CN106730102A - Lower respiratory tract lavage apparatus - Google Patents

Lower respiratory tract lavage apparatus Download PDF

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Publication number
CN106730102A
CN106730102A CN201710046062.XA CN201710046062A CN106730102A CN 106730102 A CN106730102 A CN 106730102A CN 201710046062 A CN201710046062 A CN 201710046062A CN 106730102 A CN106730102 A CN 106730102A
Authority
CN
China
Prior art keywords
guide member
respiratory tract
lower respiratory
irrigating solution
accommodating container
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201710046062.XA
Other languages
Chinese (zh)
Other versions
CN106730102B (en
Inventor
闫崴
田兆兴
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Peking University Third Hospital
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Peking University Third Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Peking University Third Hospital filed Critical Peking University Third Hospital
Priority to CN201710046062.XA priority Critical patent/CN106730102B/en
Publication of CN106730102A publication Critical patent/CN106730102A/en
Application granted granted Critical
Publication of CN106730102B publication Critical patent/CN106730102B/en
Active legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0287Cannula; Nozzles; Tips; their connection means with an external liquid collector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1025Respiratory system
    • A61M2210/1035Bronchi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1025Respiratory system
    • A61M2210/1039Lungs

Abstract

Lower respiratory tract lavage apparatus of the invention include:Guide member, guide member is in integrally cylindrical tube shape, and with the distal end near the near-end of operator and for extending into lower respiratory tract, there is irrigating solution introducing portion on the near-end of guide member, the target site of wanted lavation is directed to for irrigating solution to be incorporated into guide member and then by guide member;The seal member of the proximate distal ends of guide member is arranged on, in the target site during guide member is extend into lower respiratory tract, seal member is used to form sealing between the inwall of the target site of the outer wall and lower respiratory tract of guide member;And the irrigating solution collecting part of the near-end setting near guide member, for being collected to the irrigating solution after lavation, guide member is fabricated from a flexible material.In accordance with the invention it is possible in preventing irrigating solution from flowing into other bronchuses, and irrigating solution can fully be reclaimed in time after the completion of lavation.

Description

Lower respiratory tract lavage apparatus
Technical field
The present invention relates to the lower respiratory tract that a kind of bronchovesicular to body cavity especially lower respiratory tract carries out lavation Lavage apparatus.
Background technology
At present, due to atmosphere pollution etc, the linear ascendant trend of breathing problem.It is known in the prior art , bacterial etiology diagnosis pairing ought to be of great importance with antibacterials and improvement prognosis, furthermore, it would be desirable to lower breathing Road carries out local administration to treat certain disease.
Accordingly, it would be desirable to obtain lower respiratory tract irrigating solution to be analyzed or convey medicine to lower respiratory tract.For example, existing Have in technology and developed many lavage apparatus lavation is carried out to respiratory tract, obtaining irrigating solution so as to respiratory tract contaminated bacteria Group is sampled.
But, lavage apparatus of the prior art are during lower respiratory tract is fed to, it is impossible to strict to avoid filling The flora at other positions is mixed into cleaning device so that sampling is inaccurate, and make gathered sample contaminated and can not be correct Reflect the real pathogen of respiratory tract infection.In addition, after lavation completion, due to needing that irrigating solution is extracted from lavation position Go out, and can not prevent extracted out the irrigating solution from thering is residual and the irrigating solution that is extracted to pollute other objects when extracting.
The content of the invention
It is an object of the invention to provide a kind of lower respiratory tract lavage apparatus, it can be used in for example (specific to lower respiratory tract Be lower respiratory tract bronchovesicular) carry out lavation, and overcome above-mentioned certain or some defects for referring to.
Lower respiratory tract lavage apparatus of the invention, for the target site to lower respiratory tract carry out lavation and to lavation after Irrigating solution be collected, including:
Guide member, guide member is in integrally cylindrical tube shape, and with the near-end near operator and for stretching into Distal end in lower respiratory tract, has irrigating solution introducing portion, for irrigating solution to be incorporated into guiding on the near-end of guide member The target site of wanted lavation is directed in part and then by guide member;
The seal member of the proximate distal ends of guide member is arranged on, the target in guide member is extend into lower respiratory tract During position, seal member is used to form sealing between the inwall of the target site of the outer wall and lower respiratory tract of guide member;With And
Near the irrigating solution collecting part that the near-end of guide member is set, for being collected to the irrigating solution after lavation,
Wherein, guide member is fabricated from a flexible material.
According to the present invention, sealed by being formed at lavation position, be prevented from during irrigating solution flows into other bronchuses, and And irrigating solution can completely be reclaimed in time after the completion of lavation, in order to avoid cause secondary pollution.
Preferably, guide member distal end pipe end formed such as 30 degree to 60 degree between scarf, with facilitate by In the bronchus of guide member insertion lower respiratory tract, such as 40 degree of inclined-plane.
According to one embodiment of present invention, seal member includes the capsule being arranged on the outer wall of guide member and is located at The fluid conduit systems of the inside of guide member, one end of the fluid conduit systems connected with capsule and the other end be connected to fluid supply apparatus with To fluid is filled in capsule, capsule is fabricated from a flexible material.The cylindrical shape of capsule after filling.According to the embodiment, filled with fluid The capsule of (such as gas or liquid) can be brought into close contact such that it is able to support air flue with air flue, therefore will not be in resorption because pressure Power changes and collapses.
According to one embodiment of present invention, seal member is the elastic protrusion part being arranged on guide member, the elasticity Protuberance can carry out elastic deformation so as to be formed between the inwall of the target site of the outer wall and lower respiratory tract of guide member Sealing.Preferably, elastic protrusion part includes the keeper being arranged on the outer wall of guide member and the inside for being arranged on keeper Support member, wherein keeper be made up of elastomeric material and support member have elasticity.By the embodiment, when by the lower breathing When road lavage apparatus are placed into the lower respiratory tract of user, can be arranged to keeper and lower respiratory tract all the time by support member Any position Elastic Contact, so as to form excellent sealing.
But it should be clear to a person skilled in the art that, elastic protrusion part can also be that other are constructed, for example, elastic protrusion part Can be global facility, and including fixing end and elastic deformation end, fixing end is fixed on guide member, elastic deformation end's energy It is enough to carry out elastic deformation in radial directions so as to form sealing between the outer wall of guide member and the inwall of lower respiratory tract.
According to another embodiment of the present invention, seal member is that the ring-type being set on the distal outer diameter of guide member is convex Edge.Preferably, collar flange is set to multiple (for example, two, three or mores), and the diameter of this multiple collar flange is from drawing The near-end that is distally-oriented to for leading part increases successively.Preferably, each face of collar flange is arc-shaped transitional surface such that it is able to drop It is low on the bronchial influence of human body.
According to one embodiment of present invention, irrigating solution collecting part includes accommodating container, liquid-receivable section and gas row Go out portion, one end of liquid-receivable section is connected with the near-end of guide member and the other end is extend into accommodating container, gas discharge section One end stretch into accommodating container and the other end is connected with negative pressure device such that it is able to negative pressure is formed in accommodating container.Pass through The irrigating solution collecting part being arranged such, can sufficiently be collected to irrigating solution.
In a specific embodiment, accommodating container has cutting part on bottom, and accommodating container is divided into two by cutting part Individual part, liquid-receivable section and gas discharge part Wei Yu not be in the two parts, and the top of cutting part is arranged higher than gas Go out end of the portion in accommodating container.By setting cutting part, it is prevented from irrigating solution and is drawn onto in gas discharge section.
In another specific embodiment, the diameter of liquid-receivable section is less than the diameter of gas discharge section, and liquid connects End of bottom of end of the receipts portion in accommodating container away from accommodating container than gas discharge section in accommodating container holds away from storage The bottom of device is near.By being arranged such, the pressure in gas discharge section is enabled to less than the pressure in liquid-receivable section, so that Irrigating solution is prevented by suck-back.
Preferably, can also in accommodating container is arranged into top, such as profiled shape inconsistent with lower diameter so that Up-small and down-big shape or other profiled shapes can be arranged to.
In accordance with the invention it is possible to can not be sealed when solving lavation in the prior art or sealing effectiveness is not good right so as to cause The pollution at lavation position or irrigating solution flows backwards when irrigating solution is extracted out problem are not needed, and suitable for any of intrapulmonary The bronchial alveolar of part is rinsed, it can in addition contain be suitable to lung is carried out local application to treat PUD D.
Brief description of the drawings
Fig. 1 is the general illustration of lower respiratory tract lavation of the invention and irrigating solution collecting part;And
Fig. 2 to Fig. 4 is several embodiments of the conduit sealing shown in Fig. 1.
Specific embodiment
The present invention is further illustrated below in conjunction with the accompanying drawings.It will be appreciated by those skilled in the art that described below Embodiment is only to exemplary illustration of the invention, not for making any limitation to it.For example, although the present invention is with right It is illustrated as a example by the lavation of lower respiratory tract such as bronchovesicular, but it obviously can be used for other proper sites.
Specific embodiment as shown in Figure 1, lower respiratory tract lavage apparatus of the invention are for the branch gas to lower respiratory tract The alveolar of pipe carries out lavation and the irrigating solution after lavation can be collected.
The lower respiratory tract lavage apparatus include:Guide member 1, guide member 1 is on the whole cylindrical tube shape, and is had Distal end 12 near the near-end 11 of operator and for extending into lower respiratory tract;Irrigating solution on the near-end of guide member Introducing portion 2, irrigating solution introducing portion 2 is used to that irrigating solution to be incorporated into guide member 1 and then is directed to by guide member 1 to be filled In the bronchus washed;The seal member 3 near the distal end 12 of guide member 1 is arranged on, guide member 1 is being extend into lower breathing When in the bronchus in road, seal member 3 is used to form sealing between the outer wall and bronchial inwall of guide member 1;With And the irrigating solution collecting part 4 of the setting of near-end 11 near guide member 1, irrigating solution collecting part 4 is for the filling after lavation Washing lotion is collected.
Guide member 1 is fabricated from a flexible material, and can be reduced to making during so as in the lower respiratory tract for extend into user The influence of the lower respiratory tract of user.
The pipe end of the distal end of guide member 1 can form the scarf between such as 30 degree to 60 degree, to facilitate guiding Insertion of the part in lower respiratory tract, for example, preferably form 40 degree of inclined-plane.
Several embodiments of seal member 3 are described separately referring to Fig. 2 to Fig. 4.
As shown in Fig. 2 seal member 3 is the collar flange 31 and 32 being set on the external diameter of distal end 12 of guide member 1.Separately Outward, each face of collar flange is arc-shaped transitional surface, so as to guide member being extend into bronchus or being taken out from it When, it is minimum on bronchial influence.
Although figure 2 illustrates two collar flanges, the quantity of collar flange is unrestricted, for example, could be arranged to One or more collar flange, when more than two collar flanges are set to, the diameter of these collar flanges is from drawing The distal end 12 proximally facing 11 for leading part 1 increases successively, such that it is able to be set in the different size of bronchus on lower respiratory tract Place, and increase suitability.
As shown in figure 3, seal member 3 includes the capsule 33 that is arranged on the outer wall of guide member 1 and is connected with capsule 33 Fluid conduit systems 331.
Capsule 33 is fabricated from a flexible material.The other end of fluid conduit systems 331 is connected with unshowned fluid supply apparatus, so that Can be to filling fluid (such as gas or liquid) in capsule 33, the cylindrical shape of capsule 33 and so that the outer wall of capsule 33 after filling Can be brought into close contact such that it is able to support air flue with air flue, will not also be collapsed because of pressure change in resorption.
As shown in figure 4, seal member 3 is the elastic protrusion part being arranged on guide member 1, the elastic protrusion part can be entered Row elastic deformation between the inwall of the target site of the outer wall and lower respiratory tract of guide member 1 so as to form close all the time Envelope.Specifically, elastic protrusion part includes the keeper 34 being arranged on the outer wall of guide member 1 and is arranged on the interior of keeper 34 The support member 35 in portion, keeper 34 is made up of elastomeric material, and support member 35 has excellent elasticity, therefore works as and will be exhaled under this When inhaling road lavage apparatus and being placed into the bronchus of the lower respiratory tract of user, support member 35 can be set keeper 34 all the time Into the bronchial any position Elastic Contact with lower respiratory tract, so as to form excellent sealing.
But the elastic protrusion part is not limited to the example shown in Fig. 4, for example, elastic protrusion part can be global facility, And including fixing end and elastic deformation end, fixing end is fixed on guide member 1, and elastic deformation end can be in radial directions Elastic deformation is carried out so as to form sealing between the outer wall of guide member 1 and the inwall of lower respiratory tract.
In addition, also show irrigating solution collecting part 4 in Fig. 1, the irrigating solution collecting part 4 includes accommodating container 41, liquid Body acceptance division 42 and gas discharge section 43.
Specifically, one end of liquid-receivable section 42 is connected with the near-end 11 of guide member 1, and its other end extend into storage In container 41.
One end of gas discharge section 43 is stretched into accommodating container 41, and its other end and unshowned negative pressure forming apparatus phase Even, to form negative pressure in accommodating container such that it is able to irrigating solution is drawn into storage via guide member from lower respiratory tract and is held In device 41.
Further as shown in figure 1, the diameter of liquid-receivable section 42 is less than the diameter of gas discharge section 43, and gas is discharged End of end of the portion 43 in accommodating container 41 than liquid-receivable section 42 in accommodating container 41 is high.By being arranged such liquid Acceptance division 42 and gas discharge section 43, enable to more reliably be drawn into irrigating solution in accommodating container 41.
Although not shown in Fig. 1, accommodating container 41 can have cutting part on its bottom, and the cutting part can be by 41 points of accommodating container is two parts, and liquid-receivable section 42 and gas discharge section 43 are located in the two parts respectively, and point Cut needs higher than end of the gas discharge section 43 in accommodating container 41, by being arranged such cutting part, Neng Goufang at the top of portion Only draw irrigating solution when irrigating solution by suck-back to gas discharge section 43.
Use and the course of work of lower respiratory tract lavage apparatus of the invention is briefly described below down.
First, the branch for the treatment of is needed in guide member 1 being sent into lower respiratory tract via oral cavity under the guiding of bronchoscope At tracheae, then make conduit sealing 3 that sealing is formed between guide member 1 and the bronchus of lower respiratory tract, by irrigating solution Introducing portion 2 introduces irrigating solution wants the position of lavation to carry out lavation, after the completion of lavation, by irrigating solution collecting part 4 Negative pressure forming apparatus (not shown) forms negative pressure in accommodating container 41, so as to the irrigating solution after lavation be inhaled from lavation position Enter in accommodating container 41, then, guide member 1 is taken out.

Claims (9)

1. a kind of lower respiratory tract lavage apparatus, lavation is carried out and to the lavation after lavation for the target site to lower respiratory tract Liquid is collected, including:
Guide member, guide member is in integrally cylindrical tube shape, and with the near-end near operator and for extending into down Distal end in respiratory tract, has irrigating solution introducing portion, for irrigating solution to be incorporated into guide member on the near-end of guide member In so be directed to by guide member the target site of wanted lavation;
The seal member of the proximate distal ends of guide member is arranged on, the target site in guide member is extend into lower respiratory tract When, seal member is used to form sealing between the inwall of the target site of the outer wall and lower respiratory tract of guide member;And
Near the irrigating solution collecting part that the near-end of guide member is set, for being collected to the irrigating solution after lavation,
Wherein, guide member is fabricated from a flexible material.
2. lower respiratory tract lavage apparatus according to claim 1, wherein, seal member includes being arranged on the outer of guide member Capsule on wall and the fluid conduit systems positioned at the inside of guide member, one end of the fluid conduit systems and capsule connection and the other end is connected To fluid supply apparatus so as to fluid is filled in capsule, capsule is fabricated from a flexible material.
3. lower respiratory tract lavage apparatus according to claim 1, wherein, seal member is the outer wall for being arranged on guide member On elastic protrusion part, the elastic protrusion part can carry out elastic deformation so as in the mesh of outer wall and the lower respiratory tract of guide member Mark formation sealing between the inwall at position.
4. lower respiratory tract lavage apparatus according to claim 3, wherein, elastic protrusion part includes being arranged on guide member Keeper on outer wall and be arranged on keeper inside support member, wherein keeper is made up and support member of elastomeric material With elasticity.
5. lower respiratory tract lavage apparatus according to claim 1, wherein, seal member is the distal end for being set in guide member Collar flange on external diameter.
6. lower respiratory tract lavage apparatus according to claim 5, wherein, collar flange is set to multiple, this multiple ring-type Flange is spaced a predetermined distance from guide member and diameter increases successively from the near-end that is distally-oriented to of guide member.
7. lower respiratory tract lavage apparatus according to claim 1, wherein, irrigating solution collecting part includes accommodating container, liquid Body acceptance division and gas discharge section, one end of liquid-receivable section is connected with the near-end of guide member and the other end extend into storage and holds In device, one end of gas discharge section stretches into accommodating container and the other end is connected with negative pressure device such that it is able in accommodating container Middle formation negative pressure.
8. lower respiratory tract lavage apparatus according to claim 7, wherein, accommodating container has cutting part on bottom, point Cut portion and accommodating container be divided into two parts, liquid-receivable section and gas discharge part not Wei Yu in the two parts, and point The top for cutting portion is higher than end of the gas discharge section in accommodating container.
9. lower respiratory tract lavage apparatus according to claim 7, wherein, the diameter of liquid-receivable section is less than gas discharge section Diameter, and bottom of end of the liquid-receivable section in accommodating container away from accommodating container than gas discharge section in accommodating container In bottom of the end away from accommodating container it is near.
CN201710046062.XA 2017-01-22 2017-01-22 Lower respiratory tract lavage device Active CN106730102B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN201710046062.XA CN106730102B (en) 2017-01-22 2017-01-22 Lower respiratory tract lavage device

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CN106730102B CN106730102B (en) 2024-02-06

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111298227A (en) * 2020-04-05 2020-06-19 齐云龙 Pulmonary alveolus lavage device for pneumonia

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5246012A (en) * 1990-12-21 1993-09-21 Ballard Medical Products Bronchoalveolar lavage catheter
CN2197073Y (en) * 1994-02-23 1995-05-17 王伟 A transporting-tube device of bronchus
CN201263806Y (en) * 2008-08-15 2009-07-01 王连兴 Bronchial alveolar lavation liquid and stomach juice collector
CN201441391U (en) * 2009-06-08 2010-04-28 鲁德玕 Anti-pollution device for collecting irrigating solution of pulmonary alveolus
CN102119038A (en) * 2008-06-09 2011-07-06 护理联合2200公司 Diagnostic sample collection system
CN204501827U (en) * 2015-03-20 2015-07-29 南京市胸科医院 The multi-functional gathering-device of Whole lung lavage drainage-fluid

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5246012A (en) * 1990-12-21 1993-09-21 Ballard Medical Products Bronchoalveolar lavage catheter
CN2197073Y (en) * 1994-02-23 1995-05-17 王伟 A transporting-tube device of bronchus
CN102119038A (en) * 2008-06-09 2011-07-06 护理联合2200公司 Diagnostic sample collection system
CN201263806Y (en) * 2008-08-15 2009-07-01 王连兴 Bronchial alveolar lavation liquid and stomach juice collector
CN201441391U (en) * 2009-06-08 2010-04-28 鲁德玕 Anti-pollution device for collecting irrigating solution of pulmonary alveolus
CN204501827U (en) * 2015-03-20 2015-07-29 南京市胸科医院 The multi-functional gathering-device of Whole lung lavage drainage-fluid

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111298227A (en) * 2020-04-05 2020-06-19 齐云龙 Pulmonary alveolus lavage device for pneumonia
CN111298227B (en) * 2020-04-05 2021-09-07 山东第一医科大学第二附属医院 Pulmonary alveolus lavage device for pneumonia

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