CN108144174B - Left side two-chamber bronchial tube - Google Patents

Left side two-chamber bronchial tube Download PDF

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Publication number
CN108144174B
CN108144174B CN201711400551.7A CN201711400551A CN108144174B CN 108144174 B CN108144174 B CN 108144174B CN 201711400551 A CN201711400551 A CN 201711400551A CN 108144174 B CN108144174 B CN 108144174B
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China
Prior art keywords
catheter
wall
marking device
cuff
solenoid
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Expired - Fee Related
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CN201711400551.7A
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Chinese (zh)
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CN108144174A (en
Inventor
孙慧静
李林林
王海英
江哲梅
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Binzhou Polytechnic
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Binzhou Polytechnic
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Publication of CN108144174A publication Critical patent/CN108144174A/en
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Publication of CN108144174B publication Critical patent/CN108144174B/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0402—Special features for tracheal tubes not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0486—Multi-lumen tracheal tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0017—Catheters; Hollow probes specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M2025/0008—Catheters; Hollow probes having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Emergency Medicine (AREA)
  • Epidemiology (AREA)
  • Urology & Nephrology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention relates to a left double-cavity bronchial catheter which comprises a catheter body and a marking device, wherein the marking device is arranged on the catheter body; the catheter body comprises a catheter outer wall and a white cuff arranged on the catheter outer wall, a left catheter and a right catheter are arranged in the catheter outer wall in parallel, the far end of the left catheter is longer than that of the right catheter, and the far end of the left catheter is provided with a blue cuff; the marking device is arranged on the left catheter and is positioned at the position 5mm-10mm away from the proximal end of the blue cuff. The left double-cavity bronchial catheter can realize the positioning of the blue cuff by means of a marking device; further, the distance of the driven coil relative to the blue cuff may be adjusted to adjust the position of the blue cuff when the driven coil is aligned with the ridges of the trachea.

Description

Left side two-chamber bronchial tube
Technical Field
The invention relates to the technical field of medical instruments, in particular to a left double-cavity bronchial catheter with a line marking device.
Background
At present, the double-cavity bronchial catheter is mainly used for operations needing lung isolation in clinic, and is mainly used for heart, thoracic cavity, mediastinum, blood vessel and esophagus operation patients so as to facilitate single-lung ventilation. Procedures such as bronchopleural fistulae, pulmonary hemorrhage, and total lung lavage are also used to prevent contamination of the healthy side lung from the contralateral lung.
The position of confirming left side double-chamber endotracheal tube at present mainly utilizes fiberbronchoscope to fix a position, should put into fiberbronchoscope through the lumen of trachea earlier in order to confirm that the bronchus chamber of double-chamber endotracheal tube has got into in the left bronchus, and confirm blue bronchus cuff and be located trachea ridge below, left main branch trachea, then, utilize fiberbronchoscope to look over to the distal end from left side bronchus lumen, if can obviously see about the lung lobe opening, then accomplish the location basically.
The location of the blue cuff under the crest of the tracheotomy is often estimated approximately and without a quantitative criterion, and this imprecise positioning can lead to improper placement of the double lumen bronchial catheter, collapse of the gas during positive intraoperative pressure ventilation, or partial collapse of the lung on the airway side or on the ptosis side, with the lung on the operative side collapsing poorly, leading to hypoxemia, and another complication is a tension pneumothorax on the airway side or on the lower register during monopulmonary ventilation.
Disclosure of Invention
In order to solve the technical problems in the background art, the invention provides a left double-cavity bronchial catheter with a line marking device, which can realize the positioning of a blue cuff by means of the line marking device; further, the distance of the driven coil relative to the blue cuff may be adjusted to adjust the position of the blue cuff when the driven coil is aligned with the ridges of the trachea.
The technical scheme adopted by the invention for solving the technical problems is as follows:
a left double-cavity bronchial catheter is provided, which comprises a catheter body and a marking device; the catheter body comprises a catheter outer wall and a white cuff arranged on the catheter outer wall, a left catheter and a right catheter are arranged in the catheter outer wall in parallel, the far end of the left catheter is longer than that of the right catheter, and the far end of the left catheter is provided with a blue cuff; the marking device is arranged on the left catheter and is positioned at the position 5mm-10mm away from the proximal end of the blue cuff; the left side catheter is formed with an expanded circular ring at a position 5mm-10mm away from the proximal end of the blue cuff in an expanded manner, and the proximal end and the distal end of the expanded circular ring are respectively formed with a fixing groove;
the reticle apparatus includes:
the annular groove is arranged on the outer wall of the expanded circular ring, and the circumferential side wall of the annular groove is provided with a limiting sliding groove which extends along the axial direction of the expanded circular ring;
the driven solenoid is sleeved on the annular groove in a sliding manner, and the inner wall of the driven solenoid is provided with a limiting insertion block which is in insertion fit with the limiting sliding groove;
the driving screw pipe is in threaded connection with the circumferential outer wall of the driven screw pipe, and anti-skidding grooves are uniformly distributed in the circumferential direction of the outer wall of the driving screw pipe.
Preferably, the reticle means is located 8mm proximal of the blue cuff.
Preferably, the marking device further comprises an annular coating film sleeved outside the expansion ring, and an anti-falling ribbon is arranged at the position, corresponding to the fixing groove, of the annular coating film (24).
Preferably, the driven solenoid is coated with a fluorescent layer, and the driving solenoid and the annular coating film are made of transparent materials.
Preferably, the driven coil axial length is less than half of the axial length of the annular groove.
Preferably, the driving spiral pipe and the annular coating are made of PVC.
The invention has the beneficial effects that:
according to the existing medical data (e.g., Miller anesthesiology eighth edition), the ideal location for the blue cuff of the left double lumen bronchial catheter should be located within the left main bronchus about 5mm below the ridges of the trachea.
The left double-cavity bronchial catheter can realize the positioning of the blue cuff by means of a marking device:
first, the left double-lumen bronchial catheter of the present invention is placed after the patient is anesthetized and induced.
Then, the fiberbronchoscope was placed into the right side catheter, and the left side catheter was confirmed to have entered the left main bronchus by observation through the fiberbronchoscope.
Then, the fiber bronchoscope is placed into the left catheter, the position is adjusted in an auxiliary mode through fiber bronchoscope observation, the marking device is made to face the trachea ridge, and at the moment, the blue cuff reaches an ideal position: located within the left main bronchus, about 5mm below the ridges of the trachea.
And finally, the fiber bronchoscope is continuously placed at the far end of the left catheter, the opening positions of the upper and lower lung lobes at the far end of the left catheter are observed, the openings of the upper left lobe and the lower left lobe bronchus can be clearly seen, and the left catheter is prevented from entering the lower left lobe bronchus and blocking the upper left lobe bronchus.
Further, taking the left double-lumen bronchial catheter illustrated in fig. 2-4 as an example, the distance of the driven coil relative to the blue cuff can be adjusted, and further the depth position of the blue cuff into the left main bronchus when the driven coil is aligned with the ridges of the trachea can be adjusted:
the driving spiral tube is rotated to drive the driven spiral tube to slide along the limiting sliding groove, so that the position of the driven spiral tube is adjusted, and the depth position of the blue cuff entering the left main trachea when the driven spiral tube is aligned with the ridges of the trachea is adjusted, so that patients of different ages and different body types are adapted.
Furthermore, the anti-skid groove is used for increasing the friction force of the circumferential outer wall of the driving solenoid, so that the driving solenoid can be conveniently twisted by hands; the annular film is used for sealing and protecting the driving solenoid and the driven solenoid and preventing tissue fluid from entering; preferably, the annular coating film is made of soft transparent materials, the driving screw tube can be twisted to rotate for a certain angle by pinching the annular coating film, and the annular coating film is reset after the hand is released so as to continuously twist the driving screw tube.
Drawings
The invention is further illustrated with reference to the following figures and examples.
FIG. 1 is a schematic view of the structure of one embodiment of the left dual lumen bronchial catheter (facing the patient's face).
FIG. 2 is a schematic view of the structure of one embodiment of the left dual lumen bronchial catheter (facing the patient's face).
Fig. 3 is a cross-sectional view of one embodiment of a guidewire device of the left dual lumen bronchial catheter of fig. 2.
Figure 4 is a cross-sectional view of one embodiment of section a-a of figure 3.
In the figure:
1. the catheter comprises a catheter body, 11, a catheter outer wall, 12, a white cuff, 13, a left catheter, 13a, an expanded circular ring, 13b, a fixing groove, 14, a right catheter and 15, a blue cuff;
2. the cable tie comprises a marking device, 21 annular grooves, 21a limiting sliding grooves, 22 driven screw pipes, 22a limiting insertion blocks, 23 driving screw pipes, 23a anti-skidding grooves, 24 annular film and 24a anti-falling ribbon;
a. a left main bronchus;
b. a right main bronchus;
c. the ridges of the trachea.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings.
A left double-cavity bronchial catheter with a line marking device comprises a catheter body 1 and a line marking device 2;
the catheter body 1 comprises a catheter outer wall 11 and a white cuff 12 arranged on the catheter outer wall 11, a left catheter 13 and a right catheter 14 are arranged in the catheter outer wall 11 in parallel, the far end of the left catheter 13 is longer than that of the right catheter 14, and the far end of the left catheter 13 is provided with a blue cuff 15;
the reticle means 2 is provided on the left catheter tube 13, the reticle means 2 being located 5mm to 10mm (preferably 8mm) proximal to the blue cuff 15.
In one embodiment, the reticle device 2 is an annular reticle made of a fluorescent material.
As another example, the left catheter 13 is formed with an enlarged ring 13a (preferably made of plastic) at a position 5mm to 10mm (preferably 8mm) near the proximal end of the blue cuff 15, and the proximal end and the distal end of the enlarged ring 13a are respectively formed with a fixing groove 13 b;
the reticle device 2 includes:
the annular groove 21 is arranged on the outer wall of the expanded circular ring 13a, and the circumferential side wall of the annular groove 21 is provided with a limiting sliding groove 21a which extends along the axial direction of the expanded circular ring 13 a;
the driven solenoid 22 is slidably sleeved on the annular groove 21, and a limiting insertion block 22a which is in insertion fit with the limiting sliding groove 21a is arranged on the inner wall of the driven solenoid 22;
the driving solenoid 23 is screwed on the circumferential outer wall of the driven solenoid 22, and anti-skid grooves 23a are uniformly distributed on the circumferential outer wall of the driving solenoid 23.
Further, the line marking device 2 further comprises an annular coating 24 which is sleeved outside the expanded circular ring 13a, and the corresponding position of the annular coating 24 and the fixing groove 13b is provided with an anti-falling bandage 24a (preferably made of elastic material).
Further, the driven solenoid 22 is coated with a fluorescent layer, and the driving solenoid 23 and the annular coating film 24 are made of transparent materials.
Further, the axial length of the driven screw 22 is less than half of the axial length of the annular groove 21.
The specific use method comprises the following steps:
according to the existing medical data (e.g. Miller anesthesiology eighth edition), the ideal position of the blue cuff 15 of the left double lumen bronchial catheter should be located within the left main bronchus a, about 5mm below the carina c.
The left double-cavity bronchial catheter can realize the positioning of the blue cuff 15 by means of the marking device 2:
first, the left double-lumen bronchial catheter of the present invention is placed after the patient is anesthetized and induced.
Then, the fiberbronchoscope is inserted into the right catheter 14, and the left catheter 13 is confirmed to enter the left main bronchus a by observation through the fiberbronchoscope.
Then, the fiberbronchoscope is placed in the left catheter 13, and the position is adjusted by observing the fiberbronchoscope to make the marking device 2 position to face the carina of the trachea, and then the blue cuff reaches the ideal position: located within the left main bronchus a, about 5mm below the carina c of the trachea.
And finally, the fiber bronchoscope is continuously placed at the far end of the left catheter 13, the opening positions of the upper and lower lung lobes at the far end of the left catheter 13 are observed, the openings of the upper left lobe and the lower left lobe bronchus can be clearly seen, and the left catheter 13 is prevented from entering the lower left lobe bronchus and blocking the upper left lobe bronchus.
Further, taking the left double lumen bronchial catheter illustrated in fig. 2-4 as an example, the distance of the driven coil 22 relative to the blue cuff 15 can be adjusted, and thus the depth of the blue cuff 15 into the left main bronchus a when the driven coil 22 is aligned with the carina of the trachea c can be adjusted:
the driving screw tube 23 is rotated to drive the driven screw tube 22 to slide along the limit sliding groove 21a, so that the position of the driven screw tube 22 is adjusted, and the depth position of the blue cuff 15 entering the left main bronchus a when the driven screw tube 22 is aligned with the trachea ridge c is adjusted, so that patients with different ages and different body types can be accommodated.
Furthermore, the anti-slip groove 23a is used for increasing the friction force of the circumferential outer wall of the driving solenoid 23, so that the driving solenoid 23 can be conveniently twisted by hand; the annular coating 24 is used for sealing and protecting the driving solenoid 23 and the driven solenoid 22 so as to prevent tissue fluid from entering; preferably, the annular coating 24 is made of a soft transparent material, the driving screw 23 can be twisted to rotate by a certain angle by pinching the annular coating 24, and the annular coating 24 is reset after releasing the hand, so that the driving screw 23 can be continuously twisted.
The technical scope of the present invention is not limited to the content of the specification, and must be determined according to the scope of the claims.

Claims (6)

1. A left side two-chamber bronchial tube which characterized in that: comprises a catheter body (1) and a marking device (2);
the catheter body (1) comprises a catheter outer wall (11) and a white cuff (12) arranged on the catheter outer wall (11), a left catheter (13) and a right catheter (14) are arranged in the catheter outer wall (11) in parallel, the far end of the left catheter (13) is longer than the right catheter (14), and the far end of the left catheter (13) is provided with a blue cuff (15);
the line marking device (2) is arranged on the left catheter (13), and the line marking device (2) is positioned at the position 5mm-10mm of the proximal end of the blue cuff (15); an expanded circular ring (13a) is formed at the position of the left side catheter (13) which is 5mm-10mm away from the proximal end of the blue cuff (15) in an expanded mode, and fixing grooves (13b) are formed at the proximal end and the distal end of the expanded circular ring (13a) respectively; and the expanding ring (13a) is made of plastic;
the line marking device (2) comprises:
the annular groove (21) is arranged on the outer wall of the expanded circular ring (13a), and the circumferential side wall of the annular groove (21) is provided with a limiting sliding groove (21a) extending along the axial direction of the expanded circular ring (13 a);
the driven solenoid (22) is sleeved on the annular groove (21) in a sliding manner, and the inner wall of the driven solenoid (22) is provided with a limiting insert block (22a) which is in inserted fit with the limiting sliding groove (21 a);
the driving solenoid (23) is in threaded connection with the circumferential outer wall of the driven solenoid (22), and anti-skidding grooves (23a) are uniformly distributed in the circumferential direction of the outer wall of the driving solenoid (23).
2. The left dual-lumen bronchial catheter of claim 1, wherein: the line marking device (2) is positioned 8mm at the proximal end of the blue cuff (15).
3. The left dual-lumen bronchial catheter of claim 1, wherein: marking device (2) still establish including the cover annular tectorial membrane (24) in the inflation ring (13a) outside, annular tectorial membrane (24) are equipped with anticreep ribbon (24a) with fixed recess (13b) department of correspondence.
4. The left dual-lumen bronchial catheter of claim 1, wherein: the driven solenoid (22) is coated with a fluorescent layer, and the driving solenoid (23) and the annular coating film (24) are made of transparent materials.
5. The left dual-lumen bronchial catheter of claim 1, wherein: the axial length of the driven screw pipe (22) is less than half of the axial length of the annular groove (21).
6. The left dual-lumen bronchial catheter of claim 1, wherein: the driving solenoid (23) and the annular coating (24) are made of PVC.
CN201711400551.7A 2017-12-22 2017-12-22 Left side two-chamber bronchial tube Expired - Fee Related CN108144174B (en)

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CN201711400551.7A CN108144174B (en) 2017-12-22 2017-12-22 Left side two-chamber bronchial tube

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711400551.7A CN108144174B (en) 2017-12-22 2017-12-22 Left side two-chamber bronchial tube

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CN108144174B true CN108144174B (en) 2020-08-04

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109172984A (en) * 2018-08-22 2019-01-11 杭州市第人民医院 A kind of Combined double-chamber bronchial catheter

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201668835U (en) * 2010-05-31 2010-12-15 林跃华 Septum double-lumen bronchial tube conduit
CN202136660U (en) * 2011-07-15 2012-02-08 赵荣银 Positioning double-lumen bronchial catheter
WO2013008106A1 (en) * 2011-07-11 2013-01-17 Etview Ltd. Endobronchial tube
CN102885666A (en) * 2011-06-10 2013-01-23 麦克鲁斯内血管有限责任公司 Lock/floating marker band on pusher wire for self-expanding stents or medical devices
WO2013063520A1 (en) * 2011-10-27 2013-05-02 Endoclear, Llc Endotracheal tube coupling adapters
CN204033544U (en) * 2014-07-11 2014-12-24 嘉兴德康医疗器械有限公司 A kind of Height Adjustable combined titanium cage
CN208405663U (en) * 2017-12-22 2019-01-22 徐州医科大学附属医院 A kind of left side dual cavity bronchus vessel having index device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2531247B1 (en) * 2010-02-04 2017-01-04 Guillermo L. Pol Medical tubes for selective mechanical ventilation of the lungs
US8978657B2 (en) * 2010-07-29 2015-03-17 Covidien Lp Dual-lumen tracheal tube with shaped lumen divider
US9788755B2 (en) * 2011-05-26 2017-10-17 Covidien Lp Illumination systems and devices for tracheal tubes

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201668835U (en) * 2010-05-31 2010-12-15 林跃华 Septum double-lumen bronchial tube conduit
CN102885666A (en) * 2011-06-10 2013-01-23 麦克鲁斯内血管有限责任公司 Lock/floating marker band on pusher wire for self-expanding stents or medical devices
WO2013008106A1 (en) * 2011-07-11 2013-01-17 Etview Ltd. Endobronchial tube
CN202136660U (en) * 2011-07-15 2012-02-08 赵荣银 Positioning double-lumen bronchial catheter
WO2013063520A1 (en) * 2011-10-27 2013-05-02 Endoclear, Llc Endotracheal tube coupling adapters
CN204033544U (en) * 2014-07-11 2014-12-24 嘉兴德康医疗器械有限公司 A kind of Height Adjustable combined titanium cage
CN208405663U (en) * 2017-12-22 2019-01-22 徐州医科大学附属医院 A kind of left side dual cavity bronchus vessel having index device

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Inventor after: Sun Huijing

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