CN109717826A - Branchofiberoscope sputum-suction trachea cannula and its pusher - Google Patents
Branchofiberoscope sputum-suction trachea cannula and its pusher Download PDFInfo
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- CN109717826A CN109717826A CN201910094747.0A CN201910094747A CN109717826A CN 109717826 A CN109717826 A CN 109717826A CN 201910094747 A CN201910094747 A CN 201910094747A CN 109717826 A CN109717826 A CN 109717826A
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- tracheal catheter
- branchofiberoscope
- tube body
- air bag
- cap
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Abstract
The present invention relates to branchofiberoscope sputum-suction trachea cannula and pushers, including tracheal catheter, Bronchofiberscope and pusher, pusher includes the push tube body of hollow tubular, push tube body has the central passage that setting is passed through and penetrated through for branchofiberoscope shank, it pushes tube body front end outer wall and is equipped with guidance air bag, guidance air bag is connected with air injection pipe, the guidance air bag is in the taper that front end is small, tail end is big in the deflated condition, and the tail portion of the guidance air bag is the conduit linking end that linking is adapted to tracheal catheter front-end port.Pusher is introduced, tracheal catheter intubation is assisted, so that tracheal catheter push operation is more simple, branchofiberoscope trachea cannula success rate and safety is greatly improved, reduces patient suffering.
Description
Technical field
The present invention relates to the field of medical instrument technology, are specifically assistors in the operation of branchofiberoscope trachea cannula
Tool.
Background technique
Branchofiberoscope (abbreviation Bronchofiberscope) is to utilize to be pulled by the very high glass of tens of thousands of light transmittances or allyl resin
Light guide bundles composed by very thin fiber, to diagnose a kind of instrument of bronchial disease.The process of Bronchofiberscope trachea cannula are as follows: fiber crops
Liquor-saturated doctor's left hand holds Bronchofiberscope and shank is placed in patient oral cavity or nasal cavity and is pushed ahead, and the right hand holds control stick and according to Bronchofiberscope
Video adjustment, assistant's whole process assist to hold up lower jaw, cover in advance in fibre into 3~4cm of mirror push again after waiting anesthetists to find glottis
Tracheal catheter on Zhi Jing.If push failure, exits 1~2cm of tracheal catheter, and after 90 ° of rotations tracheal catheter counterclockwise again
Secondary push conduit, the power that is such as still hampered 90 ° of rotation tracheal catheters counterclockwise and can push conduit again again.Since Bronchofiberscope enters
The locational space relationship of glottis is uncontrollable (Bronchofiberscope may be to enter tracheae by the most narrow place of glottis), although by
Multiple 90 ° of rotations tracheal catheter counterclockwise can also result in push conduit failure.
Summary of the invention
Objects of the present invention: to overcome defect of the existing technology, the present invention provides a kind of branchofiberoscope gas
Cannula pusher assists tracheal catheter intubation to greatly improve fiber branch so that tracheal catheter push operation is more simple
Airway wall trachea cannula success rate reduces patient suffering.
To achieve the above object, the present invention provides the following technical scheme that
A kind of branchofiberoscope tracheal intubation pushing device, the push tube body including hollow tubular, push tube body, which has, to be supplied
Branchofiberoscope shank passes through and penetrates through the central passage of setting, and push tube body front end outer wall is equipped with guidance air bag, guidance
Air bag is connected with air injection pipe, and the guidance air bag is in the taper that front end is small, tail end is big in the deflated condition, the guidance air bag
Tail portion is the conduit linking end that linking is adapted to tracheal catheter front-end port.
Branchofiberoscope tracheal intubation pushing device application method of the present invention are as follows: in intubation, tracheal catheter is placed on push
On tube body, guidance air bag inflation spatially shape, the front end of tracheal catheter contacts at conduit linking end, realize guidance air bag with
Tracheal catheter adaptation linking, the shank of Bronchofiberscope passes through the central passage of push tube body, by tracheal catheter, pusher and fibre
Zhi Jing is fixed, and is covered into 3~4cm of mirror push in advance again after waiting anesthetists to find glottis and has pusher on Bronchofiberscope
Tracheal catheter, guidance air bag front end on pusher is small, rear end is easier to enter glottis greatly, while under the action of guiding air bag
It realizes and tracheal catheter front end is smoothly imported into glottis, guidance air bag reaches protection tissue, to improve branchofiberoscope
Trachea cannula success rate and safety pump the guidance airbag gas on pusher after tracheal catheter is placed in glottis, guide gas
Capsule reduces, then can extract pusher out of tracheal catheter out, and tracheal catheter is stayed in intratracheally, trachea cannula is completed.
Preferably, the conduit convergence part has the recess of air supply pipe catheter proximal end insertion, and concave edges formation is placed on
The annular shirt rim of tracheal catheter front-end port.Under structure design, guidance air bag pair is realized in recess air supply pipe catheter proximal end insertion
The cladding of tracheal catheter front end avoids tracheal catheter front end exposed, so that intubation is more smooth and improves intubation safety
Property.
Preferably, the female ends face of the conduit convergence part is oblique with being bonded with the front end angle end face of tracheal catheter
Face, annular shirt rim is around the inclined-plane.Under structure design, inclined design makes being connected more for conduit convergence part and conduit nozzle
For close to compact.
Preferably, the end face of conduit linking end is in the inclination with tracheal catheter front end surface shape adaptation.The knot
Under structure design, conduit is connected end in the inclination with tracheal catheter front end surface shape adaptation, so that tracheal catheter and conduit are held in the mouth
Connect the more compact cooperation in end.
Preferably, the push tube body tail portion is cased with the positioning that socket cooperation is positioned with tracheal catheter tail end connection end
It is socketed cap.Under structure design, separable between push tube body and tracheal catheter be located by connecting is realized.
Preferably, the positioning socket cap includes clip-on cap and locking cap, and the clip-on cap includes socket part, socket part
Tail end be equipped with clamping part, clamping part center is equipped with for the centre bore that passes through of push tube body, and clamping part includes with externally threaded
Stud, stud one end are connected with socket part, and the stud other end is extended axially by resilient clamp column, and resilient clamp column is by several weeks
It is surrounded to the resilient clamp block of distribution, centre bore includes being located at the positioning hole section of center stud and being surrounded by resilient clamp block
Hole section is clamped, for the free end outer circumference surface of resilient clamp column in cone, the locking cap includes the spiral shell being screwed on stud screw thread
Line set portion, thread bush portion tail portion are extended with taper cap body, the inner conical chamber of taper cap body and the outer conical surface pair of resilient clamp column
The clamping of composition control resilient clamp column should be cooperated, unclamp push tube body.Under structure design, positioning socket cap is in push pipe sheet
Position-adjustable on body, thus facilitate the location fit between push tube body and tracheal catheter, and under above structure, positioning
It is simple to operate and reliable with push tube body fixation to be socketed cap adjusting.
It is described the present invention also provides a kind of branchofiberoscope sputum-suction trachea cannula, including tracheal catheter and Bronchofiberscope
Tracheal catheter front end is angle, and tracheal catheter tail end is equipped with connection end, it is characterised in that: further includes having catheter propelling device, leads
Pipe pusher includes the push tube body of hollow tubular, and push tube body, which has to pass through and penetrate through for branchofiberoscope shank, to be set
The central passage set, push tube body front end outer wall are equipped with guidance air bag, and guidance air bag is connected with air injection pipe, the guidance air bag
In the deflated condition in the taper that front end is small, tail end is big, the tail portion of the guidance air bag is to be adapted to tracheal catheter front-end port
The conduit of linking is connected end, and the shank of the Bronchofiberscope passes through the central passage of push tube body, and tracheal catheter, which is sheathed on, to be pushed away
It send on tube body, the guidance inflated condition downcomer convergence part contacts at the front-end port of tracheal catheter, and conduit is held in the mouth
The front end outer wall transition and linkage of socket part and tracheal catheter, the guidance air bag, which can evacuate, to be compressed and exits along the lumen of tracheal catheter
Tracheal catheter.Above-mentioned technical proposal introduces catheter propelling device compared with traditional fibre bronchoscope trachea cannula, realizes to tracheal catheter
Push guidance, not only improve the success rate of operation, reduce patient suffering, while reducing operation risk, improve operation safety.
The invention will be further described below in conjunction with the accompanying drawings.
Detailed description of the invention
Fig. 1 is the sputum-suction trachea cannula structural representation of specific embodiment of the invention branchofiberoscope；
Fig. 2 is part A partial enlarged view in Fig. 1；
Fig. 3 is the guidance inflated condition flowering structure schematic diagram of specific embodiment of the invention pusher；
Fig. 4 is specific embodiment of the invention positioning socket cap explosive view.
Specific embodiment
Referring to attached drawing 1~3, a kind of branchofiberoscope sputum-suction trachea cannula disclosed by the invention, including tracheal catheter 1 with
And Bronchofiberscope 2, usual 1 front end of tracheal catheter are angle 11, it further includes having that 1 tail end of tracheal catheter, which is equipped with connection end 12,
Catheter propelling device 3, catheter propelling device 3 include the push tube body 31 of hollow tubular, and push tube body 31 has for fiber branch gas
2 shank of pipe mirror passes through and penetrates through the central passage 311 of setting, and push 31 front end outer wall of tube body is equipped with guidance air bag 32, guidance
Air bag 32 is connected with air injection pipe 33, and the guidance air bag 32 is in the deflated condition in the taper that front end is small, tail end is big, the guidance
The tail portion of air bag 32 is the conduit linking end 321 that linking is adapted to 1 front-end port of tracheal catheter, the mirror of the Bronchofiberscope 2
The central passage 311 of push tube body 31 was worn, tracheal catheter 2 is sheathed on push tube body 31, the guidance air bag 32
Inflated condition downcomer convergence part 321 contacts at the front-end port of tracheal catheter 1, and conduit convergence part 321 and tracheal catheter 1
Front end outer wall transition and linkage, the guidance air bag 32, which can evacuate, to be compressed and exits along the lumen of tracheal catheter 1.In guidance air bag
It under design, is compared compared with the operation of conventional endotracheal tubes direct cannulation, front end size reduces, to more be easily accessible glottis, guides
Air bag is flexibility, can preferably protect tissue, and under the conical by its shape for guiding air bag, realization gradually expands glottis tissue
It opens, avoids the injury to tissue, under the guidance of guidance air bag, tracheal catheter more can smoothly pass through glottis,
After tracheal catheter insertion, the gas of guidance air bag is extracted out through air injection pipe, guidance air bag compression is deflated, and guidance air bag can pass through tracheae
Pusher, can be extracted out tracheal catheter by catheter proximal end port, and tracheal catheter is stayed in intratracheal.Above-mentioned " adaptation linking " and " mistake
Cross linking " it is that conduit is connected the outer diameter outline diameter of end and is greater than or the point diameter of substantially equal to tracheal catheter, to guarantee
Tissue is when entering tracheal catheter by guidance air bag without obvious retardance sense in catheterization procedure.
To further increase operation safety, the front end that the outer diameter outline diameter that conduit is connected end is greater than tracheal catheter is straight
Diameter；Further, the conduit convergence part 321 has the recess 3211 of 1 front end of air supply pipe conduit insertion, 3211 side of recess
Edge forms the annular shirt rim 3212 for being placed on 1 front-end port of tracheal catheter.On the one hand recess design, realize tracheal catheter front end with
It guides the cooperation of air bag more convenient reliable, and guidance air bag reaches more structurally sound guidance, on the other hand, is realizing to gas
Pipe catheter proximal end mouth is coated through more soft air bag, be can be avoided injury of the intubation in the process to human body, is improved operation
Safety.
Further, 3211 end face of recess of the conduit convergence part 32 has the front end angle end with tracheal catheter 1
The inclined-plane 32111 that face paste is closed, annular shirt rim 3212 is around the inclined-plane 32111.The conduit in the case where guiding inflated condition
The skirt outsourcing tracheal catheter front end of convergence part, the guided air bag of the front-end port of tracheal catheter are adjacent to, reach to tracheal catheter
Preferably positioning.
Moreover, by the end face of conduit linking end 32 in the inclination with 1 front end surface shape adaptation of tracheal catheter.It leads
Pipe is connected end in inclination with tracheal catheter front end surface shape adaptation, so that with conduit to be connected end more tight for tracheal catheter
The cooperation gathered.The retraction of gas is pumped for convenience of guidance air bag, 3211 end faces of the recess also have positioned at the inclined-plane 32111
The internal side diameter resigning cavity 32112 circular by inclined-plane 32111.
For convenience of the cooperation between pusher and tracheal catheter, 31 tail portion of push tube body is cased with and tracheal catheter 1
The positioning of the positioning socket cooperation of tail end connection end 12 is socketed cap 34.
As shown in figure 4, the positioning socket cap 34 includes clip-on cap 341 and locking cap 342, the clip-on cap 341 is wrapped
Socket part 3411 is included, the tail end of socket part 3411 is equipped with clamping part 3412, and 3412 center of clamping part is equipped with for pushing tube body 31
The centre bore passed through, clamping part 3412 include with externally threaded stud 34121, and 34121 one end of stud is connected with socket part 3411,
34121 other end of stud is extended axially by resilient clamp column 34122, and resilient clamp column 34122 is by several circumferentially distributed bullets
Property grip block surround, centre bore includes the positioning hole section and the clamping that is surrounded by resilient clamp block positioned at 34121 center of stud
Hole section, in cone, the locking cap 342 includes and 34121 screw thread of stud the free end outer circumference surface of resilient clamp column 34122
The thread bush portion 3421 being screwed on, 3421 tail portion of thread bush portion are extended with taper cap body 3422, the inner conical chamber of taper cap body 3422
The clamping of control resilient clamp column is constituted with the outer conical surface corresponding matching of resilient clamp column 34122, unclamps push tube body 31.?
When the shank and pusher of Bronchofiberscope need fixed, immobilization with adhesive tape can be used.
Claims (10)
1. a kind of branchofiberoscope tracheal intubation pushing device, the push tube body including hollow tubular, push tube body have
The central passage of setting is passed through and penetrated through for branchofiberoscope shank, and push tube body front end outer wall is equipped with guidance air bag, draws
Air guide capsule is connected with air injection pipe, and the guidance air bag is in the taper that front end is small, tail end is big, the guidance air bag in the deflated condition
Tail portion be adapted to tracheal catheter front-end port linking conduit linking end.
2. branchofiberoscope tracheal intubation pushing device according to claim 1, it is characterised in that: the conduit convergence part tool
The recess for having air supply pipe catheter proximal end to be inserted into, the concave edges form the annular shirt rim for being placed on tracheal catheter front-end port.
3. branchofiberoscope tracheal intubation pushing device according to claim 2, it is characterised in that: the conduit convergence part
Female ends face has the inclined-plane being bonded with the front end angle end face of tracheal catheter, and annular shirt rim is around the inclined-plane.
4. branchofiberoscope tracheal intubation pushing device according to claim 1, it is characterised in that: the conduit is connected end
End face in inclination with tracheal catheter front end surface shape adaptation.
5. the according to claim 1 or 2 or 3 or 4 branchofiberoscope tracheal intubation pushing devices, it is characterised in that: described to push away
It send tube body tail portion to be cased with the positioning for positioning socket cooperation with tracheal catheter tail end connection end and is socketed cap.
6. branchofiberoscope tracheal intubation pushing device according to claim 5, it is characterised in that: the positioning is socketed cap packet
Clip-on cap and locking cap are included, the clip-on cap includes socket part, and the tail end of socket part is equipped with clamping part, and clamping part center is equipped with
For the centre bore that push tube body passes through, clamping part includes with externally threaded stud, and stud one end is connected with socket part, and stud is another
One end is extended axially by resilient clamp column, and resilient clamp column is surrounded by several circumferentially distributed resilient clamp blocks, centre bore packet
Include the clamping hole section for being located at the positioning hole section of center stud and being surrounded by resilient clamp block, the free end outer circle of resilient clamp column
Circumferential surface is in cone, and the locking cap includes the thread bush portion being screwed on stud screw thread, and thread bush portion tail portion is extended with tapered cap
Body, the inner conical chamber of taper cap body and the outer conical surface corresponding matching of resilient clamp column constitute the clamping of control resilient clamp column, pine
Open push tube body.
7. a kind of branchofiberoscope sputum-suction trachea cannula, including tracheal catheter and Bronchofiberscope, the tracheal catheter front end are
Angle, tracheal catheter tail end are equipped with connection end, it is characterised in that: further include having catheter propelling device, catheter propelling device includes sky
The push tube body of central, tubular, push tube body have the central passage that setting is passed through and penetrated through for branchofiberoscope shank,
It pushes tube body front end outer wall and is equipped with guidance air bag, guidance air bag is connected with air injection pipe, and the guidance air bag is in the deflated condition
Taper small in front end, tail end is big, the tail portion of the guidance air bag are the conduit rank that linking is adapted to tracheal catheter front-end port
End is connect, the shank of the Bronchofiberscope passes through the central passage of push tube body, and tracheal catheter is sheathed on push tube body, institute
State the front-end port that guidance inflated condition downcomer convergence part contacts at tracheal catheter, and conduit convergence part and tracheal catheter
Front end outer wall transition and linkage, the guidance air bag can evacuate compress and exit tracheal catheter along the lumen of tracheal catheter.
8. branchofiberoscope sputum-suction trachea cannula according to claim 7, it is characterised in that: the conduit convergence part has
The recess of air supply pipe catheter proximal end insertion, the concave edges form the annular shirt rim for being placed on tracheal catheter front-end port.
9. branchofiberoscope sputum-suction trachea cannula according to claim 8, it is characterised in that: the conduit convergence part it is recessed
Falling into end face has the inclined-plane being bonded with the front end angle end face of tracheal catheter, and annular shirt rim is around the inclined-plane, in guidance air bag
Under inflated condition, the front end of the tracheal catheter is inserted in recess, and skirt coats the front end outer wall of tracheal catheter, tracheal catheter
Front end surface is affixed on inclined-plane.
10. branchofiberoscope sputum-suction trachea cannula according to claim 7, it is characterised in that: the push tube body tail
Portion is cased with the positioning for positioning socket cooperation with tracheal catheter tail end connection end and is socketed cap, and the positioning socket cap includes clip-on cap
And locking cap, the clip-on cap include socket part, the tail end of socket part is equipped with clamping part, and clamping part center is equipped with manages for push
The centre bore that ontology passes through, clamping part include with externally threaded stud, and stud one end is connected with socket part, and the stud other end is along axis
To resilient clamp column is extended with, resilient clamp column is surrounded by several circumferentially distributed resilient clamp blocks, and centre bore includes being located at spiral shell
The positioning hole section at column center and the clamping hole section surrounded by resilient clamp block, the free end outer circumference surface of resilient clamp column is in circle
Taper, the locking cap include the thread bush portion being screwed on stud screw thread, and thread bush portion tail portion is extended with taper cap body, tapered cap
The inner conical chamber of body and the outer conical surface corresponding matching of resilient clamp column constitute the clamping of control resilient clamp column, unclamp push pipe sheet
Body.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910094747.0A CN109717826A (en) | 2019-01-22 | 2019-01-22 | Branchofiberoscope sputum-suction trachea cannula and its pusher |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910094747.0A CN109717826A (en) | 2019-01-22 | 2019-01-22 | Branchofiberoscope sputum-suction trachea cannula and its pusher |
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| Publication Number | Publication Date |
|---|---|
| CN109717826A true CN109717826A (en) | 2019-05-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910094747.0A Pending CN109717826A (en) | 2019-01-22 | 2019-01-22 | Branchofiberoscope sputum-suction trachea cannula and its pusher |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| CN112618901A (en) * | 2021-02-23 | 2021-04-09 | 山东省千佛山医院 | Trachea cannula |
| WO2024016802A1 (en) * | 2022-07-18 | 2024-01-25 | 北京大学第三医院（北京大学第三临床医学院） | Difficult airway ventilation apparatus |
-
2019
- 2019-01-22 CN CN201910094747.0A patent/CN109717826A/en active Pending
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| CN111419162B (en) * | 2020-03-24 | 2023-04-28 | 北京大学第三医院（北京大学第三临床医学院） | Fiber bronchoscope tube-placing guide |
| CN112618901A (en) * | 2021-02-23 | 2021-04-09 | 山东省千佛山医院 | Trachea cannula |
| WO2024016802A1 (en) * | 2022-07-18 | 2024-01-25 | 北京大学第三医院（北京大学第三临床医学院） | Difficult airway ventilation apparatus |
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