CN109498966B - Bronchoscopy bronchotuberculosis auxiliary therapeutic device - Google Patents
Bronchoscopy bronchotuberculosis auxiliary therapeutic device Download PDFInfo
- Publication number
- CN109498966B CN109498966B CN201910028836.5A CN201910028836A CN109498966B CN 109498966 B CN109498966 B CN 109498966B CN 201910028836 A CN201910028836 A CN 201910028836A CN 109498966 B CN109498966 B CN 109498966B
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- Prior art keywords
- liquid
- balloon
- tube
- inner tube
- liquid medicine
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- 230000001225 therapeutic effect Effects 0.000 title claims abstract description 15
- 238000013276 bronchoscopy Methods 0.000 title description 4
- 239000007788 liquid Substances 0.000 claims abstract description 126
- 239000003814 drug Substances 0.000 claims abstract description 60
- 201000008827 tuberculosis Diseases 0.000 claims abstract description 31
- 210000003437 trachea Anatomy 0.000 claims description 10
- 238000005507 spraying Methods 0.000 claims description 8
- 238000004891 communication Methods 0.000 claims description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 7
- 210000000621 bronchi Anatomy 0.000 description 18
- 239000007924 injection Substances 0.000 description 4
- 238000002347 injection Methods 0.000 description 4
- 210000004877 mucosa Anatomy 0.000 description 3
- 210000004876 tela submucosa Anatomy 0.000 description 3
- 241000187479 Mycobacterium tuberculosis Species 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 239000002504 physiological saline solution Substances 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 206010062717 Increased upper airway secretion Diseases 0.000 description 1
- 238000009098 adjuvant therapy Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 206010006451 bronchitis Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000003628 erosive effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000001926 lymphatic effect Effects 0.000 description 1
- 230000007721 medicinal effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 208000026435 phlegm Diseases 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000000699 topical 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
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- 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
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10181—Means for forcing inflation fluid into the balloon
-
- 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
- A61M2025/0001—Catheters; Hollow probes for pressure measurement
- A61M2025/0002—Catheters; Hollow probes for pressure measurement with a pressure sensor at the distal end
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1025—Respiratory system
- A61M2210/1035—Bronchi
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Child & Adolescent Psychology (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention discloses an auxiliary therapeutic device for bronchotuberculosis under a bronchoscope, which comprises an auxiliary therapeutic tube body capable of sliding along a guide channel arranged on the bronchoscope; the auxiliary treatment tube body comprises an inner tube for conveying liquid, a liquid inlet of the inner tube is respectively communicated with a liquid supply device for supplying liquid and a liquid suction device for sucking out the liquid, and a balloon is arranged at a liquid outlet of the inner tube; an outer tube is arranged outside the inner tube, and a liquid medicine conveying cavity for conveying liquid medicine for treating bronchial tuberculosis is formed between the inner tube and the outer tube. The invention can ensure that the liquid medicine for treating the bronchial tuberculosis stays at the focus of the patient for a long time, and the time of the liquid medicine staying at the focus of the patient is controlled by medical staff, so that the bronchial tuberculosis can be effectively treated, and the treatment effect is better.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to an auxiliary bronchoscopy tuberculosis therapeutic device.
Background
Bronchial tuberculosis refers to tuberculosis that occurs in the trachea, bronchial mucosa and submucosa. The most common infection route of adult bronchus tuberculosis is that mycobacterium tuberculosis in the focus of the lung is directly implanted into the bronchus mucosa, and then the focus of the lung can invade the bronchus mucosa through the surrounding tissues of the bronchus; mycobacterium tuberculosis can also spread through blood and lymphatic drainage to first invade the submucosa of the bronchi and then involve the submucosa. The children's bronchus tuberculosis usually causes tuberculous bronchitis due to erosion of bronchi adjacent to the mediastinal lymphoid tuberculosis.
Bronchial tuberculosis should be based on systemic treatment; in the case of topical treatment, bronchoscopes are one of the most frequently used medical devices. During the interventional therapy under the bronchoscope, medical staff can inject the liquid medicine for treating the bronchotuberculosis into the tracheal lumen of a patient, at present, two modes of injection are mainly adopted, one mode is to directly inject about 3ml of liquid medicine into the bronchus of the patient, and the liquid medicine can not stay at the focus of the bronchotuberculosis of the patient directly by adopting the mode of injection, so that the treatment effect is poor; meanwhile, the liquid medicine flows to the deep part along with the phlegm and the bronchus tuberculosis necrosis, so that the bronchus of the tuberculosis is spread, and the illness state can be aggravated in a short period. The other is to puncture and inject medicine under the action of a bronchoscope under the mucous membrane near the focus of the patient, and the injection mode is extremely easy to cause damage and bleeding, thereby bringing great pain to the patient.
However, aiming at the defects of the prior art, a researcher needs to develop an auxiliary bronchoscope tuberculosis therapeutic device which has reasonable design, simple structure and convenient operation, can ensure that the liquid medicine for treating the bronchotuberculosis stays at the focus of the bronchotuberculosis of a patient for a long time, controls the stay time of the liquid medicine at the focus of the bronchotuberculosis of the patient by medical staff, can effectively treat the bronchotuberculosis and has better therapeutic effect.
Disclosure of Invention
The invention aims to solve the problems in the prior art and provides the bronchoscopy auxiliary therapeutic device which has reasonable design, simple structure and convenient operation, can ensure that the liquid medicine for treating the bronchotuberculosis stays at the focus of the bronchotuberculosis of a patient for a long time, controls the stay time of the liquid medicine at the focus of the bronchotuberculosis of the patient by medical staff, can effectively treat the bronchotuberculosis and has better treatment effect.
In order to solve the technical problems, the invention is realized by adopting the following technical scheme:
an auxiliary therapeutic device for bronchotuberculosis under a bronchoscope, which comprises an auxiliary therapeutic tube body capable of sliding along a guide channel arranged on the bronchoscope;
the auxiliary treatment tube body comprises an inner tube for conveying liquid, a liquid inlet of the inner tube is respectively communicated with a liquid supply device for supplying liquid and a liquid suction device for sucking out the liquid, and a balloon is arranged at a liquid outlet of the inner tube;
the outer side of the inner tube is provided with an outer tube, a liquid medicine conveying cavity for conveying liquid medicine for treating bronchial tuberculosis is formed between the inner tube and the outer tube, the upper end of the outer tube is provided with a liquid inlet communicated with the liquid medicine conveying cavity, the liquid medicine conveying cavity is respectively communicated with a liquid medicine source for providing liquid medicine for treating bronchial tuberculosis and a liquid medicine sucking device through the liquid inlet, and a plurality of medicine spraying holes communicated with the liquid medicine conveying cavity are formed in the circumference of the lower end of the outer tube along the circumferential interval of the outer tube.
In a preferred embodiment of the invention, a balloon hiding counter bore for hiding a balloon which is not filled with liquid is arranged at the lower end of the inner tube, and the balloon is communicated with a liquid outlet of the inner tube through an elastic tube with better elasticity.
In a preferred embodiment of the invention, a pressure sensor is provided on the balloon, which is in communication with a controller for controlling the operating state of the liquid supply device.
In a preferred embodiment of the invention, the liquid is physiological saline.
Compared with the prior art, the invention has the advantages that the balloon is arranged at the liquid outlet of the inner tube, when the treatment of the bronchus tuberculosis is carried out on a patient, one end of the auxiliary treatment tube body provided with the balloon slides to the far end of a focus of the patient under the action of the guide channel on the bronchoscope, then liquid is conveyed into the inner tube through the liquid supply device, the liquid flows into the balloon through the inner tube, the balloon gradually becomes larger and is contacted with the inner wall of the trachea of the patient, when the pressure between the balloon and the inner wall of the trachea of the patient reaches the set pressure, the controller controls the liquid supply device to stop conveying the liquid, the purpose of sealing the bronchus at a short time is achieved, then the liquid medicine for treating the bronchus tuberculosis is conveyed to the medicine spraying hole through the liquid medicine conveying cavity, the liquid medicine is sprayed to the focus of the patient through the medicine spraying hole, and meanwhile the liquid medicine for stopping at the focus of the patient under the action of the balloon, the liquid medicine for a long time at the focus of the patient can be controlled by personnel, and after the treatment is finished, the liquid medicine is sucked out from the trachea of the patient through the suction device, the liquid medicine is prevented from flowing to the far end of the bronchus of the patient, and the tuberculosis treatment effect is improved, and the medical effect is achieved.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic view of the structure of the balloon of the present invention before injecting liquid.
Fig. 2 is an enlarged view at a of fig. 1.
Fig. 3 is a schematic view of the structure of the balloon of the present invention after injection of liquid.
Detailed Description
The invention is further described with reference to the following detailed drawings in order to make the technical means, the creation characteristics, the achievement of the purpose and the effect of the implementation of the invention easy to understand.
Referring to fig. 1-3, a bronchoscopic adjuvant therapy apparatus is shown that includes a body 200 that is slidable along a guide channel provided on a bronchoscope 100.
The auxiliary treatment tube 200 includes an inner tube 210 for delivering liquid, the liquid inlet of the inner tube 210 is respectively communicated with a liquid supply device for supplying liquid and a liquid suction device for sucking out liquid, and a balloon 250 is arranged at the liquid outlet of the inner tube 210, wherein the liquid is physiological saline in this embodiment.
An outer tube 220 is provided at the outer side of the inner tube 210, a liquid medicine delivery chamber 230 for delivering liquid medicine for treating bronchial tuberculosis is formed between the inner tube 210 and the outer tube 220, a liquid inlet hole is provided at the upper end of the outer tube 220, the liquid medicine delivery chamber is respectively communicated with a liquid medicine source for providing liquid medicine for treating bronchial tuberculosis and a liquid medicine sucking device through the liquid inlet hole, and a plurality of medicine spraying holes 221 communicated with the liquid medicine delivery chamber 230 are provided at the circumference of the lower end of the outer tube 220 along the circumferential direction thereof at intervals.
The lower end of the inner tube 210 is provided with a balloon hiding counter bore 260 for hiding the balloon 250 which is not filled with liquid, the balloon 250 is communicated with a liquid outlet of the inner tube 210 through an elastic tube 240 with better elasticity, the elastic tube 240 can enable the elastic tube 240 to move in the balloon hiding counter bore 260 with the balloon 250 under the action of the weight of the liquid when the liquid is injected, and after the liquid is sucked out of the balloon 250, the balloon 250 can be driven to shrink into the balloon hiding counter bore 260 under the action of the elastic force of the elastic tube 240.
The balloon 250 is provided with a pressure sensor which is in communication connection with a controller for controlling the working state of the liquid supply device, and the structure is adopted to avoid the balloon 250 from causing larger pressure to the inner wall 300 of the trachea of a patient, so that the safety performance of the bronchoscope bronchotuberculosis auxiliary therapeutic apparatus is improved.
The specific operation of the invention is as follows:
when the patient is treated for the bronchial tuberculosis, one end of the auxiliary treatment tube body provided with the balloon 250 slides to the focus 400 of the patient under the action of the guide channel on the bronchoscope 100, then liquid is conveyed into the inner tube 210 through the liquid supply device, the liquid flows into the balloon 250 through the inner tube 210, the balloon 250 gradually becomes larger and contacts with the inner tracheal wall 300 of the patient, when the pressure between the balloon 250 and the inner tracheal wall 300 of the patient reaches the set pressure, the controller controls the liquid supply device to stop conveying the liquid, then the liquid medicine for treating the bronchial tuberculosis is conveyed to the medicine spraying hole 221 through the liquid medicine conveying cavity 230, the liquid medicine is sprayed to the focus 400 of the patient through the medicine spraying hole 221, and meanwhile stays at the focus 400 of the patient under the action of the balloon 250; when the treatment of the bronchial tuberculosis of the patient is completed, the liquid in the balloon 250 is sucked out through the liquid suction device.
In summary, the invention is provided with a balloon at the liquid outlet of the inner tube, when the treatment of the bronchus tuberculosis is carried out on a patient, one end of the auxiliary treatment tube body provided with the balloon slides to the far end of the focus of the patient under the action of the guide channel on the bronchoscope, then liquid is conveyed into the inner tube through the liquid supply device, the liquid flows into the balloon through the inner tube, the balloon is gradually enlarged and is contacted with the inner wall of the trachea of the patient, when the pressure between the balloon and the inner wall of the trachea of the patient reaches the set pressure, the controller controls the liquid supply device to stop conveying the liquid, the purpose of sealing the far end bronchus for a short time is achieved, then the liquid medicine for treating the bronchus tuberculosis is conveyed to the medicine spraying hole through the liquid medicine conveying cavity, and meanwhile the liquid medicine is stopped at the focus of the patient under the action of the balloon, the liquid medicine for a long time is stopped at the focus of the patient, the time stopped at the focus of the patient is controlled by medical staff, and after the treatment is finished, the liquid medicine is sucked out from the trachea of the patient through the suction device, the liquid medicine is prevented from flowing to the far end of the trachea, and the tuberculosis treatment effect is improved by adopting the structure after the bronchus tuberculosis treatment effect is achieved.
The foregoing has shown and described the basic principles, principal features and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and that the above embodiments and descriptions are merely illustrative of the principles of the present invention, and various changes and modifications may be made without departing from the spirit and scope of the invention, which is defined in the appended claims. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (3)
1. An auxiliary therapeutic device for bronchotuberculosis under a bronchoscope, which comprises an auxiliary therapeutic tube body capable of sliding along a guide channel arranged on the bronchoscope;
the auxiliary treatment tube body comprises an inner tube for conveying liquid, a liquid inlet of the inner tube is respectively communicated with a liquid supply device for supplying liquid and a liquid suction device for sucking out the liquid, and a balloon is arranged at a liquid outlet of the inner tube;
an outer tube is arranged on the outer side of the inner tube, a liquid medicine conveying cavity for conveying liquid medicine for treating bronchial tuberculosis is formed between the inner tube and the outer tube, a liquid inlet hole communicated with the liquid medicine conveying cavity is formed at the upper end of the outer tube, the liquid medicine conveying cavity is respectively communicated with a liquid medicine source for providing liquid medicine for treating bronchial tuberculosis and a liquid medicine sucking device through the liquid inlet hole, and a plurality of medicine spraying holes communicated with the liquid medicine conveying cavity are formed on the circumference of the lower end of the outer tube at intervals along the circumferential direction of the outer tube;
the lower end of the inner tube is provided with a balloon hiding counter bore for hiding a balloon which is not filled with liquid, the balloon is communicated with a liquid outlet of the inner tube through an elastic tube, when the elastic tube is used for injecting liquid, the elastic tube can enable the balloon to move out of the balloon hiding counter bore with the balloon under the action of the weight of the liquid, and after the liquid is sucked out of the balloon, the balloon can be driven to shrink into the balloon hiding counter bore under the action of the elastic tube under the action of self elastic force; the liquid is conveyed into the inner tube through the liquid supply device, flows into the balloon through the inner tube, gradually enlarges the balloon, and contacts with the inner wall of the trachea of the patient.
2. An accessory bronchoscopic tuberculosis therapeutic device as in claim 1, wherein: the balloon is provided with a pressure sensor which is in communication connection with a controller for controlling the working state of the liquid supply device.
3. An accessory bronchoscopic tuberculosis therapeutic device as in claim 1, wherein: the liquid is normal saline.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910028836.5A CN109498966B (en) | 2019-01-11 | 2019-01-11 | Bronchoscopy bronchotuberculosis auxiliary therapeutic device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910028836.5A CN109498966B (en) | 2019-01-11 | 2019-01-11 | Bronchoscopy bronchotuberculosis auxiliary therapeutic device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109498966A CN109498966A (en) | 2019-03-22 |
| CN109498966B true CN109498966B (en) | 2024-04-12 |
Family
ID=65757758
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910028836.5A Active CN109498966B (en) | 2019-01-11 | 2019-01-11 | Bronchoscopy bronchotuberculosis auxiliary therapeutic device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109498966B (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201168328Y (en) * | 2008-04-01 | 2008-12-24 | 张开贤 | Partial chemotherapy device for oesophagus cancer |
| CN202437949U (en) * | 2012-02-10 | 2012-09-19 | 任磊 | Esophagus local chemotherapy catheter |
| CN105233384A (en) * | 2015-09-19 | 2016-01-13 | 陕西省人民医院 | Trachea cannula capable of monitoring air bag pressure automatically |
| CN206391345U (en) * | 2016-05-31 | 2017-08-11 | 李坤营 | Bronchoalveolar lavage and lung vomica lavation injection foley's tube |
| CN107802946A (en) * | 2017-11-13 | 2018-03-16 | 北京大学第医院 | A kind of bronchoscope foley's tube component |
| CN207755617U (en) * | 2017-05-27 | 2018-08-24 | 无锡市第四人民医院 | A kind of dual cavity bronchus vessel being administered |
| CN210114736U (en) * | 2019-01-11 | 2020-02-28 | 上海市肺科医院 | Bronchoscope lower bronchus tuberculosis auxiliary treatment ware |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6398775B1 (en) * | 1999-10-21 | 2002-06-04 | Pulmonx | Apparatus and method for isolated lung access |
| AU2002336650B2 (en) * | 2001-10-25 | 2008-06-05 | Emory University | Catheter for modified perfusion |
-
2019
- 2019-01-11 CN CN201910028836.5A patent/CN109498966B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201168328Y (en) * | 2008-04-01 | 2008-12-24 | 张开贤 | Partial chemotherapy device for oesophagus cancer |
| CN202437949U (en) * | 2012-02-10 | 2012-09-19 | 任磊 | Esophagus local chemotherapy catheter |
| CN105233384A (en) * | 2015-09-19 | 2016-01-13 | 陕西省人民医院 | Trachea cannula capable of monitoring air bag pressure automatically |
| CN206391345U (en) * | 2016-05-31 | 2017-08-11 | 李坤营 | Bronchoalveolar lavage and lung vomica lavation injection foley's tube |
| CN207755617U (en) * | 2017-05-27 | 2018-08-24 | 无锡市第四人民医院 | A kind of dual cavity bronchus vessel being administered |
| CN107802946A (en) * | 2017-11-13 | 2018-03-16 | 北京大学第医院 | A kind of bronchoscope foley's tube component |
| CN210114736U (en) * | 2019-01-11 | 2020-02-28 | 上海市肺科医院 | Bronchoscope lower bronchus tuberculosis auxiliary treatment ware |
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| Publication number | Publication date |
|---|---|
| CN109498966A (en) | 2019-03-22 |
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