CN108498928A - A kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope - Google Patents
A kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope Download PDFInfo
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- CN108498928A CN108498928A CN201810430308.8A CN201810430308A CN108498928A CN 108498928 A CN108498928 A CN 108498928A CN 201810430308 A CN201810430308 A CN 201810430308A CN 108498928 A CN108498928 A CN 108498928A
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- 210000003437 trachea Anatomy 0.000 title claims abstract description 38
- 206010006440 Bronchial obstruction Diseases 0.000 title claims abstract description 26
- 210000004072 lung Anatomy 0.000 claims abstract description 77
- 230000000903 blocking effect Effects 0.000 claims abstract description 27
- 210000005239 tubule Anatomy 0.000 claims description 15
- 239000002775 capsule Substances 0.000 claims description 8
- 238000010276 construction Methods 0.000 claims description 5
- 230000003447 ipsilateral effect Effects 0.000 abstract description 37
- 238000009423 ventilation Methods 0.000 abstract description 23
- 210000000621 bronchi Anatomy 0.000 abstract description 19
- 230000000638 stimulation Effects 0.000 abstract description 2
- 230000001680 brushing effect Effects 0.000 abstract 1
- 230000001537 neural effect Effects 0.000 abstract 1
- 230000001473 noxious effect Effects 0.000 abstract 1
- 230000011514 reflex Effects 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 10
- 239000007789 gas Substances 0.000 description 10
- 239000008280 blood Substances 0.000 description 9
- 210000004369 blood Anatomy 0.000 description 9
- 230000002411 adverse Effects 0.000 description 8
- 230000002685 pulmonary effect Effects 0.000 description 7
- 206010036790 Productive cough Diseases 0.000 description 6
- 230000003444 anaesthetic effect Effects 0.000 description 6
- 238000013461 design Methods 0.000 description 6
- 230000000926 neurological effect Effects 0.000 description 5
- 238000002640 oxygen therapy Methods 0.000 description 5
- 208000024794 sputum Diseases 0.000 description 5
- 210000003802 sputum Anatomy 0.000 description 5
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 4
- 238000006243 chemical reaction Methods 0.000 description 4
- 239000001301 oxygen Substances 0.000 description 4
- 229910052760 oxygen Inorganic materials 0.000 description 4
- 238000011084 recovery Methods 0.000 description 4
- 206010002091 Anaesthesia Diseases 0.000 description 3
- 230000037005 anaesthesia Effects 0.000 description 3
- 230000004888 barrier function Effects 0.000 description 3
- 238000013276 bronchoscopy Methods 0.000 description 3
- 210000000038 chest Anatomy 0.000 description 3
- 230000000295 complement effect Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 230000003902 lesion Effects 0.000 description 3
- 230000000241 respiratory effect Effects 0.000 description 3
- 230000028327 secretion Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 210000004704 glottis Anatomy 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 230000013011 mating Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000013589 supplement Substances 0.000 description 2
- 238000002627 tracheal intubation Methods 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 206010062717 Increased upper airway secretion Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 201000009267 bronchiectasis Diseases 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 230000002439 hemostatic effect Effects 0.000 description 1
- 201000001881 impotence Diseases 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 208000026435 phlegm Diseases 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 230000004202 respiratory function Effects 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 238000002644 respiratory therapy Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 238000004611 spectroscopical analysis Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- 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
-
- 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
- A61M16/0434—Cuffs
- A61M16/044—External cuff pressure control or supply, e.g. synchronisation with respiration
-
- 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
- A61M16/0434—Cuffs
- A61M16/0445—Special cuff forms, e.g. undulated
-
- 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
- A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
-
- 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
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- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Endoscopes (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to a kind of trachea cannula external members that downlink bronchial obstruction can be guided in Bronchofiberscope, and the trachea cannula external member includes obstruction conduit, tracheal catheter；The obstruction conduit includes catheter body；The catheter body front position is respectively equipped with the first cuff and first annular cuff；The tracheal catheter includes tracheal catheter ontology, the first screw thread interface tube, the second screw thread interface tube, the second annular cuff；The tracheal catheter ontology front position is equipped with the second cuff；The annular cuff of described second is set on the inside of the end of tracheal catheter ontology.Its advantage is shown：While effectively blocking to Ipsilateral lung bronchus, strong side lung ventilation is carried out；Tracheal catheter is inserted into tracheal strips, without brushing up against the knuckle of left and right bronchus infall, will not cause the noxious stimulation and neural reflex of knuckle；Obstruction conduit can under the direct guiding of Bronchofiberscope, set pipe and be rapidly and accurately placed into the bronchus for needing to block.
Description
Technical field
The present invention relates to medical treatment to be intubated external member technical field, specifically, downlink branch gas can be guided in Bronchofiberscope by being one kind
The trachea cannula external member of blockage.
Background technology
Currently, one-lung ventilation technology is a kind of common technology, it is usually used in side lung and needs capable minimally invasive thoracoscopic operation
Or Kai Xionghang lungs, esophageal surgery, the chest side collapse of lung is needed out, achievees the purpose that exposed operative space, meanwhile, Ipsilateral lung branch
After tracheae blocks, some Ipsilateral pulmonary lesions just can not more particularly to bronchiectasis, blood, dense phlegm and infectious substance
It flows into and is good for side lung, Jian Ce lungs also play the purpose of effective physical barrier while ensureing effective ventilation.Wait for surgical lesion
After removal, then implement double pulmonary ventilation.
Clinically the most commonly used is a kind of double-lumen catheters at present, can carry out one-lung ventilation respectively, play the mesh of barrier lung
, but this double-lumen catheter is relatively large in diameter, and sets that pipe difficulty is larger, especially for the patient of some difficult intubations, no
Only difficulty is larger, and damage is also big, in addition, such conduit needs to be inserted into tracheae and arrive to implement one-lung ventilation, conduit at knuckle
Front end certainly will easily stimulate trachea carina, cause the Intubation reaction of damage, patient is intolerant to unfavorable factors such as pipes, and in addition patient is if you need to hand
Postoperative band tracheal catheter continues ventilator support treatment, needs to change as single-lumen bronchial tube, invasive operation, increases damage repeatedly
Risk and adverse events incidence.Also there is a kind of obstruction conduit, but lack visual guidance effect, operation difficulty is larger.More
For it is a risk that if the main tracheae hypomere of patient or bronchus have lesion or narrow, excessively thick too deep conduit insertion easily to cause
Bleeding and damage cause the consequence for being difficult to make up, and are not suitable for the merging of double-lumen catheter.
Chinese patent literature：CN201110316610.9, applying date 2011.10.18, patent name are：Single-chamber tracheae is led
Pipe-bronchus blocking device one-lung ventilation integrated device.Disclose a kind of single-lumen bronchial tube-bronchus blocking device one-lung ventilation one
Body device belongs to medical apparatus, including, " y " type threeway, " y " type threeway is connected with single-lumen bronchial tube, before single-lumen bronchial tube
End sets conduit capsule, and the left and right sides is equipped with strong, Ipsilateral bronchus opening in front of conduit capsule, and tip sets " V " type knuckle card, and bronchus is stifled
Plug system is structure as a whole with single-lumen bronchial tube, blocks pipe front end and is pierced by Ipsilateral bronchus opening upper limb, and equipped with blocking
Capsule, out of shape in catheter body tube wall upwards, tail end is pierced by catheter body Ipsilateral root, connects two-way blocking pipe switch, and equipped with special
For the elastic force seal wire of dredge blockage pipe.
A kind of single-lumen bronchial tube of above patent document-bronchus blocking device one-lung ventilation integrated device, simple in structure,
Reasonable design has gathered the plurality of advantages of current one-lung ventilation device, can be provided for clinic a kind of easy to operate, accurate positioning,
Single double pulmonary ventilation conversions are flexible, make the novel one-lung ventilation device for suffering from the preferable remains stationary collapsed mode of lung.But about one kind
For under Bronchofiberscope direct-view guiding, while can effectively be blocked to the Ipsilateral lung bronchus of patient, carrying out strong side lung
Portion ventilates, and tracheal catheter will not generate the bulge region between patient lungs during merging and squeeze and stimulate, and mitigate
Patient's adverse neurological reflects, and be expert at Fibro-bronchoscopy test when can quickly, intuitively determine one kind of obstruction conduit placement location
The trachea cannula external member of downlink bronchial obstruction can be guided at present then without relevant report in Bronchofiberscope.
In conclusion there is an urgent need for one kind for that under Bronchofiberscope direct-view guiding, can be carried out to the Ipsilateral lung bronchus of patient
While effectively blocking, strong side lung ventilation is carried out, what tracheal catheter will not be between patient lungs during merging is grand
Protrusion position, which generates, to be squeezed and stimulation, and the reflection of patient's adverse neurological is mitigated, and be expert at Fibro-bronchoscopy test when can quickly, it is intuitive really
Determine a kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope of obstruction conduit placement location.
Invention content
The purpose of the present invention is being directed to deficiency in the prior art, provide under a kind of direct-view guiding for Bronchofiberscope, it can
While effectively blocking to the Ipsilateral lung bronchus of patient, strong side lung ventilation, mistake of the tracheal catheter in merging are carried out
The bulge region between patient lungs will not be generated in journey and squeeze and stimulate, mitigate the reflection of patient's adverse neurological, and fibre of being expert at
It can quickly, intuitively determine that one kind of obstruction conduit placement location can guide downlink bronchus stifled in Bronchofiberscope when branch spectroscopy
The trachea cannula external member of plug.
To achieve the above object, the technical solution adopted by the present invention is that：
A kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope, the trachea cannula external member include
Obstruction conduit, tracheal catheter；The obstruction conduit includes catheter body；The catheter body surface is equipped with graduation mark；Institute
The catheter body front position stated is equipped with the first cuff；The first cuff top position is equipped with first annular cuff；It is described
The first cuff and first annular cuff before be convexly curved structure；The catheter body terminal position is distinguished by tubule
The first charge valve and the second charge valve equipped with the first cuff of connection, first annular cuff；The catheter body bottom connection
Equipped with cap；The tubule ontology is set in the tube wall of catheter body；It is additionally provided with finer wire in the catheter body inner wall；
The tracheal catheter includes tracheal catheter ontology, the first screw thread interface tube, the second screw thread interface tube, the second annular
Cuff；The tracheal catheter body surface is again provided with graduation mark；The tracheal catheter ontology front position is equipped with second
Cuff；The first screw thread interface tube is set to tracheal catheter body tip side；The second screw thread interface tube is set to gas
The end of pipe catheter body；It is separately connected equipped with tracheae lid on first hickey and the second hickey；Described
Second annular cuff is set on the inside of the end of tracheal catheter ontology；The tracheal catheter body tip passes through again by tubule
It is respectively equipped with the third charge valve and the 4th charge valve of the second cuff of connection, the second annular cuff；The tubule main body is set to
In the catheter wall of tracheal catheter ontology；It is again provided with finer wire in the tracheal catheter inner body wall；The obstruction conduit
It is placed in tracheal catheter when in use.
As a kind of perferred technical scheme, it is in 10 °~20 ° arcs between first cuff and first annular cuff
Structure, the two is at a distance of 1cm-3cm, and with annular cuff to be in same plane direction opposite for curved angle.
As a kind of perferred technical scheme, the obstruction conduit is hollow-core construction, a diameter of 1mm-4.5mm.
As a kind of perferred technical scheme, the tracheal catheter is single-lumen bronchial tube ontology.
As a kind of perferred technical scheme, a closing is formed between the second annular cuff and blocking pipe end
Space.
As a kind of perferred technical scheme, the first screw thread interface tube is international standard lung ventilator interface.
As a kind of perferred technical scheme, the tracheal catheter further includes balloon catheter and introduction valve.
As a kind of perferred technical scheme, the balloon catheter is respectively arranged on first annular cuff and the second cuff
Top position is in hollow annular structure, and respectively at a distance of 0.2cm-0.6cm between the first cuff and the second cuff, described
Introduction valve is set to the terminal position of tracheal catheter ontology.
As a kind of perferred technical scheme, by being connected with each other between the balloon catheter and introduction valve, and air cavity
Catheter surface is equipped with multiple apertures.
The invention has the advantages that：
1, using complementary mating reaction between obstruction conduit and tracheal catheter, one-lung ventilation can be carried out in patient and controlled
When treatment, effectively obstruct and wither Ipsilateral lungs, and the bronchus of Ipsilateral lung is blocked by obstruction conduit, avoids blood or sputum
Outflow, and oxygen therapy is implemented to Ipsilateral lung when necessary using hollow obstruction conduit simultaneously and attracts the work of blood or secretion
With.After obstructing Ipsilateral lung, strong side lung can effectively implement one-lung ventilation and ensure that body oxygen supplies.
2, abundant using the first annular cuff and fixed Bronchofiberscope head end in obstruction conduit front end, to which obstruction conduit is being placed in
During, it can carry out setting pipe by the impulse of Bronchofiberscope, while facilitating inspection to treat, easily facilitate and set pipe rapidly
It completes.
3, the bronchus of patient's Ipsilateral lung is blocked using obstruction conduit, is on the one hand convenient for operative space in Ipsilateral thoracic cavity sudden and violent
Dew, facilitates the progress of operative treatment, on the other hand, blood or sputum in Ipsilateral lung is avoided to flow in Jian Ce lungs, to
Effectively avoid the infected risk of Jian Ce lungs.
4, tracheal catheter front end is single lumen catheter, since placed-depth only reaches the upper stage casing of main tracheae, can avoid tracheae
Bulge region of conduit during merging between patient lungs, which generates, to squeeze and stimulates, to alleviate the bad god of patient
Through reflection.
5, it is inflated, can be made into the second annular cuff on the inside of tracheal catheter body tip using the 4th charge valve of control
It obtains the second annular cuff and fixes blocking pipe end, and an enclosure space is formed between the second annular cuff and blocking pipe, together
When, fixed and scale measurement of pressurizeing well can be played the role of to obstruction conduit.
6, lung ventilator is connected outside the first screw thread interface tube of tracheal catheter body tip side by control, led at this time
Respiratory work to patient Jian Ce lungs can be completed by crossing tracheal catheter, and using the second annular cuff and be blocked between pipe end
The enclosure space of formation so that the gas in tracheal catheter will not leak outside, and Ipsilateral lung is carried out to patient to just sustainable
Treatment and Jian Ce lungs ventilation work.
When 7, needing to continue ventilator support treatment in patient to care unit, only obstruction conduit need to be exited, and by tracheae
It is just sustainable defeated to patient's progress using lung ventilator after catheter body end the second screw thread interface tube is covered using tracheae lid
Oxygen greatly reduces the risk and adverse events of patient so as to avoid needing replacing other conduits and repeatedly setting necessity of pipe
Incidence.
8, the design of obstruction conduit hollow-core construction can utilize general after catheter body completes Ipsilateral lung bronchial obstruction
After the cap that catheter body bottom is equipped with is removed, Ipsilateral lung can be exhausted using catheter body so that lung is complete
Impotence, which is sagged, to be come, convenient for exposure operative space, meanwhile, obstruction conduit can be played when necessary due to hollow design to Ipsilateral lung
Cured by oxygen therapy and attracted the effect of Ipsilateral pulmonary blood and secretion.
9, it by being equipped with air cavity pipeline on obstruction conduit and tracheal catheter, is noted into pipeline by tubule using introduction valve
Enter anaesthetic, after anaesthetic is overflowed by aperture, can to above and below the bulge region and glottis of patient and throat position into
Row surface anesthesia, greatly reducing reduces patient to being difficult to the degree being resistant to after being inserted into tracheal catheter, greatly reduces downern
Use, may advantageously facilitate the expectoration of patient and the recovery of respiratory function, reduce pneumonia incidence, reduce the death rate, payment for medical care
With and the hospital stays, be conducive to the quick recovery of patient.
10, since the twoport of tracheal catheter designs, one end can connect breathing machine ventilation, another interface is sealing when not used
It closes, if patient needs to carry out Fibro-bronchoscopy test and treatment, channel, and the ring of tracheal catheter terminus inner can be provided for it
The controllable closing function of shape cuff, after Bronchofiberscope enters tracheal catheter, suitably to annular sleeve bag gas-filling while ensureing to check,
Certain seal is maintained, the first hickey is not influenced and patient is cured by oxygen therapy.
11, while the first hickey connects lung ventilator oxygen uptake, conduit can be inserted by pipeline by the second hickey,
Then tracheal catheter annular cuff is suitably inflated to closed state, in due course or is continuously patient and carries out Neulized inhalation or tracheal strips
Drug therapy.
Description of the drawings
Attached drawing 1, which is that the present invention is a kind of, to guide the trachea cannula external member of downlink bronchial obstruction to block the vertical of pipe in Bronchofiberscope
Body structural schematic diagram.
Attached drawing 2, which is that the present invention is a kind of, to guide the trachea cannula external member of downlink bronchial obstruction to block the flat of pipe in Bronchofiberscope
Face schematic diagram.
Attached drawing 3 is a kind of trachea cannula external member tracheal catheter that downlink bronchial obstruction can be guided in Bronchofiberscope of the present invention
Dimensional structure diagram.
Attached drawing 4 is a kind of trachea cannula external member tracheal catheter that downlink bronchial obstruction can be guided in Bronchofiberscope of the present invention
Floor map.
Attached drawing 5 is a kind of trachea cannula external member tracheal catheter sheet that downlink bronchial obstruction can be guided in Bronchofiberscope of the present invention
The enlarged diagram of the annular cuff in body end second.
Attached drawing 6 is a kind of knot that can be when Bronchofiberscope guides the trachea cannula external member of downlink bronchial obstruction to use of the present invention
Structure schematic diagram.
7 present invention of attached drawing is a kind of to guide the trachea cannula external member simulation of downlink bronchial obstruction to block patient in Bronchofiberscope
The floor map of left bronchus.
8 another kind of the present invention of attached drawing can be in the trachea cannula external member obstruction conduit of Bronchofiberscope guiding downlink bronchial obstruction
Dimensional structure diagram.
Attached drawing 9 is the trachea cannula external member obstruction conduit that another kind of the present invention can guide downlink bronchial obstruction in Bronchofiberscope
Dimensional structure diagram.
Attached drawing 10 is the trachea cannula external member air cavity pipe that another kind of the present invention can guide downlink bronchial obstruction in Bronchofiberscope
The floor map in road
Attached drawing 11 is the floor map of existing Bronchofiberscope.
Specific implementation mode
It elaborates below in conjunction with the accompanying drawings to specific implementation mode provided by the invention.
Reference numeral and component part involved in attached drawing is as follows：
1. 11. catheter body of obstruction conduit
12. 13. first sleeve of graduation mark
134. 135. second charge valve of the first charge valve
14. 15. tubule of first annular cuff
16. 17. tube wall of cap
18. 2. tracheal catheter of finer wire
21. 22. first screw thread interface tube of tracheal catheter ontology
23. 234. tracheae lid of the second screw thread interface tube
24. the second 245. third charge valve of annular cuff
246. the 4th charge valve, 25. second cuff
26. 27. balloon catheter of catheter wall
271. aperture, 28. introduction valve
3. Bronchofiberscope
Embodiment 1
Attached drawing 1,2,3 and 4 is please referred to, Fig. 1 is a kind of tracheae that downlink bronchial obstruction can be guided in Bronchofiberscope of the present invention
It is intubated dimensional structure diagram, the floor map of obstruction conduit, the stereochemical structure of the tracheal catheter signal of external member obstruction conduit
The floor map of figure and tracheal catheter.A kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope, it is described
Trachea cannula external member include obstruction conduit 1, tracheal catheter 2；The obstruction conduit 1 includes catheter body 11；Described leads
11 surface of tube body is equipped with graduation mark 12；1 front position of catheter body is equipped with the first cuff 13；The first set
13 top position of capsule is equipped with first annular cuff 14；It is convexly curved before first cuff 13 and first annular cuff 14
Structure；11 terminal position of catheter body is respectively equipped with the first cuff 13 of connection, first annular cuff 14 by tubule 15
The first charge valve 134 and the second charge valve 135；11 bottom of catheter body is connected with cap 16；Described is thin
15 main body of pipe is set in the tube wall 17 of catheter body 1；It is additionally provided with finer wire 18 in 11 inner wall of catheter body；
The tracheal catheter 2 include tracheal catheter ontology 21, the first screw thread interface tube 22, the second screw thread interface tube 23,
Second annular cuff 24；21 surface of tracheal catheter ontology is again provided with graduation mark 12；The tracheal catheter ontology 21
Front position is equipped with the second cuff 25；The first screw thread interface tube 22 is set to 21 end profile of tracheal catheter ontology；It is described
The second screw thread interface tube 23 be set to tracheal catheter ontology 21 end；First hickey 22 and the second screw thread connect
It is separately connected equipped with tracheae lid 234 on mouth 23；The annular cuff 25 of described second is set in the end of tracheal catheter ontology 21
Side；21 end of tracheal catheter ontology again by tubule 15 by being respectively equipped with the 25, second annular of the second cuff of connection
The third charge valve 245 and the 4th charge valve 246 of cuff 24；15 main body of tubule is set to the conduit of tracheal catheter ontology 21
In wall 26；It is again provided with finer wire 18 in 21 inner wall of tracheal catheter ontology；The obstruction conduit 1 is placed in when in use
In tracheal catheter 2.
It should be noted that：The obstruction conduit 1 and tracheal catheter 2 is all made of special soft resin material and is made, soft
Good toughness, the two are both independent individual, are again when in use complementary；1 top cross-sectional of obstruction conduit is
Passivity structure, bottom are equipped with side opening, can prevent obstruction conduit 1 from damaging tracheal wall during merging；The tracheal catheter 2
Top is inclined open formula structure, and bottom is again provided with side opening；The catheter body 11 is hollow-core construction, a diameter of 1mm-
4.5mm, top cross-sectional are blunt form structure；After the cap 16 that bottom is equipped with is removed in the utilization, conduit can be utilized
Ipsilateral lung is exhausted in ontology 11 so that lung withers completely, convenient for exposure operative space and treatment；Described leads
It is in 10 °~20 ° structures between 11 front end of tube body the first cuff 13 being equipped with and first annular cuff 14, and the two is at a distance of 1cm-
3cm, the direction of curved angle are in same plane and direction on the contrary, being convenient for the placement of obstruction conduit 1 with annular cuff；Described
First annular cuff 13 is that can increase the frictional force between Bronchofiberscope using particle after inflation with granular cuff,
Ensure fixation between Bronchofiberscope and obstruction conduit 1；The blocking pipe 1 when in use, by the way that Bronchofiberscope head end is placed in
After in the first annular cuff 14 of 11 front position of catheter body, filled into first annular cuff 14 using the second charge valve 135
Gas so that first annular cuff 14 fixes Bronchofiberscope head end, by that will block the merging of pipe 1 and in tracheal catheter 2, utilize
The Bronchofiberscope impulse for blocking 1 front end of pipe can make the head end for blocking pipe 1 quickly, to be intuitively placed in the portion that needs block
Position；
After the impulse using Bronchofiberscope will block the placement of pipe 1 designated position, by controlling the first charge valve
134 inflate into the first cuff 13, can effectively utilize the first cuff 13 to fix and block 1 ontology of pipe and to patient's Ipsilateral
The bronchus blocked required for lung is blocked, to avoid being flow in strong side lung outside the blood or sputum in Ipsilateral lung,
Strong side pulmonary infection is caused, meanwhile, block Ipsilateral lung, row detection pulmonary ventilation；First cuff 13 of working as completes Ipsilateral lung
After bronchial obstruction, then by control the second charge valve 135 by first annular cuff 14 gas discharge after, first annular set
Capsule 14 is soft, you can fast and safely exits Bronchofiberscope ontology；The graduation mark 12 set on 11 surface of catheter body is used
In judge obstruction conduit 1 enter patient airway in depth and position；
The tracheal catheter 2 when in use, under the observation of laryngoscope, catheter proximal end is placed in patient airway, is passed through
The third charge valve 245 that 21 end of control tracheal catheter ontology is equipped with is inflated into the second cuff 25, to can make tracheae
The position of conduit 2 is fixed；2 front end of tracheal catheter is single lumen catheter, and it is right during merging to can avoid tracheal catheter 2
Bulge region between patient lungs, which generates, to squeeze and stimulates, to alleviate the reflection of patient's adverse neurological；The tracheae is led
After 2 position of pipe is fixed, the fixed blocking of obstruction conduit 1 is completed in patient's Ipsilateral lung bronchus by the way that obstruction conduit 1 to be placed in
And Bronchofiberscope exit work after, then by controlling the 4th charge valve 246 to the be equipped on the inside of 21 end of tracheal catheter ontology
It is inflated in second ring cuff 24, while can make the second annular cuff 24 to fix blocking 1 end of pipe, the second annular cuff
An enclosure space is formed between 24 and 1 end of blocking pipe；
The first screw thread interface tube 22 is international standard lung ventilator interface；Described is set to tracheal catheter by control
Lung ventilator is connected outside first screw thread interface tube 22 of 21 end profile of ontology, can be completed to patient by tracheal catheter 2 at this time
The respiratory work of Jian Ce lungs, and using the second annular cuff 24 and block the enclosure space formed between 1 end of pipe so that gas
Gas in pipe conduit 2 will not leak outside, and the blocking hemostatic treatment of Ipsilateral lung and strong side are carried out to patient to just sustainable
The oxygen therapy of lung；21 surface of tracheal catheter ontology is again provided with graduation mark 12 for judging that tracheal catheter 2 enters patient
Endotracheal depth and position；
It is described after the completion of chest operation, when need to go to ward mornitoring, if patient still needs to lung ventilator and holds after assessment
Continuous assisted ventilation treatment, then, it at this time only need to be by controlling the first charge valve 134 and the 4th charge valve 246 by the first cuff 13
And the second gas in annular cuff 24 is released, and after taking out and blocking pipe 1, by by 21 the second screw thread of end of tracheal catheter ontology
After interface tube 24 is covered using tracheae lid 234,1 ontology of tracheal catheter is air tight, can directly utilize lung ventilator to patient into
Row assisted ventilation is treated, and so as to avoid needing replacing other conduits and repeatedly setting necessity of pipe, greatly reduces the wind of nursing
Nearly and reduce adverse reaction；The first screw thread interface tube 22 and the second screw thread interface tube 23 utilizes general when unused
After the tracheae lid 234 of connection covers, it can avoid being polluted inside tracheal catheter 2, improve the safety in utilization of tracheal catheter.
The a kind of of the present invention can be in the application method of the trachea cannula external member of Bronchofiberscope guiding downlink bronchial obstruction：It is first
First, tracheal catheter 2 is placed in by corresponding position in patient airway by laryngoscope, by controlling second set of third charge valve 245 casees
It is inflated in capsule 25 so that the position of tracheal catheter 2 is fixed.Secondly, it is set by the way that Bronchofiberscope head end is placed in blocking 1 front position of pipe
In the first annular cuff 14 having, is inflated into first annular cuff 14 by controlling the second charge valve 135, fibre can be fixed
Then Zhi Jing passes through 1 front end of obstruction conduit from tracheal catheter 2, by the impulse of Bronchofiberscope, determine and block pipe 1
After the placement location of head end, is inflated, is fixed after blocking 1 position of pipe into the first cuff 13 by controlling the first charge valve 134,
First annular cuff 14 is completed after deflating by controlling the second charge valve 135, takes out Bronchofiberscope.Finally, pass through control the 4th
It is inflated in the second annular cuff 24 that charge valve 246 is equipped with to 2 end of tracheal catheter inside so that the second annular cuff 24 is fixed
1 end of pipe is firmly blocked, and forms an enclosure space between the two, then is breathed by connection outside the first screw thread interface tube 22
Machine, to by above step, complete that patient's Ipsilateral lung is isolated and be good for side lung ventilation work to patient.
Embodiment 2
Attached drawing 8,9 and 10 is please referred to, 8 another kind of the present invention of attached drawing can guide the tracheae of downlink bronchial obstruction in Bronchofiberscope
It is intubated the dimensional structure diagram of external member obstruction conduit, attached drawing 9 is that another kind of the present invention can be in Bronchofiberscope guiding downlink bronchus
The dimensional structure diagram of the trachea cannula external member obstruction conduit of blocking, attached drawing 10 is another kind of the present invention to draw in Bronchofiberscope
Lead the floor map of the trachea cannula external member air cavity pipeline of downlink bronchial obstruction.The present embodiment is substantially the same manner as Example 1,
The difference is that the second annular cuff in first annular cuff 14 and tracheal catheter 2 in obstruction conduit 1 in the present embodiment
24 tops are equipped with air cavity pipeline 27；The air cavity pipeline 27 is equipped with multiple apertures 271；Inside the air cavity pipeline 27
For ring-shaped hollow structure, it is built in the tube wall 17 of obstruction conduit 1 and the catheter wall 26 of tracheal catheter；Described is first annular
Cuff 14 is respectively 0.2cm-0.6cm with first annular annular the distance between cuff 24 and air cavity pipeline 27；The blocking
Conduit 1 and 2 end of tracheal catheter are equally equipped with the introduction valve 28 of connection air cavity pipeline 27 by tubule 15 respectively；Described is logical
It crosses on obstruction conduit 1 and tracheal catheter 2 and is respectively equipped with air cavity pipeline 27, injected into pipeline by tubule 15 using introduction valve 28
Anaesthetic, anaesthetic by aperture 271 overflow after, can to above and below the bulge region and glottis of patient and throat position into
Row surface anesthesia reduces the excitement of bulge region, and greatly reducing reduces patient to being difficult to the journey being resistant to after being inserted into tracheal catheter
Degree, greatly reduces the use of downern, is conducive to the quick recovery of patient.
A kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope of the present invention, using obstruction conduit and
Complementary mating reaction between tracheal catheter can block trouble when patient carries out one-lung ventilation treatment by obstruction conduit
The double lungs of the tracheal catheter of side lung, effectively barrier, wither Ipsilateral lungs, sudden and violent convenient for thoracoscope Minimally Invasive Surgery and Ipsilateral open chest surgery
Reveal surgical field of view, avoid the outflow of blood or sputum, and is convenient for ventilating to strong side lung simultaneously；Obstruction conduit front end is bending
The design of arc, and Bronchofiberscope head end is fixed using first annular cuff, it, can be by which obstruction conduit is during merging
The impulse of Bronchofiberscope carries out setting pipe, more intuitive to be convenient for merging and block operation while facilitating inspection to treat；It utilizes
Obstruction conduit blocks the bronchus of patient's Ipsilateral lung, and the progress of Ipsilateral pulmonary surgery treatment is on the one hand convenient on the other hand to keep away
Against in the lung of side blood or sputum flow in Jian Ce lungs, to effectively avoiding the infected risk of Jian Ce lungs, meanwhile,
Conveying oxygen can be carried out in the case of necessity to Ipsilateral lung and completes the attraction to blood and secretion.
Tracheal catheter front end is single lumen catheter, since merging only reaches the middle epimere of tracheae, can avoid tracheal catheter and is setting
Bulge region during entering between patient lungs, which generates, to squeeze and stimulates, to alleviate the reflection of patient's adverse neurological；
It is inflated into the second annular cuff on the inside of tracheal catheter body tip using the 4th charge valve of control, can make the second annular
Cuff fixes blocking pipe end, and forms an enclosure space between the second annular cuff and blocking pipe；It is set to by control
Lung ventilator is connected outside first screw thread interface tube of tracheal catheter body tip side, can be completed by tracheal catheter to suffering from this time
The respiratory work of the sides Zhe Jian lung, and using the second annular cuff and block the enclosure space formed between pipe end so that gas
Gas in pipe conduit will not leak outside, to the oxygen therapy of the just sustainable blocking and Jian Ce lungs for carrying out Ipsilateral lung to patient
Work；When needing to continue row assisted mechanical ventilator in patient to care unit, only obstruction conduit need to be exited, and by tracheal catheter
It is just sustainable auxiliary to patient's progress lung ventilator using lung ventilator after body tip the second screw thread interface tube is covered using tracheae lid
Respiratory therapy is helped, so as to avoid needing replacing other conduits and repeatedly setting necessity of pipe, greatly reduces the wind of invasive operation
Danger and the adverse events incidence for alleviating patient；
The design of obstruction conduit hollow-core construction, can be after catheter body completes Ipsilateral lung bronchial obstruction, using will lead
After the cap that tube body bottom is equipped with is removed, Ipsilateral lung can be exhausted using catheter body so that lung withers completely
It sags and, convenient for operation and treatment；By being equipped with air cavity pipeline on obstruction conduit and tracheal catheter, passed through using introduction valve thin
Pipe injects anaesthetic into pipeline, after anaesthetic is overflowed by aperture, can to the bronchus of patient and bulge region into
Row surface anesthesia reduces the excitement of bulge region, and greatly reducing reduces patient to being difficult to the journey being resistant to after being inserted into tracheal catheter
Degree, greatly reduces the use of downern, is conducive to the quick recovery of patient.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, under the premise of not departing from the method for the present invention, can also make several improvement and supplement, these are improved and supplement also should be regarded as
Protection scope of the present invention.
Claims (10)
1. a kind of trachea cannula external member that can guide downlink bronchial obstruction in Bronchofiberscope, the trachea cannula external member include stifled
Fill in conduit, tracheal catheter；The obstruction conduit includes catheter body；The catheter body surface is equipped with graduation mark；It is described
Catheter body front position be equipped with the first cuff；The first cuff top position is equipped with first annular cuff；Described
Be convexly curved structure before first cuff and first annular cuff；The catheter body terminal position is set respectively by tubule
There are the first charge valve and the second charge valve of the first cuff of connection, first annular cuff；The catheter body bottom connection is set
There is cap；The tubule main body is set in the tube wall of catheter body；It is additionally provided with finer wire in the catheter body inner wall；
The tracheal catheter includes tracheal catheter ontology, the first screw thread interface tube, the second screw thread interface tube, the second annular sleeve
Capsule；The tracheal catheter body surface is again provided with graduation mark；The tracheal catheter ontology front position is equipped with second set
Capsule；The first screw thread interface tube is set to tracheal catheter body tip side；The second screw thread interface tube is set to tracheae
The end of catheter body；It is separately connected equipped with tracheae lid on first hickey and the second hickey；Described
Second ring cuff is set on the inside of the end of tracheal catheter ontology；The tracheal catheter body tip passes through again by tubule point
The third charge valve and the 4th charge valve of the second cuff, the second annular cuff She You not connected；The tubule main body is set to gas
In the catheter wall of pipe catheter body；It is again provided with finer wire in the tracheal catheter inner body wall；The obstruction conduit exists
It is placed in tracheal catheter when use.
2. trachea cannula external member according to claim 1, which is characterized in that first cuff and first annular cuff
Between be in 10 °~20 ° arcuate structures, the two is at a distance of 1cm-2cm, and arc oblique angle is in same plane position with first annular cuff
It sets opposite.
3. trachea cannula external member according to claim 1, which is characterized in that the obstruction conduit top cross-sectional is blunt
Property structure, be inclined open formula structure at the top of tracheal catheter.
4. trachea cannula external member according to claim 3, which is characterized in that the obstruction conduit is hollow-core construction, directly
Diameter is 1mm-4.5mm.
5. trachea cannula external member according to claim 3, which is characterized in that the tracheal catheter is single-lumen bronchial tube
Ontology.
6. trachea cannula external member according to claim 1, which is characterized in that the annular cuff of described second and blocking pipe end
An enclosure space is formed between end.
7. trachea cannula external member according to claim 1, which is characterized in that the first screw thread interface tube is international marks
Quasi- lung ventilator interface.
8. trachea cannula external member according to claim 1, which is characterized in that the tracheal catheter further includes balloon catheter
And introduction valve.
9. trachea cannula external member according to claim 1, which is characterized in that the balloon catheter is respectively arranged on the first ring
The top position of shape cuff and the second cuff is in hollow annular structure, and between the first cuff and the second cuff respectively apart
0.2cm-0.6cm, the introduction valve are set to the terminal position of tracheal catheter ontology.
10. trachea cannula external member according to claim 1, which is characterized in that between the balloon catheter and introduction valve
By being connected with each other, and balloon catheter surface is equipped with multiple apertures.
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| CN201810430308.8A CN108498928B (en) | 2018-05-08 | 2018-05-08 | Tracheal cannula external member capable of guiding descending bronchus to block under bronchofiberscope |
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|---|---|---|---|
| CN201810430308.8A CN108498928B (en) | 2018-05-08 | 2018-05-08 | Tracheal cannula external member capable of guiding descending bronchus to block under bronchofiberscope |
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| CN111419162A (en) * | 2020-03-24 | 2020-07-17 | 北京大学第三医院（北京大学第三临床医学院） | Fiber bronchoscope puts a tub director |
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| CN114209916A (en) * | 2022-01-21 | 2022-03-22 | 郑州大学 | Severe pneumonia patient's alveolar lavage ware |
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