CN104014066B - A kind of segmental bronchus plug device for posting - Google Patents

A kind of segmental bronchus plug device for posting Download PDF

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CN104014066B
CN104014066B CN201410308414.0A CN201410308414A CN104014066B CN 104014066 B CN104014066 B CN 104014066B CN 201410308414 A CN201410308414 A CN 201410308414A CN 104014066 B CN104014066 B CN 104014066B
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segmental bronchus
inner catheter
plug
outer tube
posting
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CN104014066A (en
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曾奕明
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Abstract

The present invention relates to a kind of segmental bronchus plug device for posting, comprise inner catheter and outer tube, described inner catheter is all positioned at outside pipe through outer tube and rear and front end, is provided with the folder of the suspension for clamping segmental bronchus plug in the front end of inner catheter, and the internal diameter of described outer tube is slightly larger than the external diameter hanging folder. The segmental bronchus plug of the present invention is in the process that segmental bronchus carries out shutoff, to human body without the need to general anesthesia, trachea cannula, larynx cover etc. complicated insert flow process, and under local anaesthesia, through conventional bronchoscope technology, segmental bronchus plug can accurately be sent to target bronchial, cost saving, reduction risk, simplification technology, be conducive to segmental bronchus to plug applying into technology.

Description

A kind of segmental bronchus plug device for posting
Technical field
The present invention relates to a kind of segmental bronchus plug device for posting.
Background technology
Segmental bronchus shutoff art is one of important technology treating intractable pneumothorax, what segmental bronchus was carried out shutoff by employing segmental bronchus plug is the main method of segmental bronchus shutoff art, but at present segmental bronchus plug insert main adopt general anesthesia under set up artificial channel with trachea cannula or larynx cover, stretch out, through bronchoscope working channels, the rear end clamping segmental bronchus plug with biopsy pincers again and sent into target bronchial, the segmental bronchus that angle is big is often difficult to segmental bronchus plug to be accurately in place. The more important thing is that this kind of segmental bronchus plug method for posting adds expense and technical difficulty so that it is be difficult to popularize clinically, extensive patients cannot be benefited.
Summary of the invention
For the problems referred to above, the present invention proposes a kind of segmental bronchus plug device for posting, solves the defect that tradition segmental bronchus blocking technology is complicated, inconvenient.
For solving this technical problem, the present invention takes following scheme: a kind of segmental bronchus plug device for posting, comprise inner catheter and outer tube, described inner catheter is all positioned at outside pipe through outer tube and rear and front end, be provided with the folder of the suspension for clamping segmental bronchus plug in the front end of inner catheter, the internal diameter of described outer tube is slightly larger than the external diameter hanging folder.
Hang folder and can clamp the suspension coil with segmental bronchus plug, after the segmental bronchus of the present invention is plugged in segmental bronchus, can by the relative movement between inner catheter and outer tube, under the suspension coil hung in folder being pushed away under the effect of outer tube wall, thus segmental bronchus plug is stayed in segmental bronchus, it is achieved shutoff.
Further, described suspension folder comprises fixing portion and resilient clamp portion, the fixedly sleeved in the form of a ring front end at inner catheter, described fixing portion, described resilient clamp portion is connected in fixing portion in the form of sheets, and resilient clamp portion prolongs the folder chamber that inner catheter length direction extends and forms clamping segmental bronchus plug between resilient clamp portion and inner catheter outer wall.
The suspension folder of this kind of structure, structure is simple, and it is convenient to manufacture, and cost is lower, is applicable to large-scale manufacturing.
Further, the rear end of described inner catheter is provided with handle portion. Mainly conveniently pull inner catheter by this handle portion, thus the suspension coil hung in folder is pushed open.
Further, the length of described outer tube is 800��1200mm, and the diameter of outer tube is 2.5��3mm, and the diameter of inner catheter is 2��2.5mm.
Further, described fixing portion and resilient clamp portion are structure as a whole.
Further, the rearward end at device for posting is provided with the position-limit mechanism moved for limiting inner catheter, and this position-limit mechanism is included in the bayonet socket of the rearward end of outer tube, and the rearward end of inner catheter is formed with clasp, and this clasp is buckled in this bayonet socket;
When inner catheter driven forward, when clasp moves to bayonet socket top with inner catheter, the operate portions of inner catheter front end has the maximum length M stretched out from outer tube; When inner catheter promotes backward, when clasp moves to bottom bayonet socket with inner catheter, in the operate portions retraction outer tube of inner catheter front end, the length of this bayonet socket is that N, described M and N be equal and numerical range is 10��15mm.
Further, described segmental bronchus plug device for posting also comprises segmental bronchus plug, and described segmental bronchus plug is taper structure, and the front end of segmental bronchus plug is provided with suspension coil, through hanging coil, mounting board connects this segmental bronchus plug with hanging, and is also provided with recovery coil in the rear end of segmental bronchus plug.
By adopting preceding solution, the invention has the beneficial effects as follows: the segmental bronchus plug of the present invention is in the process that segmental bronchus carries out shutoff, to human body without the need to general anesthesia, trachea cannula, larynx cover etc. complicated insert flow process, and under local anaesthesia, through conventional bronchoscope technology, segmental bronchus plug can accurately be sent to target bronchial, cost saving, reduction risk, simplification technology, be conducive to segmental bronchus to plug applying into technology.
Accompanying drawing explanation
Fig. 1 is the structural representation of the segmental bronchus plug device for posting of the present invention;
Structure iron when Fig. 2 is hung with segmental bronchus plug on segmental bronchus plug device for posting;
Fig. 3 is the partial enlargement figure at A place in Fig. 2;
Fig. 4 is the partial enlargement figure at B place in Fig. 2;
Fig. 5 hangs the structure view that folder is arranged on inner catheter leading section;
Fig. 6 is the schematic diagram of segmental bronchus plug device for posting after segmental bronchus plug is taken off extension;
Fig. 7 is the partial enlargement figure that in Fig. 6, C goes out;
Fig. 8 is the state graph of hanger bracket when entering outer tube with interior pipe;
Wherein, 1, outer tube, 2, inner catheter, 3, hang folder, 4, handle portion, 5, segmental bronchus plug, 6, hang coil, 31, fixing portion, 32, resilient clamp portion, 7, bayonet socket, 8, clasp, 9, recovery coil.
Embodiment
Now the present invention is further described with specific embodiment by reference to the accompanying drawings.
Shown in Fig. 8, the open a kind of segmental bronchus plug device for posting of the present embodiment, comprise inner catheter 2 and outer tube 1, it is outside that inner catheter 2 is all positioned at outer tube 1 through outer tube 1 and rear and front end, the folder of the suspension for clamping segmental bronchus plug 53 it is provided with in the front end of inner catheter 2, hanging the skin that folder 3 entirety are close to inner catheter 2, the internal diameter of outer tube 1 is slightly larger than the external diameter hanging folder 3. Hang between folder 3 outside dimension and outer tube 1 internal diameter similar herein, it is only necessary to suspension folder 3 can enter in outer tube 1 just may be used.
Segmental bronchus plug device for posting also comprises segmental bronchus plug 5, segmental bronchus plug 5 is taper structure, it is provided with in the front end of segmental bronchus plug 5 and hangs coil 6, through hanging coil 6, folder 3 card connects this segmental bronchus plug 5 with hanging, also being provided with recovery coil 9 in the rear end of segmental bronchus plug 5, the effect of this recovery coil 9 is, after bronchopathy is cured, recovery coil 9 can be clamped with bronchoscopic biopsies pincers, segmental bronchus plug 5 is taken out.
Hang the suspension coil 6 of folder 3 clamping with segmental bronchus plug 5, after segmental bronchus plug 5 is inserted in segmental bronchus, can by the relative movement between inner catheter 2 and outer tube 1, under the suspension coil 6 hung in folder 3 being pushed away under the effect of outer tube 1 sidewall, thus segmental bronchus plug 5 is stayed in segmental bronchus, it is achieved shutoff.
As shown in Figure 3, hanging folder 3 and comprise fixing portion 31 and resilient clamp portion 32, fixing portion 31 and resilient clamp portion 32 are structure as a whole, through the integrally manufactured formation of die sinking; The fixedly sleeved in the form of a ring front end at inner catheter 2, fixing portion 31, resilient clamp portion 32 is connected in fixing portion 31 in the form of sheets, and resilient clamp portion 32 prolongs inner catheter 2 length direction and extends and form the folder chamber hanging coil 6 on clamping segmental bronchus plug 5 between resilient clamp portion 32 and inner catheter 2 outer wall.
The suspension folder 3 of this kind of structure, structure is simple, and it is convenient to manufacture, and cost is lower, is applicable to large-scale manufacturing.
The rear end of inner catheter 2 is provided with handle portion 4. This handle portion 4 mainly plays two effects, first it is mainly conveniently pull inner catheter 2 by this handle portion 4, drive thus the suspension coil 6 hung in folder 3 is pushed open, secondly also there is the direction regulating effect to inner catheter 2, can conveniently rotate inner catheter 2 through this handle portion 4, and then regulate the direction being arranged on segmental bronchus plug 5 on inner catheter 2. The length of outer tube 1 is 800��1200mm, and the diameter of outer tube 1 is 2.5��3mm, and the diameter of inner catheter 2 is 2��2.5mm, it is preferable that 2.3mm.
Rearward end at device for posting is provided with the position-limit mechanism moved for limiting inner catheter 2, and this position-limit mechanism is included in the bayonet socket 7 of the rearward end of outer tube 1, and the rearward end of inner catheter 2 is formed with clasp, and this clasp 8 is buckled in this bayonet socket 7.
When inner catheter 2 driven forward, when clasp 8 moves to bayonet socket 7 top with inner catheter 2, clasp 8 stops inner catheter 2 to continue to move forward, and now, the operate portions of inner catheter 2 front end has the maximum length M stretched out from outer tube 1; When inner catheter 2 promotes backward, when clasp 8 moves to bottom bayonet socket 7 with inner catheter 2, in the operate portions retraction outer tube of inner catheter 2 front end, the length of this bayonet socket 7 is that N, M and N be equal and numerical range is 10��15mm.
When clasp 8 moves to the top of bayonet socket 7, segmental bronchus device for posting now is in home state, namely shown in Fig. 2; When clasp 8 moves to the bottom of bayonet socket 7, segmental bronchus device for posting now is in de-extension state, namely shown in Fig. 6.
Drive inner catheter 2 to move forward and backward by clasp 8, and clasp 8 can be made to make when bayonet socket 7 moves backward the segmental bronchus plug 5 being socketed on inner catheter 2 front suspension folder 3 come off, it is also possible to the collapsing length of control inner catheter 2 in outer tube 1.
The blocking technology of segmental bronchus device for posting of the present invention is used to have following step:
1, to tie the suspension coil 6 of a diameter 2��3mm for subsequent use for the front end surgical sutures of segmental bronchus plug 5;
2, silk will be led through bronchoscope first to send in target bronchial, and then exit bronchoscope and stay and lead silk;
3, by segmental bronchus plug 5, through hanging, coil 6 hangs on the suspension folder 3 of inner catheter 2 front end, is about to hang coil 6 and is clamped in the folder chamber between resilient clamp portion 32 and inner catheter 2 outer wall;
4, have segmental bronchus plug 5 device for posting of the present invention of segmental bronchus plug 5 to send to target bronchial along leading silk by hanging, and (lead silk through inner catheter 2 inner chamber through);
5, whether accurate again sending into bronchoscope views segmental bronchus plug 5 position, the visual field provided by bronchoscope is observed the position at segmental bronchus plug 5 place and is located, thus makes segmental bronchus plug 5 arrive position predetermined in segmental bronchus;
6, then pulling out inner catheter 2, inner catheter 2 moves and drives suspension folder 3 to move in outer tube 1, makes segmental bronchus plug 5 take off with inner catheter 2 suspension folder 3 and hang under the effect of outer tube 1;
7, segmental bronchus plug 5 device for posting entirety (comprise and lead silk, inner catheter 2, epitheca) is exited;
8, again push with bronchoscope or biopsy pincers, make segmental bronchus plug 5 tightly be embedded in target bronchial.
The segmental bronchus plug 5 of the present invention is in the process that segmental bronchus carries out shutoff, to human body without the need to general anesthesia, trachea cannula, larynx cover etc. complicated insert flow process, and under local anaesthesia, through conventional bronchoscope technology, segmental bronchus plug 5 can accurately be sent to target bronchial, cost saving, reduction risk, simplification technology, be conducive to segmental bronchus plug 5 to insert applying of technology.
Described in above, being only the embodiment utilizing this origination techniques content, any those skilled in the art use modification that this creation does, change, all belong to the patent scope that this creation is advocated, and are not limited to those disclosed embodiments.

Claims (6)

1. a segmental bronchus plug device for posting, it is characterized in that, comprise inner catheter (2) and outer tube (1), described inner catheter (2) is through outer tube (1), and rear and front end is all positioned at outer tube (1) outside, the folder of the suspension for clamping segmental bronchus plug (5) (3) it is provided with in the front end of inner catheter (2), the internal diameter of described outer tube (1) is slightly larger than the external diameter hanging folder (3), described suspension folder (3) comprises fixing portion (31) and resilient clamp portion (32), the described fixedly sleeved in the form of a ring front end in inner catheter (2), fixing portion (31), described resilient clamp portion (32) is connected in fixing portion (31) in the form of sheets, resilient clamp portion (32) prolongs inner catheter (2) length direction and extends, and between resilient clamp portion (32) and inner catheter (2) outer wall, form the folder chamber of clamping segmental bronchus plug (5).
2. a kind of segmental bronchus plug device for posting according to claim 1, is characterized in that, the rear end of described inner catheter (2) is provided with handle portion (4).
3. a kind of segmental bronchus plug device for posting according to claim 1, is characterized in that, the length of described outer tube (1) is 800��1200mm, and the diameter of outer tube (1) is 2.5��3mm, and the diameter of inner catheter (2) is 2��2.5mm.
4. a kind of segmental bronchus plug device for posting according to claim 2, is characterized in that, described fixing portion (31) and resilient clamp portion (32) are structure as a whole.
5. a kind of segmental bronchus plug device for posting according to claim 1, it is characterized in that, rearward end at device for posting is provided with the position-limit mechanism for limiting inner catheter (2) movement, this position-limit mechanism is included in the bayonet socket (7) of the rearward end of outer tube (1), the rearward end of inner catheter (2) is formed with clasp (8), and this clasp (8) is buckled in this bayonet socket (7); When inner catheter (2) driven forward, when clasp (8) moves to bayonet socket (7) top with inner catheter (2), the operate portions of inner catheter (2) front end has the maximum length M stretched out from outer tube (1); When inner catheter (2) promotes backward, when clasp (8) moves to bayonet socket (7) bottom with inner catheter (2), in operate portions retraction outer tube (1) of inner catheter (2) front end, the length of this bayonet socket (7) is that N, described M and N be equal and numerical range is 10��15mm.
6. a kind of segmental bronchus plug device for posting according to claim 1, it is characterized in that, described segmental bronchus plug device for posting also comprises segmental bronchus plug (5), described segmental bronchus plug (5) is taper structure, it is provided with in the front end of segmental bronchus plug (5) and hangs coil (6), through hanging coil (6), folder (3) card connects this segmental bronchus plug (5) with hanging, and is also provided with recovery coil (9) in the rear end of segmental bronchus plug (5).
CN201410308414.0A 2014-07-01 2014-07-01 A kind of segmental bronchus plug device for posting Active CN104014066B (en)

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CN105147425B (en) * 2015-07-31 2017-07-11 哈尔滨医科大学 A kind of short outer sheath upper digestive tract stent supplying system

Citations (6)

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Publication number Priority date Publication date Assignee Title
CN2391571Y (en) * 1999-08-19 2000-08-16 王春亭 Bronchus cytoskeletal implanting device
CN2722862Y (en) * 2004-06-30 2005-09-07 上海长海医院 Bronchiral blocking device
CN2772456Y (en) * 2004-12-03 2006-04-19 蒲海静 Instrument for taking out foreign body in bronchus
CN201905938U (en) * 2010-11-30 2011-07-27 上海长海医院 Conveying and recovery device for transcatheter minimally invasive intervention operation
CN203017022U (en) * 2012-11-21 2013-06-26 中国人民解放军第三军医大学第一附属医院 Bronchia plugging device implant device
CN203935489U (en) * 2014-07-01 2014-11-12 曾奕明 A kind of bronchus plug inserter

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7533671B2 (en) * 2003-08-08 2009-05-19 Spiration, Inc. Bronchoscopic repair of air leaks in a lung

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2391571Y (en) * 1999-08-19 2000-08-16 王春亭 Bronchus cytoskeletal implanting device
CN2722862Y (en) * 2004-06-30 2005-09-07 上海长海医院 Bronchiral blocking device
CN2772456Y (en) * 2004-12-03 2006-04-19 蒲海静 Instrument for taking out foreign body in bronchus
CN201905938U (en) * 2010-11-30 2011-07-27 上海长海医院 Conveying and recovery device for transcatheter minimally invasive intervention operation
CN203017022U (en) * 2012-11-21 2013-06-26 中国人民解放军第三军医大学第一附属医院 Bronchia plugging device implant device
CN203935489U (en) * 2014-07-01 2014-11-12 曾奕明 A kind of bronchus plug inserter

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