the patient's main airway, the pull button 152 is turned, and the sliding of the pull button 152 causes the turntable 15 to rotate. When the turntable 15 rotates, the limit seal 151 seals and protects it. During the rotation of the turntable 15, the through grooves on the turntable 15 and the limit seal 151 are aligned with one of the inflation connection tubes 13 The air in the airway wall is overlapped, and the corresponding cuff 12 is inflated by the syringe through the indicating balloon 14, so that the cuff 12 is fitted with the airway wall to fix the cannula body 11. After a period of fixation, the through groove is overlapped with another inflatable connecting tube 13 through the above steps, and the air inflated cuff 12 is inflated by the syringe. After the balloon is inflated, the previous balloon is deflated by rotating the knob 152 and the needle tube. This method of controlling the two cuffs 12 separately according to the interval time of clinical needs through one entrance can effectively prevent pressure damage in the airway and reduce the risk of pipeline slippage caused by too many pipelines. During the use of the cuff 12, the sputum in the upper respiratory tract gathers at the top of the cuff 12. Through real-time monitoring, when suction is needed, the suction device is connected to the suction connector 181, and the sputum is sucked out in time through the suction hole 182 and the suction tube 18.

[0029] The above are only preferred embodiments of the present invention and are not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention should be included in the protection scope of the present invention.

Claims

1. A monitoring type anti-pressure sore endotracheal tube, comprising an endotracheal tube (1) and an intubation tube holder (2), wherein the endotracheal tube (1) passes through the interior of the intubation tube holder (2), and is characterized in that: The cannula holder (2) comprises a holder body (21), a sliding plate (212), a top cover (23) and a binding band (241). The holder body (21) is installed inside the cannula holder (2). The bottom of the cannula holder (2) is fixedly connected to a dressing plate (210). The inside of the holder body (21) is fixedly connected to two symmetrically arranged long axes (211). The sliding plate (212) is movably sleeved on the outer circumference of the two long axes (211). The inside of the sliding plate (212) is fixedly connected to a fixing tube (22). The top of the fixing tube (22) is fixedly connected to a threaded connection block (221). The top of the threaded connection block (221) is threadedly sleeved with a top cover (23). Both sides of the connecting body of the cannula holder (2) are fixedly connected to fixing blocks (24). One side of the fixing block (24) is fixedly connected to a binding band (241).

2. A monitoring type anti-pressure sore endotracheal intubation according to claim 1, characterized in that: The threaded connection block (221) is fixedly connected to a limit connection block (222) inside, a pressing tongue (224) is movably sleeved on the outer circumference of the limit connection block (222), and a connecting spring (223) is commonly connected to the pressing tongue (224) and the limit connection block (222).

3. A monitoring type anti-pressure ulcer endotracheal tube (1) according to claim 2, characterized in that: The top of the fixer body (21) is slidably equipped with two embedded blocks (213) and two paddles (215); the embedded blocks (213) and the paddles (215) are fitted together; one side of the embedded blocks (213) is provided with elastic rubber (214); and the embedded blocks (213) and the sliding plate (212) are fitted together.

4. A monitoring type anti-pressure sore endotracheal intubation according to claim 1, characterized in that: The endotracheal cannula (1) comprises a cannula body (11) and two cuffs (12); the cannula body (11) is slidably mounted inside the fixed tube (22); the two cuffs (12) are fixedly sleeved on the outer circumference of the cannula body (11); one side of the two cuffs (12) is fixedly connected to an inflation connecting tube (13); one end of the two inflation connecting tubes (13) is commonly connected to an indicator balloon (14).

5. A monitoring type anti-pressure sore endotracheal intubation according to claim 4, characterized in that: A turntable (15) is rotatably mounted inside the indicating balloon (14); a limit seal pad (151) is fixedly connected to the top of the turntable (15); a pull button (152) is fixedly connected to the bottom of the turntable (15); a through groove is provided inside the limit seal pad (151) and the turntable (15); the through groove fits with one of the inflation connecting tubes (13).

6. A monitoring type anti-pressure sore endotracheal intubation according to claim 4, characterized in that: A charging connector (171) is installed inside the cannula body (11), a connecting cable (17) is installed on one side of the charging connector (171), and a camera (172) is installed on one end of the connecting cable (17).

7. A monitoring type anti-pressure sore endotracheal intubation according to claim 4, characterized in that: A drug injection tube (16) is fixedly connected to one side of the cannula body (11), a sputum suction tube (18) is fixedly connected to the interior of the cannula body (11), one end of the sputum suction tube is fixedly connected to a sputum suction connector (181), and sputum suction holes (182) are provided at the tops of the two cuffs (12), and the sputum suction tube (18) is connected to the two sputum suction holes (182).

8. A monitoring type anti-pressure sore endotracheal intubation according to claim 4, characterized in that: A friction pad (231) is provided on the outer peripheral surface of the top cover (23); the binding strap (241) is "H"-shaped; a circular elastic bandage is designed at the center of the binding strap (241) to fit the anatomical position of the human skull - the "herringbone suture"; and a Velcro (242) is provided on the binding strap (241).

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