Respirator pipeline and trachea cannula protection device
Technical Field
The invention belongs to the technical field of medical instruments, and particularly discloses a respirator pipeline and tracheal intubation protection device.
Background
When the natural ventilation and oxygenation of the patient are obstructed, a breathing machine is needed to assist the patient to breathe, and effective ventilation is recovered. In modern clinical medicine, a ventilator has been widely used in respiratory failure due to various reasons, anesthesia and breathing management during major surgery, respiratory support therapy and emergency resuscitation as an effective means for manually replacing the function of spontaneous ventilation, and has a very important position in the modern medical field.
When a patient uses the respirator, inspiration and expiration pass through the respirator pipeline, a certain amount of water vapor is contained in the gas exhaled by the patient, the water vapor in the exhaled gas forms condensed water when meeting the respirator pipeline with the temperature lower than the body temperature of the patient, and the condensed water easily flows into the tracheal intubation along the respirator pipeline (particularly the pipeline close to the tracheal intubation) and enters the lung of the patient.
Meanwhile, in order to protect the respiratory mucosa of a patient, the existing breathing machine is provided with a humidifying device to humidify the gas (containing certain water vapor) entering the body of the patient; when water vapor in the inhaled air condenses in the ventilator circuit, the condensed water is also likely to enter the patient's lungs along the ventilator circuit (especially the section of the circuit near the endotracheal tube).
The condensed water flows into the lung, and the stimulation of foreign matters can cause the patient to choke, easily hurt the lung and the respiratory mucosa, and the severe cough aggravates the pain of the patient. When the condensed water flows through the pipeline of the respirator and the tracheal cannula, bacteria on the inner wall of the pipeline are easy to carry and enter the lung to form bacterial planting, so that the lung of a patient is infected.
When a patient coughs, expectorated sputum may be sprayed into the ventilator tube and may be blocked in the tracheal cannula or the connection between the tracheal cannula and the ventilator tube or the ventilator tube, thereby affecting effective respiration of the patient. The sputum can also flow back into the patient along the breathing machine pipeline and the tracheal cannula, so that the patient is caused to cough violently, and vicious circle is formed; the lung and the respiratory mucosa are damaged, the pain of a patient is increased, the risk of lung infection is aggravated, and adverse consequences such as pneumothorax, large lung blister and the like of the patient are caused by severe cough in severe cases. In addition, after the breathing machine is used for a long time, bacteria are easy to breed in the breathing machine pipeline, and the health of a patient is also influenced if the bacteria are not cleared in time.
Disclosure of Invention
The invention aims to provide a respirator pipeline and tracheal intubation protection device, which aims to solve the problem that the health of a patient is influenced by easily condensed water in the respirator pipeline or the tracheal intubation in the use process of the conventional respirator.
In order to achieve the purpose, the basic scheme of the invention is as follows: the respirator pipeline and trachea cannula protection device comprises a protection box, a water bag and a water inlet one-way valve, wherein the protection box, the water bag and the water inlet one-way valve are hermetically communicated between the respirator pipeline and a trachea cannula; one end of the baffle is provided with an inspiration one-way valve for one-way ventilation during inspiration, the other end of the baffle is provided with an expiration one-way valve for one-way ventilation during expiration, and a guide groove is arranged on the concave surface of the baffle; the water bag is fixed on one side of the concave part of the baffle plate, the water bag is communicated with a condensate pipe of the respirator through a water inlet one-way valve, and a water discharge one-way valve is arranged on the surface of the water bag; a breather pipe is arranged at the joint of the interior of the protection box and the trachea cannula, a clapboard is arranged in the breather pipe, and the clapboard divides the breather pipe into an inspiration pipe and an expiration pipe; an air filter is arranged in the air suction pipe, a first baffle plate is hinged to one side, facing the air suction pipe, of the partition plate, and the first baffle plate can only swing at one side, facing the trachea cannula, of the air suction pipe; a second baffle plate is hinged on one side of the partition plate facing the inside of the expiratory tube, and the second baffle plate can only swing on one side far away from the tracheal cannula in the expiratory tube; the lower end of one side of the protection box close to the trachea cannula is provided with a water outlet pipe.
The working principle of the basic scheme is as follows: particularly, when the respirator pipeline and the tracheal intubation protection device are used, namely when a patient uses the respirator with the protection device; if a patient inhales or a breathing machine supplies air to the patient, negative pressure can be generated in the tracheal intubation, and the first baffle plate can only swing towards one side of the tracheal intubation in the inspiratory tube, so that the first baffle plate can rotate along the partition plate to be opened under the action of air pressure, and the air inhaled into the patient can sequentially pass through a breathing machine pipeline, a protection box, an inspiration one-way valve, an air filter, an inspiratory tube and the tracheal intubation and enter the patient; if a patient exhales or a breathing machine inhales, the first baffle plate is closed and the second baffle plate is opened due to the arrangement mode of the first baffle plate and the second baffle plate, and exhaled gas sequentially passes through the exhalation tube, the protection unit, the exhalation one-way valve and the breathing machine pipeline and flows back to the exhalation machine.
When a patient exhales or a breathing machine supplies air to the patient, the air exhaled by the patient enters the protection unit through the exhalation pipe, and most of the exhaled air firstly contacts the baffle plate because the arc-shaped baffle plate is arranged in the protection unit, so that water vapor carried by the exhalation air is condensed into water in the baffle plate; because the baffle is provided with the diversion trench, water flows down along the diversion trench, thereby preventing condensed water formed by water vapor from entering human bodies during inspiration. The gas exhaled by the patient enters the protective box, the pressure at one end of the protective unit close to the tracheal cannula is increased, a condensed water pipeline of the respirator is communicated with the water bag through a water inlet one-way valve, and a water drainage one-way valve is arranged on the surface of the water bag; therefore, condensed water can only flow out of the drainage one-way valve on the surface of the water bag, and the surface of the baffle and the inside of the protection box can be cleaned by the outflow of the condensed water; because the lower end of the protection box, which is positioned at one side of the trachea cannula, is provided with the water outlet pipe, the water in the protection box can flow out through the water outlet pipe. In addition, one end of the baffle is provided with an expiratory one-way valve which can ventilate in one way during expiration, and the expired gas can return to the respirator through the one-way valve; because the exhaled air contains a large amount of carbon dioxide, part of the carbon dioxide will be dissolved in the condensed water and flow out of the protective box along with the water, so that the carbon dioxide generated in the breathing process is effectively treated.
When a patient inhales or a ventilator causes the patient to inhale, the absorbed gas will pass through an air filter, which will filter harmful impurities in the inhalation. Meanwhile, in the air suction process, due to the fact that negative pressure exists at one end, close to the tracheal cannula, of the interior of the protection unit, the condensed water is sucked into the water sac for the next time of cleaning the protection box.
The beneficial effect of this basic scheme lies in: the respirator pipeline and trachea cannula protection device effectively prevents water vapor generated by expiration from condensing into water and then flowing back to the lung of a patient, so that the patient is choked; the condensed water in the respirator is also prevented from flowing into the patient body under the action of inspiration to choke the patient. This protection device can inhale the inside of protection unit with the comdenstion water in the breathing machine in the use to wash protection box inside, make the bacterium of this protection device inner wall in the use by timely effectual washing. In using the breathing machine in-process, if patient coughs and produces the sputum, the sputum also can in time be washd away through expiration pipe entering protection unit, effectively prevents to take place the condition that leads to patient's state of an illness to aggravate not in time handling under the condition that has the sputum. The device does not need other power, can treat the condensed water generated in the breathing process of the patient only by the breathing of the patient or the breathing of the patient by the breathing machine, and continuously cleans the protective box body, thereby effectively reducing bacteria generated in the breathing process of the patient; bacteria are prevented from breeding in the protective box, the breathing machine pipeline and the tracheal cannula, so that the health of a patient is prevented from being influenced by the use of the breathing machine. Compared with the prior art, the device effectively treats the condensed water generated in the using process of the breathing machine, and effectively prevents the condensed water from flowing into the lung of a patient to cause serious illness of the patient; meanwhile, the device can be continuously cleaned in the breathing process of the patient, and the condition of the patient is effectively prevented from being influenced by bacterial breeding in the device.
The first preferred scheme is as follows: as the optimization of the basic scheme, a flow limiting valve is arranged on the water outlet pipe. The flow limiting valve can adjust the water outflow speed in the protection box, and prevent the gas breathed by the patient from flowing in and out from the water outlet pipe after the water in the protection box flows out completely.
The preferred scheme II is as follows: preferably, the lower part of the protection box is transversely provided with absorbent cotton which is supported by porous sponge. The cotton that absorbs water and when avoiding this device to take place to incline or invert in the use, the ponding that washs protection box inside flows everywhere in the protection box.
The preferable scheme is three: preferably, as the basis scheme, the breather pipe stretches into the protection box, and the tip of breather pipe is close to inspiration check valve department. One side of the vent pipe, which is positioned in the protective box, is suspended, so that water in the protective box cannot flow into the vent pipe; further enabling the gas inhaled by the patient during expiration to be the gas provided by the respirator.
The preferable scheme is four: preferably, the ventilation pipe is oval, the first baffle plate and the second baffle plate are both larger than the semi-oval cross sections of the inhalation pipe and the exhalation pipe, and the short axis of the semi-oval cross sections is consistent with the width of the partition plate. This structure is convenient for design and manufacture.
The preferable scheme is five: preferably, the first baffle plate and the second baffle plate are both made of hard rubber, and the thickness of the first baffle plate and the second baffle plate is 0.2-0.8 mm. The first baffle plate and the second baffle plate can seal and close the breathing tube and the expiration tube when rotating by the hard rubber, and the first baffle plate and the second baffle plate have the thickness of 0.2-0.8mm, so that the first baffle plate and the second baffle plate have lighter mass, have lighter friction with the inner wall of the breathing tube, and are more beneficial to the breathing of patients.
The preferable scheme is six: preferably, the flow guide grooves are multiple, and the flow guide grooves are vertically arranged on the baffle. The water in the protection box is convenient to drain from a plurality of directions, and the water in the protection box is more convenient to drain to the water outlet pipe.
The preferable scheme is seven: preferably, the air filter is located on a side of the suction pipe close to the baffle, and the first blocking plate is located on a side of the suction pipe far from the baffle. Prevent the generated gas from entering the air suction pipe during exhalation and also prevent sputum and the like generated during choking from entering the air suction pipe to pollute the air suction pipe.
Drawings
Fig. 1 is a schematic structural diagram of an embodiment of a ventilator tube and endotracheal tube protection device of the present invention.
Detailed Description
The present invention will be described in further detail below by way of specific embodiments:
reference numerals in the drawings of the specification include: the respiratory device comprises a protection box 10, a baffle plate 11, an inspiration one-way valve 111, an expiration one-way valve 112, a diversion trench 113, a water sac 12, a drainage one-way valve 121, a ventilation pipe 13, an inspiration pipe 131, a filter 1311, a first baffle 1312, an expiration pipe 132, a second baffle 1321, a water outlet pipe 14, a flow limiting valve 141, absorbent cotton 15, a respirator pipeline 20 and an endotracheal tube 30.
As shown in figure 1, the respirator pipeline and trachea cannula protection device comprises a protection box 10 and a water sac 12, wherein the front end of the protection box is communicated with a trachea cannula 30, and the rear end of the protection box 10 is communicated with a respirator pipeline 20 through a ventilation pipe 13. A baffle plate 11 is fixed in the middle of the protection box 10, and the baffle plate 11 is positioned between the tracheal cannula 30 and the respirator pipeline 20 and separates the tracheal cannula 30 from the respirator pipeline 20; the baffle 11 is arc-shaped, and the inward concave direction of the baffle 11 faces one side of the tracheal cannula 30; the left part of the baffle plate 11 is provided with an inspiration one-way valve 111 for one-way ventilation during inspiration, the right part of the baffle plate 11 is provided with an expiration one-way valve 112 for one-way ventilation during expiration, a plurality of guide grooves 113 are arranged on the concave surface of the baffle plate 11, and the guide grooves 113 are vertically arranged on the baffle plate 11. The water bag 12 is fixed on the concave side of the baffle plate 11, the surface of the water bag 12 is provided with a drainage one-way valve 121, and the water bag 12 is communicated with a condensate pipe of the respirator through a water inlet one-way valve.
The vent pipe 13 is oval, one end of the vent pipe 13 extends into the protection box 10, and the end part of the vent pipe is close to the air suction one-way valve 111; a partition is provided inside the ventilation tube 13, and the partition divides the ventilation tube 13 into an inhalation tube 131 and an exhalation tube 132. An air filter 1311 is arranged in the air suction pipe 131, a first baffle 1312 is hinged to one side of the partition plate facing the inside of the air suction pipe 131, the first baffle 1312 is obliquely arranged in the air suction pipe 131, and the included angle between the first baffle 1312 and the hinged part of the partition plate is positioned on one side of the trachea cannula 30, so that the first baffle 1312 can only swing on one side facing the trachea cannula 30 in the air suction pipe 131; air filter 1311 is located on the side of air intake pipe 131 closer to baffle 11, and first baffle 1312 is located on the side of air intake pipe 131 farther from baffle 11. A second blocking plate 1321 is hinged to one side of the partition plate facing the inside of the expiration pipe 132, the second blocking plate 1321 is obliquely arranged in the expiration pipe 132, and the included angle between the hinged part of the second blocking plate 1321 and the partition plate is positioned on one side far away from the endotracheal tube 30, so that the second blocking plate 1321 can only swing on one side far away from the endotracheal tube 30 in the expiration pipe 132. The first 1312 and second 1321 baffles are each larger than the semi-elliptical cross-sections of the inhalation 131 and exhalation 132 ducts, respectively, with the minor axis corresponding to the width of the partition; the first block 1312 and the second block 1321 are made of hard rubber and have a thickness of 0.2-0.8 mm.
The lower end of one side of the protection box 10 close to the trachea cannula 30 is provided with a water outlet pipe 14, and the end part of the water outlet pipe 14 is provided with a flow limiting valve 141 for adjusting the speed of water flowing out of the protection box 10. The lower part of the protection box 10 is transversely provided with absorbent cotton 15, and the absorbent cotton 15 is supported by porous sponge. The water absorption cotton 15 can prevent accumulated water in the cleaning protection box 10 from pouring out and flowing when the device is inclined or inverted in the using process.
When the device is used, the device is arranged between the respirator pipeline 20 and the trachea cannula 30; if a patient inhales or a respirator supplies air to the patient, negative pressure is generated in the tracheal intubation 30, the first blocking plate 1312 rotates along the partition plate to be opened under the action of air pressure, and the air inhaled into the patient sequentially passes through the respirator pipeline 20, the protection box 10, the inspiration check valve 111, the air filter 1311, the inspiration pipe 131 and the tracheal intubation 30 and enters the patient; when the patient exhales or the ventilator breathes the patient, the exhaled gas will pass through the exhalation tube 132, the protection unit, the exhalation check valve 112, the ventilator circuit 20 in order, and flow back into the ventilator.
When patient exhales or the breathing machine is supplied air for patient, the gas that patient expired will get into inside the protection unit through exhaling pipe 132, because the inside curved baffle 11 that is equipped with of protection unit, the gaseous most elder generation of exhaling contacts baffle 11, and the vapor that the expiration was taken will condense into water in one side of baffle 11 indent. The condensed water on the baffle 11 will flow down along the guiding groove 113 and flow out from the water outlet pipe 14 at the lower part of the protection box 10, thereby effectively preventing the condensed water formed by the water vapor from entering the human body when inhaling. The gas exhaled by the patient enters the protection box 10, the pressure at one end of the protection unit close to the tracheal cannula 30 is increased, a condensed water pipeline of the respirator is communicated with the water bag 12 through a water inlet one-way valve, and a water drainage one-way valve 121 is arranged on the surface of the water bag 12; so that the condensed water can only flow out from the drainage check valve 121 on the surface of the water bag 12, and the surface of the baffle plate 11 and the inside of the protection box 10 can be cleaned by the flowing-out of the condensed water; because the lower end of the interior of the protection box 10, which is positioned at one side of the tracheal cannula 30, is provided with the water outlet pipe 14, water in the protection box 10 can flow out through the water outlet pipe 14. In addition, one end of the baffle plate 11 is provided with an expiration one-way valve 112 which is used for one-way ventilation during expiration, and expired gas can return to the respirator through the one-way valve; since the exhaled air contains a large amount of carbon dioxide, part of the carbon dioxide will dissolve in the condensed water and flow out of the protective case 10 with the water, so that the carbon dioxide generated during respiration is effectively treated.
When a patient inhales or the ventilator causes the patient to inhale, the inhaled gas will pass through the air filter 1311, and the air filter 1311 will filter harmful impurities in the inhalation gas. Meanwhile, during the suction process, due to the negative pressure existing at one end of the protection unit close to the endotracheal tube 30, the condensed water is sucked into the water sac 12 for the next time of cleaning the protection box 10. During the use of the device, the speed of water flowing out of the protective box 10 can be adjusted through the flow limiting valve 141, so that water is always present in the protective box 10, and the phenomenon that the water is not present in the ventilating pipe 13 and the gas breathed by the patient enters and exits from the water outlet pipe 14 is prevented. If the protective case 10 is tilted or inverted during use of the present device, water inside the protective case 10 can be absorbed by the absorbent pad 15, thereby preventing accumulated water inside the protective case 10 from flowing around inside the protective case 10.
The foregoing is merely an example of the present invention and common general knowledge of known specific structures and features of the embodiments is not described herein in any greater detail. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent.