CN110448775A - Airway is isolated in lung - Google Patents
Airway is isolated in lung Download PDFInfo
- Publication number
- CN110448775A CN110448775A CN201910833891.1A CN201910833891A CN110448775A CN 110448775 A CN110448775 A CN 110448775A CN 201910833891 A CN201910833891 A CN 201910833891A CN 110448775 A CN110448775 A CN 110448775A
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- air bag
- disengaging
- catheter
- tracheae
- tracheal catheter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- 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
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
- A61M16/0404—Special features for tracheal tubes not otherwise provided for with means for selective or partial lung respiration
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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)
- Media Introduction/Drainage Providing Device (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a kind of lungs, and airway is isolated, including main tracheal catheter and the bronchial catheter for being connected to main tracheal catheter one end, the first air bag is arranged on main tracheal catheter, the second air bag is arranged on bronchial catheter, first air bag is connected by the first disengaging tracheae with the first disengaging gas control assembly, second air bag is connected by the second disengaging tracheae with the second disengaging gas control assembly, and air-out mechanism can be opened and closed by being additionally provided on the main tracheal catheter between the first air bag and the second air bag.Lung isolation airway has many advantages, such as that structure is simple, is easy to make, is easy to operate, have a wide range of application, can reduce injury of tracheal intubation.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of lung isolation airway.
Background technique
Lung isolation technology, Yao Shixian one-lung ventilation are commonly used in thoracic surgery, currently used instrument is that two-chamber is intratracheal
Conduit and bronchus blocking device.Wherein, dual-cavity endotracheal tube is that tracheal catheter is partitioned into two mutually isolated lumens, one
Side pipe chamber is slightly longer than the other side, its main feature is that the ventilation of left and right main bronchus can be made temporarily to separate, can both pass through unilateral lumen pair
Side pulmonary ventilation can also simultaneously ventilate to bilateral lumen and realize one-lung ventilation, but double-lumen catheter lumen is larger, to patient
Wound it is larger；Bronchus blocking device is blocked side main bronchus using air bag, to realize to non-blocking side pulmonary ventilation,
But bronchus blocking device is then easy displacement, is not easy to attract blood and secretion.
Summary of the invention
The technical problem to be solved in the present invention is to overcome the shortcomings of the prior art, provides that a kind of structure is simple, is easy to
Airway is isolated in production, lung that is easy to operate, having a wide range of application, can reduce injury of tracheal intubation.
In order to solve the above technical problems, the invention adopts the following technical scheme:
Airway is isolated in a kind of lung, including main tracheal catheter and the bronchial catheter for being connected to main tracheal catheter one end,
It is arranged with the first air bag on the main tracheal catheter, the second air bag is arranged on the bronchial catheter, first air bag is logical
It crosses the first disengaging tracheae to be connected with the first disengaging gas control assembly, second air bag passes through the second disengaging tracheae and the second disengaging
Gas control assembly is connected, and air-out mechanism can be opened and closed by being additionally provided on the main tracheal catheter between first air bag and the second air bag.
As a further improvement of the above technical scheme:
The air-out mechanism that is opened and closed includes the chamber on the main tracheal catheter tube wall and is set in the chamber
Third air bag, the chamber has the first blow vent for being connected to main tracheal catheter lumen and be connected to exterior thereto second
Blow vent, the third air bag passes in and out tracheae by third and is connected with third disengaging gas control assembly, and third air bag is being inflated
When close the first blow vent and/or the second blow vent, third air bag opens simultaneously the first blow vent and the second ventilation when deflating
Mouthful.
The chamber is surrounded by main tracheal catheter tube wall and the diaphragm being connected to outside main tracheal catheter tube wall, and described first
Blow vent is set on the main tracheal catheter tube wall, and second blow vent is set on the diaphragm.
The first disengaging gas control assembly, the second disengaging gas control assembly and third disengaging gas control assembly are cuff.
The first disengaging tracheae, the second disengaging tracheae and third disengaging tracheae all extend to the first air bag far from bronchus
The side of conduit, and the first disengaging tracheae, the second disengaging tracheae and third disengaging between bronchial catheter and the first air bag
Tracheae is respectively positioned in the tube wall of main tracheal catheter.
The first disengaging tracheae, the second disengaging tracheae and third disengaging tracheae all have the tube wall for stretching out main tracheal catheter
External section of stretching out, section of stretching out connection the first disengaging gas control assembly of the first disengaging tracheae, the second disengaging tracheae
Section of stretching out connection the second disengaging gas control assembly, the section of stretching out connection third of third disengaging tracheae passes in and out gas control group
Part.
The extending direction of the bronchial catheter deviates the extending direction of the main tracheal catheter.
Lung isolation airway further includes blood and sputum suction tube, and one end of the blood and sputum suction tube is opened
Mouth, which is located at, can be opened and closed between air-out mechanism and the second air bag, and another end opening of the blood and sputum suction tube can be opened and closed for one
Mouthful.
The blood and sputum suction tube extend to side of first air bag far from bronchial catheter, and bronchial catheter with
And the first blood and sputum suction tube between air bag is located in the tube wall of main tracheal catheter, the blood and sputum suction tube tool
There is the section of stretching out outside the tube wall for stretching out main tracheal catheter, the mouth that is opened and closed is set on the section of stretching out of blood and sputum suction tube
On.
Compared with the prior art, the advantages of the present invention are as follows:
Lung isolation airway of the invention when in use, by lung isolation airway insertion tracheae, and by bronchus
In the bronchus of conduit insertion ventilation side, the first air bag and the second air bag are inflated, realize sealing, and fixed main tracheae is led
Pipe and bronchial catheter, can be realized one-lung ventilation, can also be achieved double pulmonary ventilation when that can be opened and closed air-out mechanism and open.The lung every
Only need that injury of tracheal intubation can be reduced using the lesser main tracheal catheter of a root canal diameter from airway, and also have structure it is simple,
The advantages of being easy to make, be easy to operate, having a wide range of application.
Detailed description of the invention
Fig. 1 is the local main cross section structure diagram that airway is isolated in lung.
Fig. 2 is enlarged structure schematic diagram at A in Fig. 1.
Fig. 3 is structure schematic diagram when airway use is isolated in lung.
Marginal data:
1, main tracheal catheter；2, bronchial catheter；3, the first air bag；4, the second air bag；5, chamber；51, the first blow vent；
52, the second blow vent；6, third air bag；7, diaphragm；8, blood and sputum suction tube；101, the first disengaging tracheae；102, second
Pass in and out tracheae；103, third passes in and out tracheae.
Specific embodiment
The present invention is described in further detail below in conjunction with the drawings and specific embodiments.
As shown in Figure 1 to Figure 3, airway is isolated in the lung of the present embodiment, including main tracheal catheter 1 and is connected to main tracheae
The bronchial catheter 2 of 1 one end of conduit is arranged with the first air bag 3 on main tracheal catheter 1, is arranged with the second gas on bronchial catheter 2
Capsule 4, the first air bag 3 by first disengaging tracheae 101 with first disengaging gas control assembly be connected, the second air bag 4 pass through second into
Escape pipe 102 is connected with the second disengaging gas control assembly, also sets on the main tracheal catheter 1 between the first air bag 3 and the second air bag 4
Air-out mechanism can be opened and closed by having.When in use, lung isolation airway is inserted into tracheae, and bronchial catheter 2 is inserted into and is ventilated
In the bronchus of side, the first air bag 3 and the second air bag 4 are inflated, realize sealing, and fixed main tracheal catheter 1 and branch gas
Pipe conduit 2, can be realized one-lung ventilation, can also be achieved double pulmonary ventilation when that can be opened and closed air-out mechanism and open.Lung isolation ventilation
Conduit only needs that injury of tracheal intubation can be reduced using the lesser main tracheal catheter 1 of a root canal diameter, and also has that structure is simple, is easy to
The advantages of making, be easy to operate, having a wide range of application.
In the present embodiment, air-out mechanism can be opened and closed and include the chamber 5 on main 1 tube wall of tracheal catheter and be set to chamber 5
Interior third air bag 6, chamber 5 have the first blow vent 51 for being connected to main 1 lumen of tracheal catheter and be connected to outside chamber 5
Second blow vent 52, third air bag 6 passes in and out tracheae 103 by third and is connected with third disengaging gas control assembly, and third air bag 6
The first blow vent 51 and/or the second blow vent 52 are closed in inflation, third air bag 6 opens simultaneously the first blow vent when deflating
51 and second blow vent 52.When third, which passes in and out gas control assembly, is inflated by third disengaging tracheae 103 to third air bag 6, the
Three air bags 6 swell full of chamber 5, and the first blow vent 51 and/or the second blow vent 52 are closed, namely realization can be opened and closed out mechanism of qi
The closed state of structure, the gas in main tracheal catheter 1 can not be by that can be opened and closed air-out mechanism discharge at this time.When third passes in and out gas control
When component processed passes in and out tracheae 103 by third and is vented to third air bag 6,6 atrophy of third air bag, by the first blow vent 51 and/or
Second blow vent 52 is opened, namely is realized and can be opened and closed the opening state of air-out mechanism, and the gas in main tracheal catheter 1 can be according at this time
It is secondary to be discharged through the first blow vent 51, chamber 5 and the second blow vent 52.Preferably, the closing the simultaneously when third air bag 6 is in inflation
One blow vent, 51 second blow vent 52.
This can be opened and closed the composite structure that air-out mechanism uses above-mentioned chamber 5 and third air bag 6, not only save space, benefit
In the overall dimensions for reducing lung isolation airway, it is further reduced injury of tracheal intubation, and its is at low cost, control is easy, is opened and closed fast
Fast and stability is good, and since third air bag 6 is located in chamber 5, can avoid third air bag 6 to bronchial damage.
In the present embodiment, chamber 5 is enclosed by main 1 tube wall of tracheal catheter and the diaphragm 7 being connected to outside main 1 tube wall of tracheal catheter
At the first blow vent 51 is set on main 1 tube wall of tracheal catheter, and the second blow vent 52 is set on diaphragm 7.This kind of structure fabrication is simple
It is convenient, it is at low cost.Preferably, diaphragm 7 is tightly connected using bonding way or welding mode and main 1 tube wall of tracheal catheter.
In the present embodiment, the first disengaging gas control assembly, the second disengaging gas control assembly and third pass in and out gas control assembly
For cuff, control simple and convenient and at low cost.In other embodiments, the first disengaging gas control assembly, the second disengaging gas control system
Other existing components also can be used in component and third disengaging gas control assembly, as long as can be realized inflatable and deflatable.
In the present embodiment, the first disengaging tracheae 101, second passes in and out tracheae 102 and third disengaging tracheae 103 is bonded main tracheae
Conduit 1 is extended to the direction far from bronchial catheter 2.Be conducive to improve structural compactness in this way, reduce lung isolation ventilation
The volume of conduit.
In the present embodiment, the first disengaging tracheae 101, second passes in and out tracheae 102 and third disengaging tracheae 103 all extends to the
One side of the air bag 3 far from bronchial catheter 2, and between bronchial catheter 2 and the first air bag 3 first disengaging tracheae 101,
Second disengaging tracheae 102 and third disengaging tracheae 103 are respectively positioned in the tube wall of main tracheal catheter 1.Be conducive to improve structure in this way
Compactedness reduces the volume of lung isolation airway, avoids causing wound to patient.
In the present embodiment, the first disengaging tracheae 101, second passes in and out tracheae 102 and third disengaging tracheae 103 all has stretching
Section of stretching out outside the tube wall of main tracheal catheter 1, the first disengaging tracheae 101, second passes in and out tracheae 102 and third passes in and out tracheae
103 section of stretching out is respectively positioned on the first side of the air bag 3 far from bronchial catheter 2, the section of stretching out connection of the first disengaging tracheae 101 the
One disengaging gas control assembly, section of stretching out connection the second disengaging gas control assembly of the second disengaging tracheae 102, third pass in and out tracheae
103 section of stretching out connection third passes in and out gas control assembly.Setting facilitates the first disengaging of connection gas control assembly, the second disengaging in this way
Gas control assembly and third pass in and out gas control assembly.
In the present embodiment, the first disengaging tracheae 101, second is passed in and out tracheae 102 with the first air bag 3 and third passes in and out tracheae
103 stirrups are on the outer wall of main tracheal catheter 1.Be conducive to improve the first disengaging disengaging of tracheae 101, second 102 and of tracheae in this way
The stability of third disengaging tracheae 103.
In the present embodiment, the extending direction of bronchial catheter 2 deviates the extending direction of main tracheal catheter 1, can be with branch gas
Being adapted for pipe, reduces injury of tracheal intubation.
In the present embodiment, lung isolation airway further includes blood and sputum suction tube 8, blood and sputum suction tube 8
It is open at one end be located at can be opened and closed between air-out mechanism and the second air bag 4, another end opening of blood and sputum suction tube 8 is one can
It is opened and closed mouth, the blood for side of performing the operation in art and sputum can be sucked out by blood and sputum suction tube 8.Mouth can be opened and closed to open and connect
Vacuum extractor is connect, blood and sputum can be sucked out；In double pulmonary ventilation, suction port is closed, gas leakage can be prevented.It is above-mentioned to be opened and closed
The suction port pluggable blocking that can be on-off valve or be inserted into blood and 8 end of sputum suction tube.
In the present embodiment, blood and sputum suction tube 8 extend to the first side of the air bag 3 far from bronchial catheter 2, and prop up
Blood and sputum suction tube 8 between tracheal catheter 2 and the first air bag 3 are located in the tube wall of main tracheal catheter 1, blood and phlegm
Liquid suction tube 8 has the section of stretching out outside the tube wall for stretching out main tracheal catheter 1, can be opened and closed mouth set on blood and sputum suction tube 8
Section of stretching out on, be conducive to improve structural compactness, reduce the volume of lung isolation airway, while being easy to open and closing and can open
Silent and connection vacuum extractor.
The above is only a preferred embodiment of the present invention, protection scope of the present invention is not limited merely to above-mentioned implementation
Example.To those of ordinary skill in the art, obtained improvement and change in the case where not departing from the technology of the present invention concept thereof
It changes and also should be regarded as protection scope of the present invention.
Claims (9)
1. airway is isolated in a kind of lung, it is characterised in that: including main tracheal catheter (1) and be connected to main tracheal catheter (1) one
The bronchial catheter (2) at end is arranged with the first air bag (3) on the main tracheal catheter (1), covers on the bronchial catheter (2)
Equipped with the second air bag (4), first air bag (3) is connected by the first disengaging tracheae (101) with the first disengaging gas control assembly,
Second air bag (4) is connected by the second disengaging tracheae (102) with the second disengaging gas control assembly, first air bag (3)
And it is additionally provided on the second main tracheal catheter (1) between air bag (4) air-out mechanism can be opened and closed.
2. airway is isolated in lung according to claim 1, it is characterised in that: the air-out mechanism that is opened and closed includes being set to
Chamber (5) on main tracheal catheter (1) tube wall and the third air bag (6) in the chamber (5), the chamber (5)
With the first blow vent (51) being connected to main tracheal catheter (1) lumen and the second blow vent being connected to chamber (5) outside
(52), the third air bag (6) passes in and out gas control assembly with third by third disengaging tracheae (103) and is connected, and third air bag
(6) the first blow vent (51) and/or the second blow vent (52) are closed in inflation, third air bag (6) is opened simultaneously when deflating
First blow vent (51) and the second blow vent (52).
3. airway is isolated in lung according to claim 2, it is characterised in that: the chamber (5) is by main tracheal catheter (1)
Tube wall and the diaphragm (7) being connected to outside main tracheal catheter (1) tube wall surround, and first blow vent (51) is set to the main gas
On pipe conduit (1) tube wall, second blow vent (52) is set on the diaphragm (7).
4. airway is isolated in lung according to claim 2, it is characterised in that: the first disengaging gas control assembly, the
Two disengaging gas control assemblies and third disengaging gas control assembly are cuff.
5. airway is isolated in lung according to claim 2, it is characterised in that: first disengaging tracheae (101), second
Disengaging tracheae (102) and third disengaging tracheae (103) all extend to the side of the first air bag (3) far from bronchial catheter (2), and
Between bronchial catheter (2) and the first air bag (3) first disengaging tracheae (101), second disengaging tracheae (102) and third into
Escape pipe (103) is respectively positioned in the tube wall of main tracheal catheter (1).
6. airway is isolated in lung according to claim 5, it is characterised in that: first disengaging tracheae (101), second
Disengaging tracheae (102) and third disengaging tracheae (103) all have the section of stretching out outside the tube wall for stretching out main tracheal catheter (1), institute
State section of stretching out connection the first disengaging gas control assembly of the first disengaging tracheae (101), the stretching of second disengaging tracheae (102)
The section of stretching out connection third of section connection the second disengaging gas control assembly, third disengaging tracheae (103) passes in and out gas control assembly.
7. airway is isolated in lung according to claim 1, it is characterised in that: the extension side of the bronchial catheter (2)
To the extending direction for deviateing the main tracheal catheter (1).
8. airway is isolated in lung according to any one of claim 1 to 7, it is characterised in that: the lung isolation ventilation
Conduit further includes blood and sputum suction tube (8), the blood and sputum suction tube (8) it is open at one end be located at can be opened and closed outlet
Between mechanism and the second air bag (4), another end opening of the blood and sputum suction tube (8) can be opened and closed mouth for one.
9. airway is isolated in lung according to claim 8, it is characterised in that: the blood and sputum suction tube (8) prolong
Extend to the side of the first air bag (3) far from bronchial catheter (2), and the blood between bronchial catheter (2) and the first air bag (3)
Liquid and sputum suction tube (8) are located in the tube wall of main tracheal catheter (1), and the blood and sputum suction tube (8) have stretching master
Section of stretching out outside the tube wall of tracheal catheter (1), the mouth that is opened and closed is in the section of stretching out of blood and sputum suction tube (8).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910833891.1A CN110448775A (en) | 2019-09-04 | 2019-09-04 | Airway is isolated in lung |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910833891.1A CN110448775A (en) | 2019-09-04 | 2019-09-04 | Airway is isolated in lung |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110448775A true CN110448775A (en) | 2019-11-15 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910833891.1A Pending CN110448775A (en) | 2019-09-04 | 2019-09-04 | Airway is isolated in lung |
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| CN (1) | CN110448775A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111939409A (en) * | 2020-07-28 | 2020-11-17 | 中国科学院大学宁波华美医院 | Disposable single-cavity bronchial catheter |
-
2019
- 2019-09-04 CN CN201910833891.1A patent/CN110448775A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111939409A (en) * | 2020-07-28 | 2020-11-17 | 中国科学院大学宁波华美医院 | Disposable single-cavity bronchial catheter |
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