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CN216797698U - An oral sputum collection device under the condition of non-invasive respiratory support - Google Patents

An oral sputum collection device under the condition of non-invasive respiratory support Download PDF

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CN216797698U
CN216797698U CN202123007608.1U CN202123007608U CN216797698U CN 216797698 U CN216797698 U CN 216797698U CN 202123007608 U CN202123007608 U CN 202123007608U CN 216797698 U CN216797698 U CN 216797698U
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王天成
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Beijing Shijitan Hospital
Beijing Aerospace Changfeng Co Ltd
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Abstract

The utility model discloses a buccal sputum collection device under the condition of noninvasive respiratory support, which comprises a buccal sputum discharge oropharyngeal tube, a mini valve, a first double-head female connecting tube, a second double-head female connecting tube and a sputum liquid-gas separator; the buccal and sputum excretion oropharyngeal tube consists of a funnel-shaped oropharyngeal airway and wing-shaped oral pendants, and the two wing-shaped oral pendants are symmetrically arranged on the outer side of the funnel-shaped oropharyngeal airway; the funnel-shaped oropharyngeal airway is divided into a funnel part, a throat part, an air guide part and a pagoda-shaped male connector; one end of the first double-head female connecting pipe is connected with the pagoda-shaped male connector end of the funneled oropharyngeal airway, and the other end of the first double-head female connecting pipe is connected with the air inlet end of the mini valve; the utility model can help the patient to discharge sputum when the patient uses a breathing machine to ventilate through the oronasal mask in a noninvasive mode, reduces the pollution of aerosol such as bacteria, viruses and the like in the environment, and is beneficial to preventing and treating various respiratory tract infections and infections in intensive care units.

Description

一种无创呼吸支持条件下口含式痰液收集装置An oral sputum collection device under the condition of non-invasive respiratory support

技术领域technical field

本实用新型涉及医疗设备领域,具体为一种无创呼吸支持条件下口含式痰液收集装置。The utility model relates to the field of medical equipment, in particular to an oral sputum collecting device under the condition of non-invasive breathing support.

背景技术Background technique

在目前的危重症呼吸无创呼吸支持技术领域,主要依靠口鼻面罩下的无创呼吸支持通气,这种通气方式对于轻度呼吸衰竭患者是有效的,可以通过口鼻面罩,在呼吸机管路和气管之间建立通道并防止漏气,从而保证正压通气顺利进行,但是,由于在患者吸气和呼气的全周期内,呼吸机管路、口鼻面罩、患者口腔、鼻腔和咽部都存在较高的正压,使得患者肺泡、小气道和气管内的粘液不能顺利地在患者的呼气相通过咽部和口腔向外排出,从而导致痰液在气管和肺内积聚,严重者可以形成痰栓,引起气道堵塞,导致患者窒息、并发感染等并发症。临床上主要依靠指导咳嗽和吸痰管经过口咽部吸痰,但是效果很不理想。In the current field of non-invasive respiratory support technology for critically ill breathing, it mainly relies on non-invasive respiratory support ventilation under the oronasal mask. This ventilation method is effective for patients with mild respiratory failure. Establish a channel between the trachea and prevent air leakage, so as to ensure the smooth progress of positive pressure ventilation. However, during the whole cycle of inhalation and exhalation of the patient, the ventilator circuit, the oronasal mask, the patient's oral cavity, nasal cavity and pharynx are all affected. There is a high positive pressure, so that the mucus in the patient's alveoli, small airways and trachea cannot be smoothly discharged through the pharynx and mouth during the patient's expiratory phase, resulting in the accumulation of sputum in the trachea and lungs. The formation of phlegm plugs can cause airway blockage, leading to complications such as suffocation and infection. Clinically, it mainly relies on guiding cough and suction tube to suck sputum through the oropharynx, but the effect is very unsatisfactory.

发明内容SUMMARY OF THE INVENTION

针对上述存在的技术不足,本实用新型的目的是提供一种无创呼吸支持条件下口含式痰液收集装置,其能够在患者在使用呼吸机经口鼻面罩无创通气时,起到帮助患者排出并痰液的效果,并减少环境中细菌、病毒等气溶胶的污染。In view of the above-mentioned technical deficiencies, the purpose of this utility model is to provide an oral sputum collection device under the condition of non-invasive breathing support, which can help the patient to discharge when the patient uses a ventilator to ventilate non-invasively through an oral-nasal mask. And the effect of sputum, and reduce the pollution of bacteria, viruses and other aerosols in the environment.

为解决上述技术问题,本实用新型采用如下技术方案:In order to solve the above-mentioned technical problems, the utility model adopts the following technical solutions:

一种无创呼吸支持条件下口含式痰液收集装置,其特征在于,包括口含排痰口咽管、迷你阀门、一号双头母连接管、二号双头母连接管和痰液液气分离器;所述口含排痰口咽管由漏斗形口咽气道和翼形口腔内挂件组成,两个所述翼形口腔内挂件对称设置于漏斗形口咽气道外侧;所述漏斗形口咽气道分为漏斗部、狭部、导气部和宝塔型公接头四部分;A buccal sputum collection device under the condition of non-invasive respiratory support, characterized in that it includes buccal phlegm-expecting oropharyngeal tube, mini valve, No. 1 double-ended female connecting pipe, No. 2 double-ended female connecting pipe and sputum liquid Air separator; the mouth-containing oropharyngeal tube is composed of a funnel-shaped oropharyngeal airway and a wing-shaped oral cavity pendant, and the two wing-shaped oral cavity pendants are symmetrically arranged on the outside of the funnel-shaped oropharyngeal airway; The oropharyngeal airway is divided into four parts: the funnel part, the narrow part, the air guide part and the pagoda-type male joint;

一号双头母连接管一端与漏斗形口咽气道的宝塔型公接头端连接,一号双头母连接管的另一端与迷你阀门的进气端连接;二号双头母连接管的一端与迷你阀门的出气端连接,二号双头母连接管的另一端与痰液液气分离器的进气口连接。One end of the No. 1 double-ended female connecting pipe is connected to the pagoda-shaped male connector end of the funnel-shaped oropharyngeal airway, the other end of the No. 1 double-ended female connecting pipe is connected to the air inlet end of the mini valve; one end of the No. 2 double-ended female connecting pipe It is connected with the air outlet of the mini valve, and the other end of the No. 2 double-ended female connecting pipe is connected with the air inlet of the sputum liquid gas separator.

优选地,所述狭部为涡扇形,狭部的直径小于导气部和漏斗部。Preferably, the narrow portion is in the shape of a turbofan, and the diameter of the narrow portion is smaller than that of the air guide portion and the funnel portion.

本实用新型的有益效果在于:1、达到收集患者痰液的效果,并减少环境中细菌、病毒等气溶胶的污染,有利于各类呼吸道感染及重症监护室院内感染的防治。The beneficial effects of the utility model are as follows: 1. The effect of collecting patient sputum is achieved, and the pollution of aerosols such as bacteria and viruses in the environment is reduced, which is beneficial to the prevention and treatment of various respiratory tract infections and nosocomial infections in intensive care units.

2、口含式排痰口咽管的形状结构设计,利用流体力学原理加速气流和液体,达到克服流体的重力影响排痰。2. The shape and structure of the oral phlegm expectoration oropharyngeal tube uses the principle of fluid mechanics to accelerate the airflow and liquid to overcome the gravitational influence of the fluid to expel phlegm.

附图说明Description of drawings

为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present utility model or the technical solutions in the prior art, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are just some embodiments of the present invention, and for those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative effort.

图1为本实用新型提供的一种无创呼吸支持条件下口含式痰液收集装置的拆分结构示意图。Fig. 1 is a kind of disassembled structure schematic diagram of oral sputum collection device under the condition of non-invasive respiratory support provided by the present invention.

附图标记说明:Description of reference numbers:

漏斗部1、狭部2、翼形口腔内挂件3、宝塔型公接头4、一号双头母连接管5、进气端6、迷你阀门7、出气端8、二号双头母连接管9、导气部10、痰液液气分离器11。Funnel part 1, narrow part 2, wing-shaped intraoral pendant 3, pagoda-type male joint 4, No. 1 double-ended female connecting pipe 5, intake end 6, mini valve 7, air outlet 8, No. 2 double-ended female connecting pipe 9. Air guide part 10, phlegm liquid gas separator 11.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图,对本实用新型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实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,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,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the implementations. example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

如图1所示,一种无创呼吸支持条件下口含式痰液收集装置,包括口含排痰口咽管、迷你阀门7、一号双头母连接管5、二号双头母连接管9和痰液液气分离器11;所述口含排痰口咽管由漏斗形口咽气道和翼形口腔内挂件3组成,两个所述翼形口腔内挂件3对称设置于漏斗形口咽气道外侧;所述漏斗形口咽气道分为漏斗部1、狭部2、导气部10和宝塔型公接头4四部分;As shown in Figure 1, a buccal sputum collection device under the condition of non-invasive respiratory support, including buccal sputum-expecting oropharyngeal tube, mini valve 7, No. 1 double-ended female connecting pipe 5, and No. 2 double-ended female connecting pipe 9 and the phlegm liquid gas separator 11; the mouth-containing oropharyngeal tube for expectoration is composed of a funnel-shaped oropharyngeal airway and a wing-shaped oral cavity pendant 3, and two of the wing-shaped oral cavity pendants 3 are symmetrically arranged in the funnel-shaped mouth Outside the pharyngeal airway; the funnel-shaped oropharyngeal airway is divided into four parts: a funnel part 1, a narrow part 2, an air guide part 10 and a pagoda-type male joint 4;

一号双头母连接管5一端与漏斗形口咽气道的宝塔型公接头4端连接,一号双头母连接管5的另一端与迷你阀门7的进气端6连接;二号双头母连接管9的一端与迷你阀门7的出气端8连接,二号双头母连接管9的另一端与痰液液气分离器11的进气口连接。One end of the No. 1 double-ended female connecting pipe 5 is connected to the 4 end of the pagoda-shaped male connector of the funnel-shaped oropharyngeal airway, and the other end of the No. 1 double-ended female connecting pipe 5 is connected to the air inlet end 6 of the mini valve 7; One end of the female connecting pipe 9 is connected to the air outlet 8 of the mini valve 7 , and the other end of the No. 2 double-ended female connecting pipe 9 is connected to the air inlet of the sputum liquid gas separator 11 .

进一步的,所述狭部2为涡扇形,狭部2的直径小于导气部10和漏斗部1;把狭部2设计成涡扇形,利用气动力学原理,促使痰液和气流加速。Further, the narrow part 2 is in the shape of a turbofan, and the diameter of the narrow part 2 is smaller than that of the air guide part 10 and the funnel part 1;

进一步的,所述痰液液气分离器11包括进气接头、痰液引流管、液气过滤器、出气管和储痰罐;所述进气接头设置于储痰罐顶部,所述痰液引流管设置于储痰罐内,所述痰液引流管顶端和进气接头底端连接,所述痰液引流管的底端设置于液气过滤器内;所述排气管一端穿过储痰罐顶部置于储痰罐内,所述排气管的一端高于液气过滤器;痰液和气流经过进气接头和痰液引流管,液体和气体经过液气过滤器,呼出气体经过排气管排出,痰液经液气过滤器流滞,滴入储痰罐底部。Further, the sputum liquid gas separator 11 includes an air inlet joint, a sputum drainage pipe, a liquid gas filter, a trachea outlet pipe and a sputum storage tank; the air inlet joint is arranged on the top of the sputum storage tank, and the sputum The drainage pipe is arranged in the sputum storage tank, the top of the sputum drainage pipe is connected with the bottom end of the air inlet joint, and the bottom end of the sputum drainage pipe is arranged in the liquid-gas filter; one end of the exhaust pipe passes through the storage tank. The top of the sputum tank is placed in the sputum storage tank, and one end of the exhaust pipe is higher than the liquid-gas filter; The exhaust pipe is discharged, and the sputum flows through the liquid-gas filter and drips into the bottom of the sputum storage tank.

一、无创鼻罩或鼻塞条件下应用1. Application under the condition of non-invasive nasal mask or nasal congestion

将痰液液气分离器11挂在患者床旁,尽量平放排痰管路;Hang the sputum liquid gas separator 11 beside the patient's bed, and lay the sputum discharge pipeline as flat as possible;

将鼻塞或者鼻罩连接好无创呼吸机,并开始呼吸支持。使用本口含痰液收集装置时,患者张口含住口含排痰口咽管,将口含排痰口咽管放于舌面之上,漏斗部1轻轻托起软腭和玄雍锤,使漏斗部1开口正对舌咽部。Connect the nasal block or mask to the non-invasive ventilator and start breathing support. When using this buccal sputum collection device, the patient opens his mouth and holds the buccal expectoration oropharyngeal tube, puts the buccal expectoration oropharyngeal tube on the surface of the tongue, and gently lifts the soft palate and Xuanyong hammer at the funnel part 1, so that the The opening of the funnel part 1 faces the glossopharyngeal part.

打开迷你阀门7,痰液和气流可通过漏斗形口咽气道漏斗部1,经过狭部2时,痰液和气流稍加速流出,从导气部10和经过宝塔型公接头4和一号双头母连接管5流出,经过迷你阀门7后,流经二号双头母连接管9流向痰液液气分离器11;痰液液气分离器11将液体和气体分离,气体排出,液体留在痰液液气分离器11内。Open the mini valve 7, the sputum and airflow can pass through the funnel-shaped oropharyngeal airway funnel 1. When passing through the narrow part 2, the sputum and airflow are slightly accelerated to flow out, from the air guide 10 and through the pagoda-shaped male joint 4 and No. 1 double The head-female connecting pipe 5 flows out, and after passing through the mini valve 7, it flows through the No. 2 double-headed female connecting pipe 9 and flows to the sputum liquid gas separator 11; In the sputum liquid gas separator 11.

本装置双侧翼形口腔内挂件3做成“棒棒糖”或者“魔鬼鱼形状”,这样可以很好的适应口腔和咽部的解剖结构。The double-sided wing-shaped intraoral pendant 3 of the device is made into a "lollipop" or "devil fish shape", which can be well adapted to the anatomical structure of the oral cavity and pharynx.

二、无创口鼻面罩罩条件下应用2. Application under the condition of non-invasive oral and nasal mask

先将口含排痰口咽管的宝塔型公接头4端穿过口鼻面罩底部的小孔,穿出接口部使用硅胶密封管路与小孔接口,减少漏气;然后将一号双头母连接管5一端与口含排痰口咽管的宝塔型公接头4端连接,另一端与迷你阀门7进气端6连接;再取二号双头母连接管9,二号双头母连接管9一端连接迷你阀门7出气端8,另一端连接痰液液气分离器11的进气口。连接好装置各个部件后,将痰液液气分离器11挂在患者床旁,尽量平放排痰管路;First, pass the 4 ends of the pagoda-type male connector of the oropharyngeal tube containing the phlegm through the small hole at the bottom of the oral-nose mask, and use the silicone sealing pipe to interface with the small hole through the interface to reduce air leakage; then put the No. 1 double head One end of the female connecting pipe 5 is connected to the 4 end of the pagoda-type male connector containing the phlegm-expecting oropharyngeal tube, and the other end is connected to the inlet end 6 of the mini valve 7; One end of the connecting pipe 9 is connected to the air outlet 8 of the mini valve 7 , and the other end is connected to the air inlet of the sputum liquid gas separator 11 . After connecting all parts of the device, hang the sputum liquid gas separator 11 beside the patient's bed, and lay the sputum discharge pipeline as flat as possible;

将口鼻面罩连接好无创呼吸机。患者张口含住口含排痰口咽管,将口含排痰口咽管放于舌面之上,漏斗部1轻轻托起软腭和玄雍锤,使漏斗部1开口正对舌咽部;Connect the oral-nasal mask to the non-invasive ventilator. The patient opened his mouth to hold the phlegm-expecting oropharyngeal tube, put the buccal phlegm-expecting oropharyngeal tube on the tongue surface, gently lift the soft palate and Xuanyong hammer in the funnel part 1, so that the opening of the funnel part 1 faces the glossopharyngeal part;

打开迷你阀门7,痰液和气流可通过漏斗形口咽气道漏斗部1,经过狭部2时,痰液和气流稍加速流出,从导气部10和经过宝塔型公接头4和一号双头母连接管5流出,经过迷你阀门7后,流经二号双头母连接管9流向痰液液气分离器11;痰液液气分离器11将液体和气体分离,气体排出,液体留在痰液液气分离器11内。Open the mini valve 7, the sputum and airflow can pass through the funnel-shaped oropharyngeal airway funnel 1. When passing through the narrow part 2, the sputum and airflow are slightly accelerated to flow out, from the air guide 10 and through the pagoda-shaped male joint 4 and No. 1 double The head-female connecting pipe 5 flows out, and after passing through the mini valve 7, it flows through the No. 2 double-headed female connecting pipe 9 and flows to the sputum liquid gas separator 11; In the sputum liquid gas separator 11.

无创通气时,进入患者的气流主要通过患者鼻部经过口咽部进入患者的各级支气管肺和肺泡,呼气时,在呼吸机的正压作用下,扩张各级支气管并推动痰液和气体外流。During non-invasive ventilation, the air entering the patient mainly enters the bronchi, lungs and alveoli of the patient through the nose and the oropharynx. During exhalation, under the positive pressure of the ventilator, the bronchi at all levels are expanded and sputum and gas are pushed. outflow.

本装置在患者咽部、经口含排痰口咽管和痰液液气分离器11与外界之间建立漏气通道,在无创呼吸机运作时,打开迷你阀门7后,痰液和呼出气体经过该漏气通道,运移至痰液液气分离器11分离,达到收集患者痰液的效果,并减少环境中细菌、病毒等气溶胶的污染,有利于各类呼吸道感染及重症监护室院内感染的防治。特别是SARS、新冠病毒等严重呼吸道传染病流行期间,该装置的使用对于有效遏制传染病的传播起到很大的积极作用。The device establishes an air leakage channel between the patient's pharynx, the oral pharyngeal tube containing sputum and the sputum liquid gas separator 11 and the outside world. When the non-invasive ventilator is operating, after opening the mini valve 7, the sputum and exhaled air Through the air leakage channel, it is transferred to the sputum liquid gas separator 11 for separation, so as to achieve the effect of collecting the sputum of patients, and reduce the pollution of aerosols such as bacteria and viruses in the environment, which is beneficial to various respiratory tract infections and intensive care units. Infection prevention and treatment. Especially during the epidemic of severe respiratory infectious diseases such as SARS and new coronavirus, the use of this device has played a great positive role in effectively curbing the spread of infectious diseases.

显然,本领域的技术人员可以对本实用新型进行各种改动和变型而不脱离本实用新型的精神和范围。这样,倘若本实用新型的这些修改和变型属于本实用新型权利要求及其等同技术的范围之内,则本实用新型也意图包含这些改动和变型在内。Obviously, those skilled in the art can make various changes and modifications to the present invention without departing from the spirit and scope of the present invention. Thus, if these modifications and variations of the present utility model fall within the scope of the claims of the present utility model and their equivalents, the present utility model is also intended to include these modifications and variations.

Claims (2)

1. A buccal sputum collection device under the condition of noninvasive respiratory support is characterized by comprising a buccal sputum discharge oropharyngeal tube, a mini valve, a first double-head female connecting tube, a second double-head female connecting tube and a sputum liquid-gas separator; the buccal and sputum excretion oropharyngeal tube consists of a funnel-shaped oropharyngeal airway and wing-shaped oral pendants, and the two wing-shaped oral pendants are symmetrically arranged on the outer side of the funnel-shaped oropharyngeal airway; the funnel-shaped oropharyngeal airway is divided into a funnel part, a narrow part, an air guide part and a pagoda-shaped male connector;
one end of the first double-head female connecting pipe is connected with the pagoda-shaped male connector end of the funnel-shaped oropharyngeal airway, and the other end of the first double-head female connecting pipe is connected with the air inlet end of the mini valve; one end of the second double-head female connecting pipe is connected with the air outlet end of the mini valve, and the other end of the second double-head female connecting pipe is connected with the air inlet of the sputum liquid-gas separator.
2. The device of claim 1, wherein the throat is of a turbofan shape and has a diameter smaller than the air guide and the funnel.
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