CN106821319A - A kind of device for detecting tracheae bronchial fistula mouthful - Google Patents
A kind of device for detecting tracheae bronchial fistula mouthful Download PDFInfo
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- CN106821319A CN106821319A CN201710066714.6A CN201710066714A CN106821319A CN 106821319 A CN106821319 A CN 106821319A CN 201710066714 A CN201710066714 A CN 201710066714A CN 106821319 A CN106821319 A CN 106821319A
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- detection conduit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- Heart & Thoracic Surgery (AREA)
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Abstract
The present invention provides a kind of device for detecting tracheae bronchial fistula mouthful, it is main to be made up of detection conduit, foley's tube and closure sacculus and three-way interface, detection tail end of conduit connection three-way interface, three-way interface connects capnometer, connection syringe and detection conduit respectively, detection conductor housing side wall is provided with side port, and foley's tube outer tube is in detection conduit, its distal end connection closure sacculus, the hose connection connection syringe of tail end, realizes that partial airway is blocked for advertising sacculus.The present invention is accurate to judge the position of tracheal bronchus fistula mouthful using the outer gas concentration lwevel of intrapulmonary and the difference of measured waveform, while can determine whether there is traffic ventilation bronchus.Operation is simple for the present invention, has good sensitiveness for periphery type bronchopleural fistula, can significantly improve the diagnosis and cure rate of tracheal bronchus fistula mouthful.Reasonable in design, simple structure of the invention, operation facility is inexpensive efficient.
Description
Technical field
The invention belongs to small-sized medical instrument, it is related to a kind of device for detecting tracheae bronchial fistula mouthful.
Background technology
The current ND such as lung's severe infection and the cancer of the esophagus, lung cancer, stomach cancer is occurred frequently.Meanwhile, with Clinics
Improve constantly, the patient of trachea cannula and tracheotomy also rolls up.Excite the trachealgia in disease and iatrogenic factors
Increasing also occurs therewith in the incidence of disease of fistula, bronchopleural fistula, bronchus gastric fistula and operation stump fistula.It is situated between under current bronchoscope
Enter and treat evident in efficacy to the treatment of various fistulas, but the difficult point of diagnosis and treatment is to determine fistula mouthful position.Now it is directed to tracheal bronchus fistula
Mouthful main method that uses is to find fistula mouthful by being visually observed under bronchus scope, but the method is only applicable to central type branch gas
Pipe pleural fistula.For periphery type lesion, at present can using local bronchus closure or Chartis systems, observation gas leakage situation or
Chartis systems, find fistula mouthful position, however, partial sealing observation operation is very cumbersome, time-consuming；Although Chartis systems
Easy to operate but expensive and popular difference, therefore the former is cumbersome in both approaches, the latter is expensive, popularization
Type is poor.Therefore, it is badly in need of a kind of device that can quick and precisely detect fistula mouthful position to improve the diagnosis of this kind of patient, improves it
Prognosis.
The content of the invention
The purpose of invention is to overcome the shortcomings of that prior art is present, there is provided a kind of dress for detecting tracheae bronchial fistula mouthful
Put.Described device is main to be made up of detection conduit, foley's tube, closure sacculus and three-way interface.Detection catheter tube is hollow
Soft body, detection tail end of conduit is connected with three-way interface, and three-way interface tail end is screwed union, can connect carbon dioxide prison
Instrument is surveyed, middle upper end interface can connect syringe, for dredging the detection conduit blocked by Air way mucus, the connection of head end interface
Detection conduit.Detection conductor housing side wall is provided with side port, to reduce the situation that detection conduit is blocked by airway secretions.Sacculus is led
Manage to detect the outer tube of conduit, the connection of its distal end blocks sacculus, and the hose connection of tail end can connect syringe, for advertising ball
Capsule and realize partial airway block.Distal balloon catheter is medical high polymer material, and the burst pressure that can be born is in 6-20atm scopes
It is interior.Side port 9 can be set 1-3, be located at the tube wall of detection conduit 1.
Diameter after described closure balloon expandable is selected in the range of 8-20mm, and length is selected in 10-20mm scopes
Interior, from medical high polymer material, the burst pressure that can be born is in the range of 6-20atm.
The present invention provide it is a kind of for detecting the device of tracheae bronchial fistula mouthful using the outer gas concentration lwevel of intrapulmonary and
The principle of different wave shape, so that the position of tracheal bronchus fistula mouthful is quickly recognized and positions, while can be with auxiliary judgement fistula mouthful
It is no with traffic ventilate bronchus.CO 2 measuring can be directly connected to patient monitor end-expiratory carbon dioxide detection module, pass through
The waveform and concentration of carbon dioxide change next clear and definite fistula mouthful position, significantly improve the diagnosis of this kind of patient, improve its prognosis.This
Reasonable in design, simple structure is invented, operation facility is inexpensive efficient.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
Fig. 2 is the head end side opening schematic diagram for detecting conduit.
Specific embodiment
The present invention is further described in conjunction with the accompanying drawings and embodiments.
Embodiment 1
Referring to Fig. 1, Fig. 2, a kind of device for detecting tracheae bronchial fistula mouthful, mainly by detection conduit 1, foley's tube
2 constitute with closure sacculus 3, three-way interface 8, and the detection body of conduit 1 is hollow soft body, detection conduit 1 tail end connection three
Mouth 8 is connected, three-way interface tail end is screwed union 4, can connect capnometer, and upper end interface 5 can connect syringe, is used
Dredged by the detection conduit 1 of Air way mucus blocking, the connection detection conduit 1 of head end interface 6, detection conduit 1 head end side in if necessary
Wall is provided with side port 9, and to reduce detection conduit by the completely plugged situation of airway secretions, foley's tube 2 is outer for detection conduit 1
Sleeve pipe, its distal end connection closure sacculus 3, closure sacculus 3 is integrated with foley's tube 2, can be heaved after inflating, tail end
Hose connection 7 can connect syringe, realized for advertising sacculus partial airway block.
Side port 9 can be set 1-3, be located at the tube wall of detection conduit 1.
Diameter after described closure sacculus 3 is expanded is selected in the range of 8-20mm, and length is selected in 10-20mm scopes
Interior, closure sacculus 3 is medical high polymer material, and the burst pressure that can be born is in the range of 6-20atm.
Embodiment 2
The present invention quick and precisely detects tracheae bronchial fistula mouthful using the outer gas concentration lwevel of intrapulmonary and the difference of waveform
Position, and can determine whether traffic ventilation bronchus.
In practical operation, the spiral interface 4 of three-way interface 8 is connected to patient monitor carbon dioxide measurement module first,
School zero is carried out after the connection syringe of upper end interface 5, the work that the sampling end for measuring conduit is then passed through into Flexible bronchoscopy
The outer tube feeding intrapulmonary of duct or hard bronchoscope.For central type fistula mouthful, with reference to visually observing, enter in suspicious fistula mouth region domain
Row detection, when conduit is in the visible waveform in normal region, but when catheter tip enters fistula mouthful, it is seen that carbon dioxide waveform disappears.It is right
In periphery type fistula mouthful, suspicious bronchi lobares et segmentales is reached, conduit is stretched into one by one, syringe connection hose connection 7 is inflated and heaves closure
Sacculus 3, blocks local bronchus.If leaf section has fistula mouthful but without communicating branch, it is seen that carbon dioxide waveform disappears after closure, reading
Less than big airways end-expiratory carbon dioxide；If leaf section has fistula mouthful and has communicating branch, it is seen that carbon dioxide reading is less than big airways
Reading, but still visible waveform.The device can be also used for assessing the effect after fistula mouthful closure simultaneously：Surveyed again after percutaneous transcatheter closure
Amount, carbon dioxide waveform disappears if fistula mouthful closing, but reading is not less than big airways, otherwise then still suffers from local fistula mouthful.And show
There is technology mainly using local balloon occluder and Chartis systems.Partial sphere is encapsulated plugging technique and carries out sacculus in suspicious leaf section
Whether closure, observation intrathoracic drain discharge gas gradually decreases.If so, then illustrating that leaf section is bronchopleural fistula location
Domain.But one leaf section closure observation of the method needs at least 30min, all suspicious leaf sections of completion are detected and need a few hours.Meanwhile,
When bronchi lobares et segmentales where fistula mouthful has normal traffic branch, the method cannot verify fistula mouthful position.And Chartis systems
Price is sufficiently expensive in itself for equipment, and popularity rate is extremely low；The sensor consumptive material for needing is detected simultaneously also fairly expensive, brought to patient
Great financial burden.And conventional patient monitor CO2 of the present invention determines module, cheap popularity rate is high；It is simple to operate
Easy, as a result interpretation is convenient.Thus, prior art is compared, the simple structure of apparatus of the present invention, operation facility is inexpensive efficient.
Claims (5)
1. a kind of device for detecting tracheae bronchial fistula mouthful, it is characterised in that by detection conduit (1), foley's tube (2),
Closure sacculus (3) and three-way interface (8) composition, the tail end of detection conduit (1) connect three-way interface (8), the tail of three-way interface (8)
Hold is screwed union (4), upper end interface (5) connection syringe, head end interface (6) connection detection conduit (1), detection conduit (1)
Head end side wall is provided with side port (9), and foley's tube (2) is the outer tube of detection conduit (1), its distal end connection closure sacculus (3), tail
Hose connection (7) the connection syringe at end.
2. a kind of device for detecting tracheae bronchial fistula mouthful according to claim 1, it is characterised in that detection conduit
(1) it is hollow soft body.
3. a kind of device for detecting tracheae bronchial fistula mouthful according to claim 1, it is characterised in that closure sacculus
(3) it is the integrated design with foley's tube (2).
4. a kind of device for detecting tracheae bronchial fistula mouthful according to claim 1, it is characterised in that side port 9 sets
1-3 is put, the tube wall of detection conduit (1) is located at.
5. a kind of device for detecting tracheae bronchial fistula mouthful according to claim 1, it is characterised in that described envelope
Diameter after stifled sacculus (3) expansion is selected in the range of 8-20mm, and length is selected in the range of 10-20mm, blocks sacculus (3)
From medical high polymer material, the burst pressure for bearing is in the range of 6-20atm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710066714.6A CN106821319A (en) | 2017-02-07 | 2017-02-07 | A kind of device for detecting tracheae bronchial fistula mouthful |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710066714.6A CN106821319A (en) | 2017-02-07 | 2017-02-07 | A kind of device for detecting tracheae bronchial fistula mouthful |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106821319A true CN106821319A (en) | 2017-06-13 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710066714.6A Pending CN106821319A (en) | 2017-02-07 | 2017-02-07 | A kind of device for detecting tracheae bronchial fistula mouthful |
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| Country | Link |
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| CN (1) | CN106821319A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109464124A (en) * | 2018-12-17 | 2019-03-15 | 博罗县妇幼保健计划生育服务中心 | It is a kind of for detecting the simple detection device of ewborn infant esophago-tracheal fistula |
| CN110051372A (en) * | 2019-03-18 | 2019-07-26 | 宁夏医科大学 | It is a kind of for tracing the combination unit of rabbit pleural pressure |
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| CN201082159Y (en) * | 2007-10-18 | 2008-07-09 | 曾涛 | Multifunctional anal fistula probing device |
| CN101322653A (en) * | 2007-06-13 | 2008-12-17 | 上海交通大学医学院附属新华医院 | Esophagus perforation plugging balloon |
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2017
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| CN101322653A (en) * | 2007-06-13 | 2008-12-17 | 上海交通大学医学院附属新华医院 | Esophagus perforation plugging balloon |
| CN101322654A (en) * | 2007-06-13 | 2008-12-17 | 上海交通大学医学院附属新华医院 | Balloon for curing anastomotic leakage |
| CN201082159Y (en) * | 2007-10-18 | 2008-07-09 | 曾涛 | Multifunctional anal fistula probing device |
| CN201505363U (en) * | 2009-10-19 | 2010-06-16 | 天津市塑料研究所 | A novel tracheae conduit |
| CN101991906A (en) * | 2010-09-01 | 2011-03-30 | 上海康德莱企业发展集团医疗器械有限公司 | Rectum balloon dilatation catheter |
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| 曾奕明 等: "经支气管镜呼气末二氧化碳探查对难治性气胸胸膜瘘口引流支气管的定位价值", 《中华结核呼吸杂志》 * |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109464124A (en) * | 2018-12-17 | 2019-03-15 | 博罗县妇幼保健计划生育服务中心 | It is a kind of for detecting the simple detection device of ewborn infant esophago-tracheal fistula |
| CN110051372A (en) * | 2019-03-18 | 2019-07-26 | 宁夏医科大学 | It is a kind of for tracing the combination unit of rabbit pleural pressure |
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Application publication date: 20170613 |