CN108339181A - A method of preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique - Google Patents

A method of preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique Download PDF

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Publication number
CN108339181A
CN108339181A CN201810020055.7A CN201810020055A CN108339181A CN 108339181 A CN108339181 A CN 108339181A CN 201810020055 A CN201810020055 A CN 201810020055A CN 108339181 A CN108339181 A CN 108339181A
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China
Prior art keywords
tracheal tube
printing technique
preparing
data
space reconstruction
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CN201810020055.7A
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Chinese (zh)
Inventor
徐加杰
葛明华
黄静
陈超
兰霞斌
刘云峰
于长洋
孙晶晶
李升�
朱秀
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Zhejiang Cancer Hospital
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Zhejiang Cancer Hospital
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Priority to CN201810020055.7A priority Critical patent/CN108339181A/en
Publication of CN108339181A publication Critical patent/CN108339181A/en
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    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0465Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0465Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • A61M16/047Masks, filters, surgical pads, devices for absorbing secretions, specially adapted therefor
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y10/00Processes of additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • 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
    • A61M2207/00Methods of manufacture, assembly or production

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Materials Engineering (AREA)
  • Chemical & Material Sciences (AREA)
  • Manufacturing & Machinery (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The present invention relates to therapeutic treatment fields, disclose a kind of method preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, including:1)Patient's thin-layer CT data are obtained, reconstruction patients skin lower section tracheae anatomic form obtains editable three-dimensional modeling data;2)To threedimensional model into edlin, the three-dimensional modeling data of patient airway is extracted;3)Into edlin based on the three-dimensional modeling data of patient airway, tracheal tube threedimensional model is designed;4)After importing data to, using 3D printing technique, tracheal tube is made.The present invention has been put forward for the first time in this field and has prepared the thinking of tracheal tube using digitlization Space Reconstruction and 3D printing technique, patient can be made to obtain personalized tracheal tube using the technology of the present invention, according to the tracheal tube of patient itself air passage structure design optimization, so that the air flue of patient is stimulated and is damaged and be preferably minimized.

Description

A method of preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique
Technical field
The present invention relates to therapeutic treatment fields more particularly to a kind of utilize to digitize Space Reconstruction and 3D printing technique preparation The method of tracheal tube.
Background technology
In tumor colli resection operation, the excision of larynx can be involved.Common practice is at the end of remaining tracheae at present Tracheal tube in termination, tracheal tube is communicated by neck trepanning with the external world, for maintaining patient's eupnea(Do not pass through nose Portion).Such as discloses a kind of children application No. is the patent of CN201120298040.0 and fix suit with disposable tracheal tube, it should Fixed suit has the tracheal tube fixed rope continuously latched and two locking devices to constitute by solid, outboard tube cornice.It uses The practical neck circumferences of Shi Xianyu compare, and wipe out the additional length at tracheal tube fixed rope both ends, and tracheal tube fixed rope both ends are successively worn The more locking end of the locking end of locking device, tracheal tube mounting hole, other side locking device, and be blocked in the mounting hole of end Latch unidirectionally blocks.The utility model not only reduces the tracheal tube surprisingly probability of de- pipe and patient's skin of neck or surface of a wound damage And infection risk, also mitigate patient suffering and medical staff's workload.
Tracheal tube obtained by patient of institute's some need using tracheal tube is finished product at present, is had different straight However the tracheal tube specification of diameter, length and camber is still difficult to reach personalized requirement.Normalized finished product gas Pipe-in-pipe has the drawback that:Since the diameter of patient airway, length and curvature differ greatly, normalized tracheal tube is used It can not be adapted to patient airway's shape height, easily cause the air flue stimulation even Airway damage of some patientss.And for above-mentioned Technical problem does not cause enough attention in state of the art, therefore there is no ideal solution at present yet.
Invention content
Digitlization Space Reconstruction and 3D printing technique system are utilized in order to solve the above technical problem, the present invention provides a kind of The method of standby tracheal tube, the present invention have been put forward for the first time in this field and have been prepared using digitlization Space Reconstruction and 3D printing technique The thinking of tracheal tube can make patient obtain personalized tracheal tube, according to patient itself air flue using the technology of the present invention The tracheal tube that structure design optimizes makes the air flue of patient stimulate and damage and is preferably minimized.
The specific technical solution of the present invention is:It is a kind of to prepare tracheal tube using digitlization Space Reconstruction and 3D printing technique Method, include the following steps:
1)By CT scan, patient's thin-layer CT data are obtained, reconstruction patients skin lower section tracheae anatomic form obtains editable Three-dimensional modeling data.
2)To threedimensional model into edlin, planning and design scheme extracts the three-dimensional modeling data of tracheae under patient skin; 3)Into edlin based on the three-dimensional modeling data of patient airway, tracheal tube threedimensional model is designed.
4)After importing data to, using 3D printing technique, tracheal tube is made.
The present invention has creatively been put forward for the first time prepares tracheal tube using digitlization Space Reconstruction and 3D printing technique Thinking, using the technology of the present invention can according to the personalized curvature of patient airway, diameter and other special medicines require come The tracheal tube for designing and preparing optimization makes the air flue of patient stimulate and damage and is preferably minimized.
Preferably, step 1)In, the thickness of CT scan is less than or equal to 2mm.
Preferably, step 1)In, import sextuple tooth kind after the thin-layer CT data of acquisition are converted to DICOM data formats Plant design software(6D-DENTAL Tech Co, Ltd, China)Tracheae anatomic form below reconstruction patients skin, acquisition can compile The .stl format model datas collected.
Preferably, step 2)In, in conjunction with magics design softwares and Geomagice Studio design softwares to three-dimensional Model extracts the three-dimensional modeling data of patient airway into edlin, planning and design scheme.
Preferably, the tracheal tube includes personalized casing and fixed seat;The fixed seat is equipped with through-hole, described The upper end of personalized casing is detachably connected with the through-hole;Step 3)In, the only threedimensional model of design personalized casing is fixed Seat is general finished product.
3D printing cost is higher, for control cost, tracheal tube is designed as split type, 3D printing is the most key Personalized sleeve portion, and fixed seat is previously prepared general finished product.Personalized casing and fixed seat can by being spirally connected or The realizations such as clamping connection.
Preferably, the personalization casing is metal material.
Although theoretically, the tracheal tube of the flexible materials such as plastics, silica gel is due to having flexibility, after insertion with tracheae Damage can smaller.But team of the present invention is after studying for a long period of time by finding, the tracheal tube surface light of the flexible materials such as plastics Slippery is insufficient, be easy to cause the formation of sleeve surface phlegm scab and causes cannula occlusion, is easy to cause discomfort to patient instead, can increase trouble The pain of person and psychological burden.And the characteristic for using metal material its surface can be utilized smooth prevents phlegm scab from forming blocking air flue.
One of optionally, tracheal tube further includes waterproof and breathable cover;The waterproof and breathable enclosure is set to fixed seat The outside of upper through-hole.
Patient is breathed after installing tracheal tube by the through-hole in fixed seat, since through-hole is opening, special Under environment(Such as bathing, serious haze sky, dust environment), steam, particulate matter in air etc. easily enter tracheae, cause to suffer from Person's cough etc..For this purpose, the present invention is arranged with waterproof and breathable cover in the through hole of fixed seat, can not only effectively prevent steam, Particulate matter etc. enters tracheae, and its good permeability, can not influence eupnea farthest.And make being not required to Used time can be dismantled.In contrast, common strainer can not stop steam, and can stop steam filter layer it is ventilative Property again it is not good enough.
Further, the part that the waterproof and breathable cover is located at through-hole surfaces is polytetrafluoroethylene (PTFE) waterproof ventilated membrane.
The waterproof ventilated membrane of polytetrafluoroethylene (PTFE) material is the best waterproof ventilated membrane of current water-proof breathable properties.Its extensive use In construction material, communication equipment and chemical field, the present invention is dexterously applied on tracheal tube.
It is compared with the prior art, the beneficial effects of the invention are as follows:
1. the present invention has been put forward for the first time in this field and has prepared tracheal tube using digitlization Space Reconstruction and 3D printing technique Thinking can make patient obtain personalized tracheal tube using the technology of the present invention, most according to the design of patient itself air passage structure The tracheal tube of optimization makes the air flue of patient stimulate and damage and is preferably minimized.
2. the tracheal tube of the present invention is equipped with waterproof and breathable cover, can stop in the case where not influencing eupnea Steam, particulate matter enter tracheal strips.
Description of the drawings
Fig. 1 is the side view of the tracheal tube of embodiment 1;
Fig. 2 is the front view of the tracheal tube of embodiment 1;
Fig. 3 is the fractionation schematic diagram of the tracheal tube of embodiment 2;
Fig. 4 is the fractionation schematic diagram of the tracheal tube of embodiment 3;
Fig. 5 is to rebuild tumor region soft tissue model and trachea model figure using design software in embodiment 1;
Fig. 6 is the photo that patient wears after tracheal tube in embodiment 1.
Reference numeral is:Personalized casing 1, fixed seat 2, through-hole 3, waterproof and breathable cover 4.
Specific implementation mode
With reference to embodiment, the invention will be further described.
Embodiment 1
A method of tracheal tube being prepared using digitlization Space Reconstruction and 3D printing technique, is included the following steps:
1)By CT scan, patient's thin-layer CT data are obtained(The thickness of scanning is 1mm), led after being converted to DICOM data formats Enter sextuple Dental implantion design software(6D-DENTAL Tech Co, Ltd, China)Tracheae dissects shape below reconstruction patients skin State, acquisition can edit .stl format model datas.
2)In conjunction with magics(Materialise Ltd, The Kingdom Of Belgium)Design software and Geomagice Studio design softwares(Geomagice, USA)To threedimensional model into edlin, planning and design scheme is extracted The three-dimensional modeling data of patient airway(As shown in Figure 5).
3)Into edlin based on the three-dimensional modeling data of patient airway, the threedimensional model of tracheal tube is obtained;
4)After importing data to, using 3D printing technique, the tracheal tube as depicted in figs. 1 and 2 of metal material is made(Including Personalized casing 1 and fixed seat 2, fixed seat are equipped with through-hole 3).
5)Tracheal tube is installed, after installation as shown in Figure 6.
Embodiment 2
The present embodiment difference from example 1 is that:As shown in figure 3, personalized casing 1 and fixed seat 2 are split type;Institute It states fixed seat and is equipped with through-hole 3, the upper end of the personalization casing is spirally connected with the through-hole;Step 3)In, finally obtained by editor Threedimensional model be personalized casing threedimensional model, fixed seat is general finished product.
Embodiment 3
The present embodiment and embodiment 2 the difference is that:As shown in figure 4, tracheal tube further includes waterproof and breathable cover 4;It is described The waterproof and breathable enclosure is set to the outside of through-hole in fixed seat.Wherein, the part that waterproof and breathable cover is located at through-hole surfaces is polytetrafluoro Ethylene waterproof ventilated membrane.
Raw materials used in the present invention, equipment is unless otherwise noted the common raw material, equipment of this field;In the present invention Method therefor is unless otherwise noted the conventional method of this field.
The above is only presently preferred embodiments of the present invention, is not imposed any restrictions to the present invention, every according to the present invention Technical spirit still falls within the technology of the present invention side to any simple modification, change and equivalent transformation made by above example The protection domain of case.

Claims (8)

1. a kind of method preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, it is characterised in that including following Step:
1)By CT scan, patient's thin-layer CT data are obtained, tracheae anatomic form under reconstruction patients skin obtains editable three Dimension module data;
2)To threedimensional model into edlin, planning and design scheme extracts the three-dimensional modeling data of tracheae under patient skin;3)To suffer from Into edlin based on the three-dimensional modeling data of person's tracheae, the threedimensional model of tracheal tube is designed;
4)After importing data to, using 3D printing technique, tracheal tube is made.
2. the method as described in claim 1 for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, special Sign is, step 1)In, the thickness of CT scan is less than or equal to 2mm.
3. the method as claimed in claim 1 or 2 for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, It is characterized in that, step 1)In, the sextuple Dental implantion design of importing is soft after the thin-layer CT data of acquisition are converted to DICOM data formats Part rebuilds affected area soft tissue model form and shape of tumor, obtains editable .stl formats model data.
4. the method for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique as described in claim 1 or 3, It is characterized in that, step 2)In, threedimensional model is carried out in conjunction with magics design softwares and Geomagice Studio design softwares Editor extracts the three-dimensional modeling data of tracheae under patient skin.
5. the method as described in claim 1 for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, special Sign is that the tracheal tube includes personalized casing(1)And fixed seat(2);The fixed seat is equipped with through-hole(3), described The upper end of personalized casing is detachably connected with the through-hole;Step 3)In, the only threedimensional model of design personalized casing is fixed Seat is general finished product.
6. the method as claimed in claim 5 for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, special Sign is that the personalization casing is metal material.
7. such as the method described in claim 5 or 6 for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, It is characterized in that, further includes waterproof and breathable cover(4);The waterproof and breathable enclosure is set to the outside of through-hole in fixed seat.
8. the method as claimed in claim 7 for preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique, special Sign is that the part that the waterproof and breathable cover is located at through-hole surfaces is polytetrafluoroethylene (PTFE) waterproof ventilated membrane.
CN201810020055.7A 2018-01-09 2018-01-09 A method of preparing tracheal tube using digitlization Space Reconstruction and 3D printing technique Pending CN108339181A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111590901A (en) * 2020-06-11 2020-08-28 中国海洋大学 Preparation method of octopus holographic digital modeling and 3D printing model
NL2023355B1 (en) * 2019-06-21 2021-02-01 Stichting Katholieke Univ Oropharyngeal airway device
CN113891736A (en) * 2019-03-27 2022-01-04 巴黎公共救济院 Method for designing and verifying the shape and position of a cannula for a patient by simulating insertion into the trachea

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CN104462650A (en) * 2014-11-10 2015-03-25 张建卿 Materialized heart 3D model manufacturing method capable of achieving internal and external structures
CN205199155U (en) * 2015-12-26 2016-05-04 罗建华 Filter core of spectrum appearance argon gas filter with waterproof, dustproof, breathable membrane
CN105631930A (en) * 2015-11-27 2016-06-01 广州聚普科技有限公司 DTI (Diffusion Tensor Imaging)-based cranial nerve fiber bundle three-dimensional rebuilding method
CN106683549A (en) * 2016-12-13 2017-05-17 李翔宇 Aneurysm model based on 3D printing and manufacturing method thereof
US20170157858A1 (en) * 2015-07-22 2017-06-08 The Catholic University Of Korea Industry-Academic Cooperation Foundation Method of manufacturing block type scaffold
CN106956423A (en) * 2016-01-08 2017-07-18 司勇锋 The tracheal tube that a kind of use 3D printing is made
CN206414583U (en) * 2016-10-20 2017-08-18 王冕 A kind of disposable humidifying nasal oxygen tube
CN206688002U (en) * 2016-12-09 2017-12-01 镇江市第三人民医院 A kind of closed thoracic drainage tube with fixing device
CN206792776U (en) * 2017-01-09 2017-12-26 蚌埠医学院第一附属医院 A kind of protection device for tracheotomy patients air flue humidification

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Publication number Priority date Publication date Assignee Title
CN203694311U (en) * 2014-01-22 2014-07-09 中国人民解放军第三军医大学第三附属医院 Smoke-proof respirator for tracheotomy
CN104462650A (en) * 2014-11-10 2015-03-25 张建卿 Materialized heart 3D model manufacturing method capable of achieving internal and external structures
US20170157858A1 (en) * 2015-07-22 2017-06-08 The Catholic University Of Korea Industry-Academic Cooperation Foundation Method of manufacturing block type scaffold
CN105631930A (en) * 2015-11-27 2016-06-01 广州聚普科技有限公司 DTI (Diffusion Tensor Imaging)-based cranial nerve fiber bundle three-dimensional rebuilding method
CN205199155U (en) * 2015-12-26 2016-05-04 罗建华 Filter core of spectrum appearance argon gas filter with waterproof, dustproof, breathable membrane
CN106956423A (en) * 2016-01-08 2017-07-18 司勇锋 The tracheal tube that a kind of use 3D printing is made
CN206414583U (en) * 2016-10-20 2017-08-18 王冕 A kind of disposable humidifying nasal oxygen tube
CN206688002U (en) * 2016-12-09 2017-12-01 镇江市第三人民医院 A kind of closed thoracic drainage tube with fixing device
CN106683549A (en) * 2016-12-13 2017-05-17 李翔宇 Aneurysm model based on 3D printing and manufacturing method thereof
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113891736A (en) * 2019-03-27 2022-01-04 巴黎公共救济院 Method for designing and verifying the shape and position of a cannula for a patient by simulating insertion into the trachea
NL2023355B1 (en) * 2019-06-21 2021-02-01 Stichting Katholieke Univ Oropharyngeal airway device
CN111590901A (en) * 2020-06-11 2020-08-28 中国海洋大学 Preparation method of octopus holographic digital modeling and 3D printing model
CN111590901B (en) * 2020-06-11 2021-11-16 中国海洋大学 Preparation method of octopus holographic digital modeling and 3D printing model

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