CN102580214A - Special endotracheal tube for lung transplantation - Google Patents

Special endotracheal tube for lung transplantation Download PDF

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Publication number
CN102580214A
CN102580214A CN2012100608268A CN201210060826A CN102580214A CN 102580214 A CN102580214 A CN 102580214A CN 2012100608268 A CN2012100608268 A CN 2012100608268A CN 201210060826 A CN201210060826 A CN 201210060826A CN 102580214 A CN102580214 A CN 102580214A
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China
Prior art keywords
inner sleeve
trocar sheath
air bag
lung
cannula
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Pending
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CN2012100608268A
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Chinese (zh)
Inventor
胡春晓
高宏
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Individual
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Individual
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Priority to CN2012100608268A priority Critical patent/CN102580214A/en
Publication of CN102580214A publication Critical patent/CN102580214A/en
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Abstract

The invention relates to a special endotracheal tube for lung transplantation, which is particularly used for supplying air for lungs of a patient during lung transplantation or pulmonary resection and belongs to the technical field of medical instruments. The special endotracheal tube mainly comprises an outer cannula and an inner cannula, and the inner cannula is fixed in the outer cannula. An outer cannula air sac is arranged on the outer surface of the middle of the outer cannula. A first inner cannula air sac and a second inner cannula air sac are successively arranged on the outer surface of the lower portion of the inner cannula. The special endotracheal tube is simple, compact and reasonable in structure and simple and convenient in operation, the single inner cannula is used for carrying out breathing support for the lung of the patient, the pressure of the trachea is low, and the possibility of injury of the lung on a non-surgical side due to mechanical breathing is reduced; the bronchia on a surgical side is closed by the air sacs, so that liquid of the lung on the surgical side cannot enter the non-surgical side and the trachea, and breathing support leakage can be avoided while the bronchia is sutured; and the inner cannula is taken out after surgery is finished, the outer cannula is remained to carry out breathing support, and sufferings caused by replacement of a catheter and risks of injury of the trachea are avoided.

Description

The special-purpose endotracheal tube of lung transplantation
Technical field
The present invention relates to the special-purpose endotracheal tube of a kind of lung transplantation, specifically be used for lung transplantation or pneumonectomy operation and breathe support, belong to technical field of medical.
Background technology
In lung transplantation or pneumonectomy operation, need breathe support to patient.In the prior art, generally adopt double lumen endobronchial tube in operation, to breathe support.
Double lumen endobronchial tube adopts the double lumen structure, because the restriction of the TD of human body causes the diameter of single tube chamber less, and it is all relatively poor to carry out the patient pulmonary compliance of lung transplant.When carrying out the operation of single lung, an other side one-lung ventilation is easy to form higher airway pressure, thereby causes pulmonary lesion.After operation is accomplished, must double lumen endobronchial tube be replaced with the bronchial catheter in single chamber.The double lumen endobronchial tube recession causes gas leakage on the one hand easily; On the other hand, various liquid such as hemorrhage can get in the endotracheal tube in the operation side lung.In the replacing process, because of misoperation causes the damage of patient's tracheal intubation, also possibly cause anoxia easily because breathing support is suspended, bring misery to the patient.
Summary of the invention
The objective of the invention is to overcome above-mentioned weak point, thereby provide a kind of lung transplantation special-purpose endotracheal tube, through the bigger inner sleeve of internal diameter non-operation side pulmonary is provided to breathe and support, simple in structure, easy and simple to handle, guaranteed the safety of operation.
According to technical scheme provided by the invention; The special-purpose endotracheal tube of lung transplantation mainly comprises trocar sheath and inner sleeve; Said inner sleeve is installed in the trocar sheath; The inner sleeve surface is provided with two card bodies, and the upper end face of trocar sheath is provided with and blocks two bayonet sockets that bulk phase cooperates, and said inner sleeve is fixed together through the bayonet socket of card body and trocar sheath.Said trocar sheath is provided with the trocar sheath air bag near the position, upper end, and the trocar sheath air bag is connected with the trocar sheath air sac sealing valve that is located at the trocar sheath tail end through first gas tube of outer sleeve inner wall.
Said inner sleeve lower external face is provided with the first inner sleeve air bag and the second inner sleeve air bag successively, and the first inner sleeve air bag is connected with the first inner sleeve air sac sealing valve that is located at inner sleeve top, the second inner sleeve air bag air feed seal valve with the 3rd gas tube through second gas tube of inner sleeve inwall respectively with the second inner sleeve air bag.
The respirator interface is installed in said inner sleeve upper end, and the respirator interface is used to connect outside respirator.
Compared with present technology the present invention has the following advantages:
The present invention is simple, compact and reasonable for structure, and is easy and simple to handle; Inner sleeve through single internal diameter is bigger is breathed support to pulmonary, and airway pressure is less, reduces the injury of lung of non-operation side mechanical ventilation; Through will perform the operation laterobronchus sealing of air bag, operation side pulmonary fluid can not get in non-operation side and the trachea, can not cause when sewing up bronchus to breathe and support to leak gas; After operation is accomplished, take out inner sleeve, keep trocar sheath and can breathe support, avoided changing the misery and the risk that causes tracheal injury of conduit.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is the inner sleeve structural representation.
Fig. 3 is the outer sleeve structure sketch map.
Fig. 4 is an A-A cutaway view among Fig. 1.
Fig. 5 is the lung transplant sketch map.
Fig. 6 is pneumonectomy operation sketch map.
Description of reference numerals: 1-trocar sheath, 2-inner sleeve, 3-respirator interface, 4-trocar sheath air bag, the 5-first inner sleeve air bag, the 6-second inner sleeve air bag, the 7-first inner sleeve air sac sealing valve, the 8-second inner sleeve air sac sealing valve, 9-trocar sheath air sac sealing valve, 10-card body, 11-bayonet socket, 12-first gas tube, 13-second gas tube, 14-the 3rd gas tube.
The specific embodiment
Following the present invention will combine the embodiment in the accompanying drawing to further describe:
The present invention mainly comprises trocar sheath 1 and inner sleeve 2; Said trocar sheath 1 diameter is greater than inner sleeve 2; Said inner sleeve 2 is installed in the trocar sheath 1; Inner sleeve 2 surfaces are provided with two card bodies 10, and the upper end face of trocar sheath 1 is provided with and blocks two bayonet sockets 11 that body 10 matches, and said inner sleeve 2 is fixed together through the bayonet socket 11 of card body 10 with trocar sheath 1.Said trocar sheath 1 is provided with trocar sheath air bag 4 near the position, upper end; Trocar sheath air bag 4 is connected with the trocar sheath air sac sealing valve 9 that is located at the trocar sheath tail end through first gas tube 12 of trocar sheath 1 inwall, inflates venting through 9 pairs of trocar sheath air bags 4 of trocar sheath air sac sealing valve.
Said inner sleeve 2 lower external face are provided with the first inner sleeve air bag 5 and the second inner sleeve air bag 6 successively; The first inner sleeve air bag 5 and the second inner sleeve air bag 6 second gas tube 13 through inner sleeve 2 inwalls and the 3rd gas tube 14 respectively are connected with the first inner sleeve air sac sealing valve 7, the second inner sleeve air sac sealing valve 8 that are located at inner sleeve 2 tops, respectively the first inner sleeve air bag 5 and the second inner sleeve air bag 6 are inflated and are exitted through the said first inner sleeve air sac sealing valve 7, the second inner sleeve air sac sealing valve 8.
Respirator interface 3 is installed in said inner sleeve 2 upper ends, and respirator interface 3 is used to connect respirator and breathes support.
 
Operation principle of the present invention is: when lung transplant, earlier trocar sheath 1 is inserted in the trachea through patient's trachea.Then inner sleeve is installed in the trocar sheath 1, inner sleeve 2 is stuck on the bayonet socket 11 of trocar sheath 2 through the card body 10 of upper end, and inner sleeve 2 just closely links together with trocar sheath 1, and inner sleeve 2 bottoms are stretched in the non-operation laterobronchus of pulmonary.Said trocar sheath 1 upper end is provided with trocar sheath air sac sealing valve 7, and trocar sheath air sac sealing valve 7 is inflated, and makes trocar sheath air bag 4 and trachea fit tightly.So both made that trocar sheath 1 was not easy to rock, person's windpipe had been produced frictionally damage; Make the oxygen of pulmonary can from the slit of trachea and trocar sheath 1, not overflow again.The lower end of said inner sleeve 2 also is provided with the first inner sleeve air bag 5 and the second inner sleeve air bag 6, and the first inner sleeve air sac sealing valve 7 through being located at the upper end, the second inner sleeve air sac sealing valve 8 are respectively to the first inner sleeve air bag 5 and 6 inflations of the second inner sleeve air bag.Down inner sleeve is positioned through guiding in the fiber bronchus, making after 5 inflations of the first inner sleeve air bag can shutoff operation laterobronchus opening, and the liquid in the laterobronchus that prevents to perform the operation flows in the trachea.The said second inner sleeve air bag 6 inflation backs fit tightly with non-operation laterobronchus, and the oxygen that prevents to be transported in the bronchus is overflowed.Said inner sleeve 2 installs the upper end, back respirator interface 3 is installed, and respirator interface 3 is used to connect respirator and breathes support.
After operation is accomplished, bleed off the gas in the first inner sleeve air bag 5 and the second inner sleeve air bag 6, then inner sleeve 2 is taken out from trocar sheath 1.Utilize respirator two lungs to be breathed support then through 1 pair of trocar sheath.

Claims (3)

1. the special-purpose endotracheal tube of a lung transplantation; It is characterized in that: comprise trocar sheath (1) and inner sleeve (2); Said inner sleeve (2) is installed in the trocar sheath (1); Said inner sleeve (2) surface is provided with two card bodies (10), and the upper end face of said trocar sheath (1) is provided with two bayonet sockets (11), and said inner sleeve (2) is fixed together through the bayonet socket (11) of card body (10) with trocar sheath (1); Said trocar sheath (1) is provided with trocar sheath air bag (4) near the position, upper end, and trocar sheath air bag (4) is connected with the trocar sheath air sac sealing valve (9) that is located at trocar sheath (1) tail end through first gas tube (12) of trocar sheath (1) inwall; Said inner sleeve (2) lower external face is provided with the first inner sleeve air bag (5) and the second inner sleeve air bag (6) successively, and the first inner sleeve air bag (5) is connected with the first inner sleeve air sac sealing valve (7) that is located at inner sleeve (2) top, the second inner sleeve air sac sealing valve (8) with the 3rd gas tube (14) through second gas tube (13) of inner sleeve (2) inwall respectively with the second inner sleeve air bag (6).
2. the special-purpose endotracheal tube of lung transplantation as claimed in claim 1, it is characterized in that: said card body (10) matches with bayonet socket (11).
3. the special-purpose endotracheal tube of lung transplantation as claimed in claim 1 is characterized in that: respirator interface (3) is installed in said inner sleeve (2) upper end, and respirator interface (3) is used to connect respirator.
CN2012100608268A 2012-03-09 2012-03-09 Special endotracheal tube for lung transplantation Pending CN102580214A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2012100608268A CN102580214A (en) 2012-03-09 2012-03-09 Special endotracheal tube for lung transplantation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2012100608268A CN102580214A (en) 2012-03-09 2012-03-09 Special endotracheal tube for lung transplantation

Publications (1)

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CN102580214A true CN102580214A (en) 2012-07-18

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104841049A (en) * 2015-04-27 2015-08-19 周天敏 Improved trachea intubation tube
CN105617501A (en) * 2016-02-04 2016-06-01 周天敏 Novel percutaneous tracheotomy cannula
CN105816947A (en) * 2016-05-25 2016-08-03 中国人民解放军第三军医大学第二附属医院 Multi-airbag trachea cannula

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4327720A (en) * 1979-01-22 1982-05-04 Bronson Paul A Esophageal-endotracheal airway
US4819664A (en) * 1984-11-15 1989-04-11 Stefano Nazari Device for selective bronchial intubation and separate lung ventilation, particularly during anesthesia, intensive therapy and reanimation
WO2007038563A1 (en) * 2005-09-28 2007-04-05 Nellcor Puritan Bennett Llc Tracheostomy tube combination radial snap and bayonet cannula connector
CN201558393U (en) * 2009-11-25 2010-08-25 余兵华 Single-cavity multi-bag tracheal tube
CN202538109U (en) * 2012-03-09 2012-11-21 胡春晓 Tracheal catheter special for lung transplant

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4327720A (en) * 1979-01-22 1982-05-04 Bronson Paul A Esophageal-endotracheal airway
US4819664A (en) * 1984-11-15 1989-04-11 Stefano Nazari Device for selective bronchial intubation and separate lung ventilation, particularly during anesthesia, intensive therapy and reanimation
WO2007038563A1 (en) * 2005-09-28 2007-04-05 Nellcor Puritan Bennett Llc Tracheostomy tube combination radial snap and bayonet cannula connector
CN201558393U (en) * 2009-11-25 2010-08-25 余兵华 Single-cavity multi-bag tracheal tube
CN202538109U (en) * 2012-03-09 2012-11-21 胡春晓 Tracheal catheter special for lung transplant

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104841049A (en) * 2015-04-27 2015-08-19 周天敏 Improved trachea intubation tube
CN104841049B (en) * 2015-04-27 2018-12-25 周天敏 Improve trachea cannula
CN105617501A (en) * 2016-02-04 2016-06-01 周天敏 Novel percutaneous tracheotomy cannula
CN105617501B (en) * 2016-02-04 2018-03-27 周天敏 Percutaneous tracheostomy cannula
CN105816947A (en) * 2016-05-25 2016-08-03 中国人民解放军第三军医大学第二附属医院 Multi-airbag trachea cannula

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Application publication date: 20120718