CN102500028B - One-lung ventilation integrated device of single-cavity trachea catheter and bronchus blocking device - Google Patents
One-lung ventilation integrated device of single-cavity trachea catheter and bronchus blocking device Download PDFInfo
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Abstract
The invention relates to a one-lung ventilation integrated device of a single-cavity trachea catheter and a bronchus blocking device, belonging to medical apparatuses. The one-lung ventilation integrated device comprises a Y-shaped tee joint connected with the single-cavity trachea catheter, wherein a catheter bag is arranged at the front end of the single-cavity trachea catheter, an unaffected-side bronchus opening and an affected-side bronchus opening are arranged on a left side and a right side in the front of the catheter bag, a tip end of the catheter bag is provided with a V-shaped bulge clamp, a bronchus blocking system and the single-cavity trachea catheter are integrated, the front end of a blocking pipe penetrates out from an upper edge of the affected-side bronchus opening and is out of shape in the wall of a catheter body upwards, a blocking bag is arranged at the front end of the blocking pipe, the tail end of the blocking pipe penetrates out from an affected-side root of the catheter body and is connected with a bidirectional blocking pipe switch, and an elastic guide wire special for dredging the blocking pipe is arranged at the tail end of the blocking pipe. The one-lung ventilation integrated device of the single-cavity trachea catheter and the bronchus blocking device, disclosed by the invention, has a simple structure and reasonable design and integrates various advantages of a traditional one-lung ventilation device so as to provide clinic with a novel one-lung ventilation device having the advantages of convenience for operation, exactness in location and flexibility for conversion of one-lung ventilation and double-lung ventilation, and makes an affected lung better keep a static collapse state.
Description
Technical field
A kind of Dan of the present invention chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device, belong to medical apparatus technical field, particularly relate to a kind of Dan chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device that carries out one-lung ventilation technology for thoracic surgery.
Background technology
One-lung ventilation technology is indispensable technology in thoracic surgery anesthesia, its objective is and guarantee that strong side lung is not subject to the pollutions such as Ipsilateral lung inner blood, sputum, secretions, antibacterial, ensure that being good for side lung well ventilates, avoids cross infection, suffer from lung relatively static, avoid affecting operation technique and carry out relevant treatment etc., operable one-lung ventilation device is more, but the technological deficiency of equal various degrees, at present the conventional device of one-lung ventilation has: 1. double lumen endobronchial tube, 2. bronchus blocking device, 3. single lumen endobronchial tube.
Double lumen endobronchial tube is current conventional one-lung ventilation device, but this device exists many technological deficiencies, and as 1. duct wall is thicker, external diameter is thicker, and internal diameter is thinner, often occurs that difficult intubation even causes respiratory tract injury etc. in intubate process; 2. clinical optional model, specification are less, and child cannot use; 3. double lumen endobronchial tube designs for two-chamber, and tube chamber is divided into two, and causes single luminal stenosis, causes hypoventilation, airway resistance to be increased, and sputum aspirator tube, fibre bronchus mirror are difficult to insert; 4. complicated operation, positioning difficulty is larger, generally need fibre bronchus mirror to assist location, if locate not goodly, can cause one-lung ventilation failure, very cause hypoxemia, 5. the postoperative backer of need to breathing need be changed single-lumen bronchial tube, complex operation not only, and increase respiratory tract injury chance and patient's expense, clinical practice is subject to certain limitation.Afterwards double lumen endobronchial tube had been carried out to a lot of improvement, as " partially divided double lumen endobronchial tube (Chinese patent, the patent No.: ZL 201120022192.8) ", " asymmetry two-chamber bronchial tube (Chinese patent, the patent No.: ZL 200720195089.7) ", " in film every double lumen endobronchial tube (Chinese patent, etc. the patent No.: ZL 201020219408.5) " appearance, although all make in various degree strong laterobronchus conduit increase at the internal diameter of gas main section, but still more much smaller than single lumen catheter road, even if strong laterobronchus conduit increases at the tube chamber of gas main section, but the internal diameter at segmenta bronchopulmonalia does not increase, simultaneously, because Ipsilateral bronchial lumen further dwindles, cause suction sputum difficulty.
Bronchus blocking device is the one-lung ventilation new equipment of releasing in recent years, a kind of " disposable bronchus use blanking plug (Chinese patent that Ma Boping announces, the patent No.: ZL 201020561057.6) ", although solved the problem of endotracheal tube luminal stenosis, but expensive, to patient, bring financial burden, complicated operation, location difficulty, generally need to guide in fibre bronchus mirror, location, clinical universal use is subject to certain limitation, secondly, because bronchus obstruction pipe is longer, without any attachment point, whole process is free in single-lumen bronchial tube, bronchus is stopped up pipe and is easily occurred deviating from, displacement, even block respiratory tract etc., in addition, sputum aspirator tube is inserted difficulty, to suction sputum, make troubles.
Although single lumen endobronchial tube has solved the narrow defect of endotracheal tube, but also Shortcomings, a kind of " single chamber three bag bronchial catheter (Chinese patents of the big announcement in river, the patent No.: ZL 201020540738.4) ", Ipsilateral segmenta bronchopulmonalia is provided with capsula interna and the external capsule communicating, during one-lung ventilation, two capsules are in inflated condition, suffering from lung cannot communicate with the external world, cannot solve atelectasis, affect operation technique, suffer from lung endocrine, blood cannot be discharged, once two capsule venting, suffer from the secretions in lung, blood certainly will flow into gas main, enter strong lung, consequence is well imagined, segmenta bronchopulmonalia is thicker, even two capsule venting, suffering from pulmonary ventilation certainly will largely be affected.
Summary of the invention
The present invention seeks to overcome the defect that above-mentioned prior art exists, the plurality of advantages of having gathered current one-lung ventilation device, can be clinical provide a kind of easy to operate, accurate positioning, safe and reliable, guarantee oxygen supply, suffer from unobstructed, the single two pulmonary ventilation conversions of lung drain and flexibly, do not affect operation technique, make to suffer from a kind of Dan chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device that lung better keeps static collapsed mode.
Technical scheme of the present invention is achieved in the following ways: a kind of Dan chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device, comprise the threeway of " y " type, single-lumen bronchial tube, bronchus block system, elastic force seal wire, it is characterized in that: the threeway of described " y " type comprises the anaesthetic circuit that is connected with anaesthetic circuit mouth, the fibre bronchus mirror's passage ,-corrugated tubing and the gas outlet that are connected with fibre bronchus mirror dedicated port, after described anaesthetic circuit and fibre bronchus mirror's passage converge and between gas outlet, borrow corrugated tubing to connect and compose three-port structure, described gas outlet is connected with air inlet, described single-lumen bronchial tube comprises catheter adapter, catheter body, conduit capsule, conduit capsule gas tube, conduit capsule charge valve, strong laterobronchus opening, Ipsilateral bronchus mouth, " V " type knuckle card, the air inlet of described catheter adapter is connected with " y " type threeway gas outlet, catheter adapter left and right is provided with joint flank, described catheter body front end is provided with conduit capsule, described conduit capsule borrows conduit capsule gas tube to be connected with conduit capsule charge valve, described conduit capsule gas tube is kept away interior traveling at strong side catheter body pipe, in the strong lateral root of catheter body, portion passes, the place ahead of described conduit capsule is strong laterobronchus opening, Ipsilateral bronchus opening, respectively towards strong, Ipsilateral main bronchus mouth, the tip of catheter body is provided with " V " type knuckle card, circular knuckle hole is arranged at described " V " type knuckle card bottom, described bronchus block system comprises obstruction pipe, obstruction capsule, obstruction capsule gas tube, stops up capsule charge valve, obstruction pipe switch, described obstruction pipe and single-lumen bronchial tube are structure as a whole, front end passes from Ipsilateral bronchus opening upper limb, be provided with obstruction capsule, back segment enters traveling in catheter body tube wall from Ipsilateral bronchus opening upper limb, pass to catheter body Ipsilateral root, and stop up pipe switch and be connected, described obstruction capsule is borrowed and is stopped up capsule gas tube and be connected with obstruction capsule charge valve, described elastic force seal wire is independent packaging, for dredge blockage pipe.
" y " of the present invention type three is connected with anaesthetic circuit, by anaesthetic circuit mouth, be connected with anesthetic machine, fibre bronchus mirror's dedicated port is specialized in fibre bronchus mirror and is checked use, anaesthetic circuit borrows corrugated tubing to be connected with the gas outlet of " y " type threeway with after fibre bronchus mirror passage converges, described gas outlet is connected with air inlet, mechanical ventilation while being convenient to fibre bronchus mirror's inspection, and described corrugated tubing can make " y " type threeway activity freely, be convenient to put, prevent from giving a discount.
Catheter adapter of the present invention left and right is provided with catheter adapter flank, Ipsilateral catheter adapter flank and obstruction capsule, obstruction capsule charge valve, the identical dyeing of obstruction pipe switch, be convenient to represent left and right and location, for non-red staining, be convenient to distinguish with respiratory mucosa, and different with the dyeing of " V " type knuckle card, be convenient to when fibre bronchus mirror checks distinguish.
Conduit capsule of the present invention borrows conduit capsule gas tube to be connected with conduit capsule charge valve, and described conduit capsule gas tube is kept away interior traveling at the strong side pipe of catheter body, and in the strong lateral root of catheter body, portion passes, and is convenient to distinguish side other.
Single-lumen bronchial tube of the present invention tip is " V " type knuckle card, for non-red staining, when being convenient to fibre bronchus mirror and observing, distinguish with respiratory mucosa, a round knuckle hole is established in " V " type knuckle card bottom, while being convenient to fibre bronchus mirror's guiding, location, pass through, also favourable Rhizoma Atractylodis Macrocephalae Bi Shuan pulmonary ventilation, most advanced and sophisticated arc modeling, to alleviate the stimulation of knuckle and damage, when tracheal intubation " V " type knuckle snaps into Dalong and straddles in knuckle after prominent, in intubate process, reach estimating depth and occur stopping while feeling, indication intubate puts in place.
Obstruction pipe of the present invention and single-lumen bronchial tube are structure as a whole, traveling in catheter body pipe Ipsilateral wall, relatively reduced the cross-sectional area that takies catheter lumen, stopped up pipe front end and pass from Ipsilateral bronchus opening upper limb, arc is oblique outside lower, be convenient to intubate, need not guide by seal wire, stop up capsule and can enter smoothly Ipsilateral bronchus, avoided guide tube chamber to give prominence to and stop up the hidden danger of strong laterobronchus opening, stopping up pipe exposed parts is water white transparency shape, is convenient to observe trouble lung drain color.
Obstruction capsule of the present invention is low pressure air bag, be fixed on the front end that stops up pipe, after inflation, be spherical, be convenient to fully echo with bronchial wall, after stopping up capsule inflation, be seated in the most advanced and sophisticated the place ahead of " V " type knuckle card with the contact point of bronchial wall, avoid stopping up bag pressure and compel " V " type knuckle card and do not cause bronchial mucosa pressurized ischemia, stimulation and stop up capsule obstruction tight etc.Stop up capsule gas tube and originate in and stop up in capsule, traveling in stopping up tube wall, to the traveling in catheter body Ipsilateral tube wall of Ipsilateral bronchus opening upper limb, passes to catheter body Ipsilateral root, connects and stops up capsule charge valve.Stop up capsule, stop up capsule charge valve, stop up the identical non-red staining of pipe switch, and different with the dyeing of " V " type knuckle card, be convenient to side and do not calibrate with fibre bronchus mirror and check.
Obstruction pipe switch of the present invention is a two-way rotary switch, by rotary switch handle, open or close and stop up pipe, stopping up pipe switch far-end is connected with obstruction pipe, near-end is a trapezoidal plug, be convenient to be connected with suction catheter, the convenient interior liquids and gases of Ipsilateral lung etc. that attract, trapezoidal plug opening is connected coupling with syringe, and be furnished with block, be convenient to inject local anaesthetics or other treatment and use.
Conduit capsule of the present invention is respectively equipped with strip-like developing pipe with stopping up capsule two ends, is convenient to x-ray location.
The present invention provides Multiple Type, specification as required, the side that passes bronchus mouth according to obstruction pipe is other, can be divided into left and right two specifications, according to the thickness of catheter body, can be divided into Multiple Type, be convenient to patient's choice for use of dissimilar, sex, age, body weight, for most of crowds provide safety, one-lung ventilation device easily.
The present invention has gathered all advantages of double lumen endobronchial tube, single lumen endobronchial tube and bronchus blocking device and a kind of novel one-lung ventilation new equipment invented.
The present invention and prior art contrast, and its effect is actively with obvious.The present invention is simple in structure, reasonable in design, adopt after said structure, catheter lumen internal diameter is seldom affected, without bronchial catheter, do not affect ventilation, avoid the generation of hypoxemia, intubate is very convenient, need not fibre bronchus mirror guide, location, although stop up Ipsilateral lung, but stop up capsule and only stop up main bronchus mouth place, do not affect operation technique, stop up capsule fixation, be difficult for displacement, owing to stopping up, pipe is thinner, during two pulmonary ventilation, need not retreat to gas main by stopping up capsule, postoperative also without changing conduit, owing to stopping up pipe collar extension, can be connected with syringe, can be for injection local anaesthetics, reduce Intubation reaction, improve the toleration of patient to conduit, be particularly useful for postoperative need to be with the patient of pipe, can also do other treatment simultaneously.Dan of the present invention chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device for thoracic surgery provide a kind of simple to operate, location is convenient, ensure oxygen supply, safe and reliable, do not affect operation technique, make to suffer from the one-lung ventilation new equipment that lung keeps static collapsed mode, improve anesthesia safety, solved the difficult problem that child cannot one-lung ventilation.
Accompanying drawing explanation
Fig. 1 is front appearance schematic diagram of the present invention.
Fig. 2 is the most advanced and sophisticated schematic perspective view of single-lumen bronchial tube of the present invention.
Fig. 3 is the crown schematic diagram of the present invention " V " type knuckle card.
Fig. 4 is the most advanced and sophisticated strong side schematic view of single-lumen bronchial tube of the present invention.
Fig. 5 is the most advanced and sophisticated side schematic view of suffering from of single-lumen bronchial tube of the present invention.
Fig. 6 is single-lumen bronchial tube cross sectional representation of the present invention.
Fig. 7 is the most advanced and sophisticated schematic bottom view of single-lumen bronchial tube of the present invention.
The specific embodiment
For further disclosing technical scheme of the present invention, below in conjunction with Figure of description, by embodiment, elaborate.
In accompanying drawing: 1 –-anaesthetic circuit mouth, 2 –-fibre bronchus mirror dedicated port, the threeway of 3 –-" y " type, 4 –-corrugated tubing, 5 –-air inlet, 6 –-conduit capsule charge valve, 7 –-conduit capsule gas tube, 8 –-single-lumen bronchial tube, 9 –-block, 10 –-conduit capsule, 11 –-strip-like developing pipe, 12 –-" V " type knuckle card, 13 –-obstruction pipe, 14 –-obstruction pipe switch, 15 –-trapezoidal plug, 16 –-obstruction capsule charge valves, 17 –-obstruction capsule gas tubes, 18 –-Ipsilateral bronchus opening, 19 –-obstruction capsules, 20 –-strong laterobronchus opening, 21 –-catheter lumen, 22 –-knuckle hole, 23 –-gas outlet, 24 –-anaesthetic circuit, 25 –-fibre bronchus mirror passage, 26, catheter adapter, 27, joint flank, 28 –-catheter body, 29 – elastic force seal wires.
As shown in Fig. 1 to 7, a kind of Dan of the present invention chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device, comprise " y " type threeway 3, single-lumen bronchial tube 8, bronchus block system, elastic force seal wire 29, described " y " type threeway 3 comprises anaesthetic circuit 24, anaesthetic circuit mouth 1, fibre bronchus mirror's dedicated port 2, fibre bronchus mirror's passage 25, corrugated tubing 4 and gas outlet 23, after converging, described anaesthetic circuit 24Yu fibre bronchus mirror passage 25 is connected with gas outlet 23 by corrugated tubing 4, mechanical ventilation while being convenient to fibre bronchus mirror's inspection, corrugated tubing 4 can make " y " type threeway 3 activities freely, be convenient to put, prevent from giving a discount.Described single-lumen bronchial tube 8 near-ends are catheter adapters 26, be connected with catheter body 28, the air inlet 5 of described catheter adapter 26 is connected with the gas outlet 23 of " y " type threeway 3, and described catheter body 28 front ends are provided with conduit capsule 10, conduit capsule 10 two ends are respectively equipped with strip-like developing pipe 11, are convenient to x-ray location.Described conduit capsule 10 belows are strong laterobronchus opening 20 and Ipsilateral bronchus opening 18, respectively towards strong, Ipsilateral bronchus, strong laterobronchus opening 20 and Ipsilateral bronchus opening 18 lower ends are " V " type knuckle cards 12, while being convenient to intubate, locate, after when tracheal intubation, " V " type knuckle card 12 arrives knuckle, straddle in knuckle, in intubate process, reach estimating depth and occur stopping while feeling, indication intubate puts in place.As Fig. 2, 3, 4, circular knuckle hole 22 is arranged at " V " shown in 7 type knuckle card 12 bottoms, Ke Shi fibre bronchus mirror passes through, be convenient to fibre bronchus mirror's guiding and location, also favourable Rhizoma Atractylodis Macrocephalae Bi Shuan pulmonary ventilation, most advanced and sophisticated arc modeling, to alleviate the stimulation of knuckle and damage, described conduit capsule 10 borrows conduit capsule gas tube 7 to be connected with conduit capsule charge valve 6, the traveling in the strong side pipe wall of catheter body 28 of conduit capsule gas tube 7, in the strong lateral root of catheter body 28, portion passes, to show that side is not directed, stopping up pipe 13 traveling one sides is Ipsilateral, Ipsilateral joint flank 27 and obstruction capsule 19, stop up capsule charge valve 16, stop up the identical dyeing of pipe switch 14, for the 12 identical dyeing of non-redness non-" V " type knuckle card, being convenient to fibre bronchus mirror checks observation and distinguishes side other.Described bronchus block system comprises stopping up manages 13, stop up capsule 19, stop up capsule gas tube 17, stop up capsule charge valve 16, stop up pipe switch 14, described obstruction pipe 13 is structure as a whole with single-lumen bronchial tube 8, front end passes at Ipsilateral bronchus opening 18 upper limbs, be provided with and stop up capsule 19, back segment enters traveling in catheter body 28 tube walls from Ipsilateral bronchus opening 18 upper limbs, pass to catheter body 28 Ipsilateral roots, be connected with obstruction switch 14, described obstruction pipe switch 14 is bidirectional rotation switch, open switch and can aspirate the interior liquids and gases of trouble lung etc., prevent Ipsilateral Hyperinflation, while closing, can avoid liquid outflow in lung, keep clean, tail end of switch is trapezoidal plug 15, be convenient to be connected with suction catheter, facilitate vacuum suction, trapezoidal plug 15 tail ends can be connected with syringe, be convenient to inject local anaesthetics or other treatment, and be furnished with and block a shot 9, described obstruction capsule 19 borrows obstruction capsule gas tube 17 to be connected with obstruction capsule charge valve 16, stopping up capsule gas tube 17 originates in obstruction capsule 19, traveling in stopping up pipe 13 tube walls, to the traveling in catheter body 28 tube walls of Ipsilateral bronchus opening 18 upper limbs, at catheter body 28 Ipsilateral roots, pass, be connected with obstruction capsule charge valve 16, by stopping up capsule 19 inflations, venting, can realize list, two pulmonary ventilation.Described elastic force seal wire 29 is independent packaging, for dredge blockage pipe 13.
As shown in Figure 1, 2, 3, obstruction capsule 19 of the present invention is low pressure air bag, after inflation, be spherical, be convenient to fully echo with bronchial wall, after stopping up capsule 19 inflations, be seated in the most advanced and sophisticated slightly below of " V " type knuckle card 12 with the contact point of bronchial wall, avoid stopping up capsule 19 compressing " V " type knuckle cards 12 and do not cause bronchial mucosa pressurized ischemia, stimulation and stop up capsule 19 obstructions tight etc.Stop up capsule 19 two ends strip-like developing pipe 11 is all set, be convenient to x-ray location.
As shown in Fig. 3,6, the present invention stops up pipe 13 travelings in catheter body 28 walls, front end passes at Ipsilateral bronchus opening 18, and arc is oblique outside lower, is convenient to intubate, to stopping up capsule 19, play support, fixation simultaneously, can effectively prevent from stopping up capsule 19 displacements, simultaneously less on catheter lumen 21 sectional area impacts, be convenient to fibre bronchus mirror's inspection, suction sputum, do not affect airway pressure, can effectively reduce the generation of hypoxemia.Stopping up pipe 13 exposed parts is water white transparency shape, is convenient to observe trouble lung drain color.
The present invention is other according to stopping up pipe 13 sides that pass, Dan of the present invention chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device can be divided into left and right two specifications, what obstruction pipe 13 was passed by right side performs the operation for right lung, right breast, otherwise for left lung, the operation of left breast.According to the thickness of catheter body 28, can be divided into Multiple Type, be convenient to patient's choice for use of dissimilar, sex, age, body weight, for most of crowds provide safety, one-lung ventilation device easily.
Before using the present invention, first to select the Dan chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device of applicable patient's aseptic packaging, single-lumen bronchial tube 8 front ends are smeared lubricant, dilution local anaesthetics is standby, during endotracheal intubation, for alleviating patient's Intubation reaction, can slowly inject local anaesthetics from stopping up pipe 13, insert in catheter procedure, single-lumen bronchial tube 8 front ends slightly tilt to Ipsilateral, once reach estimating depth and meet obstructions, illustrate " V " type knuckle card 12 ridden knuckle, position makes it, 10 gas injections of conduit capsule, row mechanical ventilation, according to satisfy the requirements and judge single-lumen bronchial tube 8 whether position is accurate, once determine, can be to stopping up the interior inflation of capsule 19, whether accurate by fibre bronchus mirror or auscultation method judgement obstruction capsule 19 location, its standard is: 1. stop up the rear Ipsilateral lung apnea sound of capsule 19 inflation, strong side pulmonary respiration sound is normal, 2. airway pressure is within normal range, 3. open and stop up pipe switch 14 obstruction pipes 13 without gas overflowing, 4. fibre bronchus mirror checks visible etc.If occur in art, ventilation is abnormal, illustrate that displacement may appear in " V " type knuckle card 12, obstruction capsule 19, first conduit capsule 10, the interior gas of obstruction capsule 19 are emitted, exit single-lumen bronchial tube 8 a little, and then slowly insert, once explanation " V " the type knuckle card 12 that meets obstructions has ridden knuckle, can stop inserting, conduit capsule 10,19 inflations of obstruction capsule, by above standard judgement location, fibre bronchus mirror is auxiliary if desired.In art, can manage 13 vacuum suctions at any time by obstruction as required, once stop up pipe 13, stop up, can use special-purpose elastic force seal wire 29 dredgings.By stopping up capsule 19 inflations, the single, double pulmonary ventilation of venting adjusting, art finishes need not one-lung ventilation time, attract to suffer from lung inner blood, secretions, bleed off and stop up the interior gas of capsule 19, close and stop up pipe switch 14, can carry out two pulmonary ventilation, will not stop up capsule 19 and retreat to gas main, single, double pulmonary ventilation conversion is very convenient, has avoided postoperative replace tubes to the stimulation of respiratory tract and damage, reduce the generation of anesthetic accident, complication, improved anesthesia safety.
It is more than preferred embodiment of the present invention; although described the present invention in conjunction with preferential embodiment; but not in order to limit the present invention; all without departing from the spirit and scope of the present invention; the change that technical solution of the present invention is made, the displacement of coordinate, modification; when the function producing does not exceed the scope of technical solution of the present invention, all belong to protection of the present invention.
Claims (8)
1. single chamber gas pipe is led pipe – bronchus blocking device one-lung ventilation integrated device, comprise " y " type threeway (3), single-lumen bronchial tube (8), bronchus block system, elastic force seal wire (29), it is characterized in that: described " y " type threeway (3) comprises the anaesthetic circuit (24) being connected with anaesthetic circuit mouth (1), the fibre bronchus mirror's passage (25) being connected with fibre bronchus mirror's dedicated port (2), described anaesthetic circuit (24) connects and composes three-port structure by corrugated tubing (4) and gas outlet (23) after converging with fibre bronchus mirror's passage (25), described gas outlet (23) is connected with air inlet (5), the catheter body (28) that described single-lumen bronchial tube (8) comprises catheter adapter (26) and is attached thereto, described catheter body (28) front end is provided with conduit capsule (10), described conduit capsule (10) is connected with conduit capsule charge valve (6) by conduit capsule gas tube (7), the below of described conduit capsule (10) is strong laterobronchus opening (20) and Ipsilateral bronchus opening (18), tip is " V " type knuckle card (12), described bronchus block system comprises the obstruction capsule (19) that stops up pipe (13) and be positioned at front end, described obstruction pipe (13) external obstruction pipe switch (14), be structure as a whole with single-lumen bronchial tube (8), the front end of described obstruction pipe (13) passes from Ipsilateral bronchus opening (18) upper limb, arc is oblique outside lower, back segment traveling in Ipsilateral bronchus opening (18) upper limb enters catheter body (28) tube wall, pass to catheter body (28) Ipsilateral root, be connected with obstruction pipe switch (14), exposed parts is water white transparency shape, described obstruction capsule (19) is connected with obstruction capsule charge valve (16) by stopping up capsule gas tube (17), described elastic force seal wire (29) is independent packaging.
2. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: described catheter adapter (26) arranged on left and right sides is respectively equipped with joint flank (27), described obstruction capsule (19), the identical dyeing of joint flank (27) of stopping up capsule charge valve (16), stopping up pipe switch (14) and homonymy, for non-red staining, dye different with " V " type knuckle card (12).
3. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: described conduit capsule (10) is positioned at the front end of catheter body (28), borrow conduit capsule gas tube (7) to be connected with conduit capsule charge valve (6), two ends are with strip-like developing pipe (11), described conduit capsule gas tube (7) traveling in catheter body (28) tube wall, to the strong lateral root of catheter body (28), portion passes.
4. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: described " V " type knuckle card (12), for non-red staining, a round knuckle hole (22) is established in " V " type knuckle card (12) bottom, and the tip of " V " type knuckle card (12) is circular-arc.
5. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: described obstruction capsule (19) is low pressure air bag, after inflation, be spherical, be fixed on the front end that stops up pipe (13), described obstruction capsule (19) inflation contact point rear and bronchial wall is seated in the most advanced and sophisticated below of " V " type knuckle card (12), and two ends are provided with strip-like developing pipe (11).
6. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: described obstruction capsule gas tube (17) originates in obstruction capsule (19), traveling in stopping up pipe (13) tube wall, to the traveling in catheter body (28) tube wall of Ipsilateral bronchus opening (18) upper limb, pass to catheter body (28) Ipsilateral root, connect and stop up capsule charge valve (16).
7. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: described obstruction pipe switch (14) is a two-way rotary switch, far-end is connected with obstruction pipe (13), near-end is a trapezoidal plug (15), described trapezoidal plug (15) opening is connected coupling with syringe, and joins block (9).
8. a kind of Dan chamber Qi according to claim 1 manages Dao Guan – bronchus blocking device one-lung ventilation integrated device, it is characterized in that: the side that described Dan chamber Qi pipe Dao Guan – bronchus blocking device one-lung ventilation integrated device passes bronchus opening according to obstruction pipe (13) is other, can be divided into left and right two specifications, according to the thickness of catheter body (28), can be divided into Multiple Type.
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| CN201110316610.9A CN102500028B (en) | 2011-10-18 | 2011-10-18 | One-lung ventilation integrated device of single-cavity trachea catheter and bronchus blocking device |
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| CN108434572A (en) * | 2018-04-19 | 2018-08-24 | 潍坊医学院 | A kind of special Endotracheal Intubation Under General Anesthesia of bronchoscopy |
| CN109172076A (en) * | 2018-08-02 | 2019-01-11 | 郑州大学第附属医院 | Multi-cavity air flue radiography wire catheter for conveying Y type airway stent is set with |
| CN109621141A (en) * | 2019-02-19 | 2019-04-16 | 广东省中医院（广州中医药大学第二附属医院、广州中医药大学第二临床医学院、广东省中医药科学院） | A kind of enhanced tracheal catheter of disposable anther sac |
| CN111658850A (en) * | 2020-07-10 | 2020-09-15 | 杨光霞 | Sputum suction device for artificial respirator |
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| EP1415678A1 (en) * | 2002-10-29 | 2004-05-06 | Smiths Group plc | Valves |
| CN201861691U (en) * | 2009-12-17 | 2011-06-15 | 南方医科大学南方医院 | Left dual-capsule bronchus obstruction conduit |
| CN202236751U (en) * | 2011-10-18 | 2012-05-30 | 张海山 | Novel one-lung ventilation device |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7775206B2 (en) * | 2006-06-01 | 2010-08-17 | Egret Medical Products, Inc. | Neonate suction catheter assembly |
| GB0914557D0 (en) * | 2009-08-20 | 2009-09-30 | Smiths Medical Int Ltd | Ventilation and suction systems and assemblies |
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2011
- 2011-10-18 CN CN201110316610.9A patent/CN102500028B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0118850A2 (en) * | 1983-03-04 | 1984-09-19 | Polska Akademia Nauk Instytut Biocybernetyki i Inzynierii Biomedycznej | Apparatus for independent ventilation of two lungs with selective use of positive end-expiratory pressures |
| EP1415678A1 (en) * | 2002-10-29 | 2004-05-06 | Smiths Group plc | Valves |
| CN201861691U (en) * | 2009-12-17 | 2011-06-15 | 南方医科大学南方医院 | Left dual-capsule bronchus obstruction conduit |
| CN202236751U (en) * | 2011-10-18 | 2012-05-30 | 张海山 | Novel one-lung ventilation device |
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| CN102500028A (en) | 2012-06-20 |
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