CN103446649B - Multifunctional double-lumen endobronchial catheter used for electro-cardio pacing - Google Patents
Multifunctional double-lumen endobronchial catheter used for electro-cardio pacing Download PDFInfo
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- CN103446649B CN103446649B CN201310424419.5A CN201310424419A CN103446649B CN 103446649 B CN103446649 B CN 103446649B CN 201310424419 A CN201310424419 A CN 201310424419A CN 103446649 B CN103446649 B CN 103446649B
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- Prior art keywords
- catheter
- conduit
- bronchial catheter
- electrode
- gas outlet
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- 230000000747 cardiac effect Effects 0.000 claims abstract description 27
- 230000007831 electrophysiology Effects 0.000 claims abstract description 8
- 238000002001 electrophysiology Methods 0.000 claims abstract description 8
- 210000000621 bronchi Anatomy 0.000 claims description 34
- 238000009423 ventilation Methods 0.000 claims description 27
- 230000000661 pacemaking effect Effects 0.000 claims description 24
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 claims description 15
- 229910052802 copper Inorganic materials 0.000 claims description 15
- 239000010949 copper Substances 0.000 claims description 15
- 239000011229 interlayer Substances 0.000 claims description 11
- 230000000638 stimulation Effects 0.000 claims description 10
- 239000002775 capsule Substances 0.000 claims description 2
- 230000005611 electricity Effects 0.000 claims 2
- 230000003519 ventilatory effect Effects 0.000 abstract description 4
- 210000004072 lung Anatomy 0.000 description 9
- 238000000034 method Methods 0.000 description 9
- 210000003437 trachea Anatomy 0.000 description 9
- 210000003462 vein Anatomy 0.000 description 5
- 210000001367 artery Anatomy 0.000 description 3
- 210000004731 jugular vein Anatomy 0.000 description 3
- 210000000214 mouth Anatomy 0.000 description 3
- 210000003109 clavicle Anatomy 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 238000004080 punching Methods 0.000 description 2
- 210000000779 thoracic wall Anatomy 0.000 description 2
- 238000002627 tracheal intubation Methods 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000002376 aorta thoracic Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000000481 breast Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 210000004704 glottis Anatomy 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 230000001020 rhythmical effect Effects 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
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- Electrotherapy Devices (AREA)
Abstract
The invention discloses a multifunctional double-lumen endobronchial catheter used for electro-cardio pacing. The multifunctional double-lumen endobronchial catheter comprises a catheter body, a first electrode, a second electrode and two pacing power supply wires. The catheter body comprises a left endobronchial catheter and a right endobronchial catheter. A first gas outlet is arranged at the front end of the right endobronchial catheter, a second gas outlet is arranged at the front end of the left endobronchial catheter, a ventilatory side hole is arranged on the right endobronchial catheter close to the first gas outlet, and the first electrode and the second electrode are arranged on the surface of the right endobronchial catheter close to the first gas outlet at intervals. One ends of the two pacing power supply wires are connected to the first electrode and the second electrode respectively, and the other ends of the two pacing power supply wires penetrate the catheter body and are connected to a pacemaker or the positive and negative electrodes of a cardiac electrophysiology stimulator. The multifunctional double-lumen endobronchial catheter has the advantages that the multifunctional double-lumen endobronchial catheter has a ventilatory function and allows for emergency cardiac pacing, and the cardiac pacing is high in effectiveness, reliability and stability.
Description
Technical field
The present invention relates to medical instruments field, the Multi-functional double-cavity bronchus that more particularly to can be used for electrocardio pace-making are led
Pipe.
Background technology
At present, cardiac pacing technology, it has also become contemporary medical emergency rescue work and clinic prevent of work
Important content.To analyze from existing technology both at home and abroad, the approaches and methods of cardiac pacing are existing multiple.Have and rise through thoracic wall
Method of fighting or through thoracic wall puncture heart insert the method that pacing electrode is paced；Have through quiet under big maidenliness arteries and veins, basilic vein, clavicle
Arteries and veins, external jugular vein, internal jugular vein, femoral venous puncture import the pacing method such as endocardial catheter electrode；Have through thoracotomy or sketch
Abdominal incision disposes epicardial lead or myocardial lead cardiac pacing up and down；Have through esophagus cardiac pacing.In medical first aid, quiet through stock
The application of arteries and veins, internal jugular vein, clavicle inferior vein endocardial pacing at most, disposes under x line perspective generally according to electrocardiogram, such
Method can not meet icu and emergency call salving needs, and the method has operating time length, difficulty greatly, and success rate is low, stability
Difference, operator quality has high demands, the shortcomings of basic unit's emergency call salving promotes difficult.
Content of the invention
The invention mainly solves the technical problem of providing a kind of Multi-functional double-cavity bronchus that can be used for electrocardio pace-making to lead
Pipe, had both had ventilatory function, can implement emergency cardiac pacing again simultaneously, and this cardiac pacing has higher effective, reliability
Property, stability.
For solving above-mentioned technical problem, one aspect of the present invention is: provides one kind to can be used for electrocardio pace-making
Multi-functional double-cavity bronchial catheter, including conduit, first electrode, second electrode and two pacing power supplies lines, described conduit
Including left bronchus catheter and right bronchial catheter, the front end of described right bronchial catheter is provided with the first gas outlet, described
The front end of left bronchus catheter is provided with the second gas outlet, near the position of described first gas outlet on described right bronchial catheter
It is additionally provided with ventilation side opening, first and second electrode gap described is arranged on right bronchial catheter surface and gives vent to anger near first
Mouthful, specifically described first electrode is arranged on right bronchial catheter and is located between ventilation side opening and the first gas outlet, described the
Two electrodes are arranged on right bronchial catheter and are located between the second gas outlet and ventilation side opening, described two pacing power supplies lines
One end is connected with first and second electrode respectively, the other end of described two pacing power supplies lines all pass conduit and respectively with heart
The both positive and negative polarity of pacemaker or cardiac electrophysiology stimulation instrument is connected；Wherein, first and second electrode described is copper sheet, and described
Copper sheet is wrapped on the surface of right bronchial catheter.
Further, the width of each copper sheet is 0.7cm～0.9cm.
Further, the width of each copper sheet is 0.8cm.
Further, the outer wall of described conduit offers an interlayer, described pacing power supplies line is arranged at the interlayer of conduit
Interior, described pacing power supplies line is passed from the rear end of conduit to be connected with cardiac pacemaker or cardiac electrophysiology stimulation instrument.
Further, described ventilation side opening is ellipse.
Further, a diameter of 1cm～1.5cm of described ventilation side opening.
Further, the described Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making also includes cuff, rushes exhaustor
And sleeve bag gas-filling valve, described cuff is arranged on the outer wall of conduit and at the second gas outlet, described cuff is arranged by punching
Trachea is connected with sleeve bag gas-filling valve.
Further, the outer wall of described conduit offers an interlayer, described rush the interlayer that exhaustor is arranged on conduit
Interior, and pass from the rear end of conduit and be connected with sleeve bag gas-filling valve.
Due to the present invention can be used for electrocardio pace-making Multi-functional double-cavity bronchial catheter, the left bronchus catheter of employing and
Right bronchial catheter arranges electrode it is achieved that one-lung ventilation function and double pulmonary ventilation function, then on conduit, can be simultaneously real
Apply emergency cardiac pacing, and more traditional pace-making has higher actual effect, reliability, stability.
Brief description
The structure that Fig. 1 can be used for the better embodiment of Multi-functional double-cavity bronchial catheter of electrocardio pace-making for the present invention is shown
It is intended to.
Specific embodiment
The present invention is described in detail with embodiment below in conjunction with the accompanying drawings.
For ease of subsequently can preferably describe the work that the present invention can be used for the Multi-functional double-cavity bronchial catheter of electrocardio pace-making
Make principle, first the organ site of human body simply described:
From human dissection, bronchus bifurcated and base of heart and breast four vertebra are located in same level, heart front,
Trachea bifurcation rear, closely.If by oral cavity by the bronchial catheter with electrode be inserted into right bronchus this
Individual position, you can enable cardiac pacemaker or the pulse current of cardiac electrophysiology stimulation instrument to stimulate atrium to cause pace-making, make
Heart is with the rhythmical purpose beated, reach cardiac pacing of heart electrophysiological stimulation instrument.
Refer to shown in Fig. 1, the present invention can be used for the Multi-functional double-cavity bronchial catheter of electrocardio pace-making, including conduit 1, set
Capsule 2, rush exhaustor 3, sleeve bag gas-filling valve 4, electrode 5 and pacing power supplies line (not shown).
Specifically, described conduit 1 is divided into right bronchial catheter 11 and left bronchus catheter 12, in present embodiment, passes through
In conduit 1, whole conduit 1 is divided into right bronchial catheter 11 and left bronchus catheter 12 by setting dividing plate, wherein, described right
Endotracheal tube 11 is used for ventilating for right lung, and described left bronchus catheter 12 is used for as left pulmonary ventilation.
First catheter interface 111 is provided with the rear end of described right bronchial catheter 11, described left bronchus catheter 12
Second catheter interface 121 is provided with rear end, described first catheter interface 111 and the second catheter interface 121 are used to by even
Connect conduit to be connected with respirator.
The front end of the front end of described right bronchial catheter 11 and left bronchus catheter 12 is respectively arranged with the first gas outlet 112
And second gas outlet 122, and it is provided with ventilation at the position of the first gas outlet 112 on described right bronchial catheter 11
Side opening 113.
Above-mentioned gas outlet and ventilation side opening are the reason being so set, and human body bronchus are divided into right bronchus and left
Trachea, left bronchus and right bronchus are respectively left lung and right lung supply, and right bronchus are divided into superior lobar branchess trachea, middle lobar branches gas again
Pipe and LLB.Therefore, described first gas outlet 112 is used for by middle period bronchus and LLB being lung in the right side
Leaf and lower right lobe supply, described second gas outlet 122 is used for supplying for left lung by left bronchus, described ventilation side opening 113
Then it is used for supplying for the upper right lobe of the lung by superior lobar branchess trachea.In present embodiment, described ventilation side opening 113 is ellipse, described
A diameter of 1cm～1.5cm of ventilation side opening 113.
In present embodiment, described electrode 5 is made using two pieces of copper sheets, and described two pieces of copper sheets are wrapped in right bronchus respectively
On the surface of conduit 11 and near the first gas outlet 112, the width of described each copper sheet is 0.7cm～0.9cm, and preferable width is
0.8cm.Specifically, one of copper sheet is arranged at the right bronchial catheter between the first gas outlet 112 and ventilation side opening 113
On 11 outer wall, another piece of copper sheet is arranged on the outer wall of right bronchial catheter 11 between ventilation side opening 113 and rear end, and on
State another piece of copper sheet near described ventilation side opening 113.And, described two pieces of copper sheets are electrically connected with two pacing power supplies lines respectively.
Described two pacing power supplies lines are respectively used to be connected with the both positive and negative polarity of cardiac pacemaker or cardiac electrophysiology stimulation instrument.This enforcement
In mode, the outer wall of described conduit 1 offers an interlayer, described pacing power supplies line is arranged in the interlayer of conduit 11.
On the outer wall of front end that described cuff 2 is set in conduit 1 and at the second gas outlet 122, the cincture of described cuff 2
Left airway 12 of parcel and the outer wall of right airway 11.Described one end rushing exhaustor 3 is connected with cuff 2, described punching row
The other end of trachea 3 is connected with sleeve bag gas-filling valve 4, and the described exhaustor 3 that rushes is arranged in the interlayer of conduit 1.
, when using, the method for employing is substantially similar with common tracheal intubation method for the present invention, and doctor's left hand is shown with laryngoscope
Dew glottis, the right hand holds conduit 1 so as to the first catheter interface 111 and the second catheter interface 121 upwards, and conduit 1 are stretched into people
In body bronchus, the first gas outlet 112, away from human body front tooth distance about 28cm～31cm, now, understands, institute as described above
State the position that the first gas outlet 112 is intersected with LLB positioned at middle period bronchus, the second gas outlet 122 is located at left bronchus
Porch, described ventilation side opening 113 be located at superior lobar branchess trachea porch, described electrode 5 be located at right bronchial position.
After intubation success, open sleeve bag gas-filling valve 4, inflated so that cuff 2 is stuck in trachea to cuff 2 by rushing exhaustor 3
Interior, thus fix position in trachea for the conduit 1 to be also prevented from backflow thing or mouth nasal secretion entrance bronchus simultaneously.It
Afterwards, the first catheter interface 111 and the second catheter interface 121 are connected with respirator by connecting conduit respectively, so that respirator is led to
Cross left bronchus catheter 12 and right bronchial catheter 11 and be respectively left lung and right lung ventilation, only need to be to the operation of one-lung ventilation
In, clamp left bronchus catheter 12 or the right bronchial catheter 11 without ventilation with clip, you can realize its one-lung ventilation function.
Finally, the pacing power supplies line of the present invention is connected with the both positive and negative polarity of cardiac pacemaker or cardiac electrophysiology stimulation instrument respectively, by
Bright zone under aortic arch is referred to as aortic pulmonic window, has bronchus bifurcated, left principal bronchuss and left lung in aortic pulmonic window
Tremulous pulse, the second gas outlet 122 position inserted on intrabronchial conduit 1 is bronchus bifurcated, and heart is in front a, gas
Pipe bifurcation rear, closely.Right bronchial catheter with electrode is inserted into by this portion of right bronchus by oral cavity
Position, therefore in the presence of cardiac pacemaker or cardiac electrophysiology stimulation instrument, electrode 5 stimulates bronchus, thus being easily accomplished
Cardiac pacing is carried out to patient.
Present invention is characterized in that adopt left bronchus catheter 12 and right bronchial catheter 11, and first on conduit 1
Two electrodes are set between gas outlet 112 and the second gas outlet 122, two electrodes be used for electrocardio pace-making stimulation point it is achieved that
Carry out carrying out electrocardio pace-making while artificial ventilation, solve heart beating and two problems of breathing simultaneously, simplify Rescue procedure, strive
Obtain rescue time.Meanwhile, electrode and pacing power supplies line do not occupy respiratory tract space, do not interfere with the ventilatory function of conduit 1.
These are only embodiments of the present invention, not thereby limit the scope of the claims of the present invention, every utilization present invention
Equivalent structure or equivalent flow conversion that description and accompanying drawing content are made, or directly or indirectly it is used in other related technology
Field, is included within the scope of the present invention.
Claims (7)
1. a kind of Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making, including conduit, described conduit includes left bronchus
Conduit and right bronchial catheter, the front end of described right bronchial catheter is provided with the first gas outlet, described left bronchus catheter
Front end be provided with the second gas outlet it is characterised in that on described right bronchial catheter near described first gas outlet position
Be additionally provided with ventilation side opening, the described Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making also include first electrode, second
Electrode and two pacing power supplies lines, first and second electrode gap described is arranged on right bronchial catheter surface and near the
One gas outlet, specifically described first electrode be arranged on right bronchial catheter and be located at ventilation side opening and the first gas outlet between,
Described second electrode is arranged on right bronchial catheter and is located between the second gas outlet and ventilation side opening, described two pace-making electricity
One end of source line is connected with first and second electrode respectively, and the other end of described two pacing power supplies lines all passes conduit and difference
It is connected with the both positive and negative polarity of cardiac pacemaker or cardiac electrophysiology stimulation instrument；Wherein, first and second electrode described is copper sheet,
And described copper sheet is wrapped on the surface of right bronchial catheter, the outer wall of described conduit offers an interlayer, described pace-making electricity
Source line is arranged in the interlayer of conduit, described pacing power supplies line from the rear end of conduit pass with cardiac pacemaker or cardiac electric
Physiological stimulation instrument is connected.
2. the Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making according to claim 1 is it is characterised in that each
The width of copper sheet is 0.7cm～0.9cm.
3. the Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making according to claim 1 is it is characterised in that each
The width of copper sheet is 0.8cm.
4. the Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making according to claim 1 is it is characterised in that described
Ventilation side opening is ellipse.
5. the Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making according to claim 4 is it is characterised in that described
A diameter of 1cm～1.5cm of ventilation side opening.
6. the Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making according to claim 1 is it is characterised in that described
The Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making also includes cuff, rushes exhaustor and sleeve bag gas-filling valve, described set
Capsule is arranged on the outer wall of conduit and at the second gas outlet, described cuff is connected with sleeve bag gas-filling valve by rushing exhaustor.
7. the Multi-functional double-cavity bronchial catheter that can be used for electrocardio pace-making according to claim 6 is it is characterised in that described
One interlayer is offered on the outer wall of conduit, the described exhaustor that rushes is arranged in the interlayer of conduit, and from the rear end of conduit pass with
Sleeve bag gas-filling valve connects.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310424419.5A CN103446649B (en) | 2013-09-17 | 2013-09-17 | Multifunctional double-lumen endobronchial catheter used for electro-cardio pacing |
| PCT/CN2014/086648 WO2015039591A1 (en) | 2013-09-17 | 2014-09-16 | Bronchial catheter for monitoring cardiac pacing defibrillation, and inflatable bag with electrode |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310424419.5A CN103446649B (en) | 2013-09-17 | 2013-09-17 | Multifunctional double-lumen endobronchial catheter used for electro-cardio pacing |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103446649A CN103446649A (en) | 2013-12-18 |
| CN103446649B true CN103446649B (en) | 2017-01-25 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310424419.5A Expired - Fee Related CN103446649B (en) | 2013-09-17 | 2013-09-17 | Multifunctional double-lumen endobronchial catheter used for electro-cardio pacing |
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Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2015039591A1 (en) * | 2013-09-17 | 2015-03-26 | 蔡国强 | Bronchial catheter for monitoring cardiac pacing defibrillation, and inflatable bag with electrode |
| CN117695492A (en) * | 2023-12-25 | 2024-03-15 | 首都医科大学宣武医院 | Multifunctional double-cavity bronchial catheter for electrocardiographic pacing |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2046018U (en) * | 1989-01-27 | 1989-10-18 | 陆嘉 | Multifunctional two sides breathing type conducting tube for left bronchus |
| CN201959374U (en) * | 2011-01-24 | 2011-09-07 | 过伟 | Obliquely-distributed double-cavity bronchial catheter |
| CN103027750A (en) * | 2012-11-23 | 2013-04-10 | 刘宗军 | Electrical ablation balloon radiofrequency catheter in percutaneous renal artery |
| CN203447606U (en) * | 2013-09-17 | 2014-02-26 | 蔡国强 | Multifunctional dual-cavity bronchial catheter applicable to electrocardio pacemaking |
-
2013
- 2013-09-17 CN CN201310424419.5A patent/CN103446649B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2046018U (en) * | 1989-01-27 | 1989-10-18 | 陆嘉 | Multifunctional two sides breathing type conducting tube for left bronchus |
| CN201959374U (en) * | 2011-01-24 | 2011-09-07 | 过伟 | Obliquely-distributed double-cavity bronchial catheter |
| CN103027750A (en) * | 2012-11-23 | 2013-04-10 | 刘宗军 | Electrical ablation balloon radiofrequency catheter in percutaneous renal artery |
| CN203447606U (en) * | 2013-09-17 | 2014-02-26 | 蔡国强 | Multifunctional dual-cavity bronchial catheter applicable to electrocardio pacemaking |
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| Publication number | Publication date |
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| CN103446649A (en) | 2013-12-18 |
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Granted publication date: 20170125 |