CN110947042A - Lung lavage external member - Google Patents

Lung lavage external member Download PDF

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Publication number
CN110947042A
CN110947042A CN201910873887.8A CN201910873887A CN110947042A CN 110947042 A CN110947042 A CN 110947042A CN 201910873887 A CN201910873887 A CN 201910873887A CN 110947042 A CN110947042 A CN 110947042A
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CN
China
Prior art keywords
interface
lumen
lavage
bronchial
main
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201910873887.8A
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Chinese (zh)
Inventor
王义桥
夏敏
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Individual
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Individual
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Priority to CN201910873887.8A priority Critical patent/CN110947042A/en
Publication of CN110947042A publication Critical patent/CN110947042A/en
Withdrawn legal-status Critical Current

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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
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • 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
    • 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
    • A61M25/1011—Multiple balloon catheters
    • 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
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0279—Cannula; Nozzles; Tips; their connection means
    • A61M3/0295—Cannula; Nozzles; Tips; their connection means with inflatable 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1025—Respiratory system
    • A61M2210/1032—Trachea
    • 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
    • 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
    • A61M2210/1039—Lungs

Abstract

The invention discloses a lung lavage kit, which comprises a three-way component, a lavage component and a double-cavity component, wherein the three-way component comprises a loop interface and two auxiliary interfaces which are communicated with the loop interface, the two auxiliary interfaces are respectively connected with a first connecting pipe and a second connecting pipe, and one end of the first connecting pipe and one end of the second connecting pipe are respectively provided with the first interface and the second interface; the double-cavity assembly comprises a double-cavity connecting assembly, a bronchial lumen and a main tracheal lumen, wherein the main tracheal lumen and the bronchial lumen are respectively provided with a main tracheal airbag and a bronchial airbag, the main tracheal lumen is sleeved on the bronchial lumen, the double-cavity connecting assembly comprises a cap interface I and a main tracheal lumen interface and a bronchial lumen interface, the main tracheal lumen interface is inserted into the cap interface I, the main tracheal lumen interface is communicated with the main tracheal lumen, and the bronchial lumen interface is communicated with the bronchial lumen. The invention has the advantages of ingenious design and strong practicability.

Description

Lung lavage external member
Technical Field
This external member relates to medical instrument technical field, specifically is a lung lavage external member.
Background
The lung lavage technology is an effective treatment means for occupational pneumoconiosis such as coal lung, silicosis, cement lung, asbestos lung and the like, but the traditional lung lavage method adopts a whole-lung large-capacity lavage technology due to the limitation of equipment, the lavage time is long (mostly more than 2 hours), a large amount of physiological saline is absorbed into the body, so that complications such as dilutability hyponatremia, water poisoning, heart failure and the like are easily caused, hospitalization is needed, and daily outpatient treatment is difficult to develop; the traditional method can not reasonably regulate and control the perfusion pressure aiming at different patients, the intrapulmonary shunt is seriously influenced by too low pressure, hypoxemia is easily caused, the hydropneumothorax is easily caused by too high pressure, the lavage is not thorough or fails, and the treatment effect is influenced; the traditional lung lavage method increases the lavage effect by shaking the patient in the lavage process, easily causes the displacement of the double-cavity tube, leads the perfusate to enter the ventilated side lung, and easily causes serious medical accidents. The traditional external member can not lavage a single lung lobe and a lung segment, so that patients with serious pneumoconiosis complicated cardiac insufficiency are difficult to have treatment opportunities, and the traditional external member can not be popularized to patients who have unsatisfactory antibiotic treatment effect on severe monophylly pneumonia and locally administrate drugs.
Disclosure of Invention
The invention provides a lung lavage kit which can effectively solve the technical problems in the background, greatly improve the curative effect and reduce the complications.
In order to achieve the above purpose, the invention provides the following technical scheme:
the utility model provides a lung lavage external member, includes tee bend subassembly, lavage subassembly, two-chamber subassembly, its characterized in that: the tee joint component comprises a loop interface and two auxiliary interfaces which are communicated with the loop interface, a first connecting pipe and a second connecting pipe are connected to the two auxiliary interfaces respectively, and a first interface and a second interface are arranged at one end of the first connecting pipe and one end of the second connecting pipe respectively; the double-cavity assembly comprises a double-cavity connecting assembly, a bronchial lumen and a main tracheal lumen, wherein a main tracheal balloon and a bronchial balloon are respectively arranged on the main tracheal lumen and the bronchial lumen, the main tracheal lumen is sleeved on the bronchial lumen, the double-cavity connecting assembly comprises a cap interface I, a main tracheal lumen interface and a bronchial lumen interface, the main tracheal lumen interface and the bronchial lumen interface are inserted into the cap interface I, the main tracheal lumen interface is communicated with the main tracheal lumen, and the bronchial lumen interface is communicated with the bronchial lumen; lavage coupling assembling is including lavage coupling assembling, lavage tube lumen, the head and the middle part of lavage tube lumen are equipped with gasbag two, gasbag three respectively, lavage assembly is including cap interface two and insert lavage interface, the interface of ventilating in cap interface two, lavage tube lumen communicates with each other with the lavage interface, the interface of ventilating communicates with each other with the bronchial lumen interface of inserting in cap interface two.
Preferably, the inner diameter of the main tracheal lumen is larger than the outer diameter of the bronchial lumen, the length of the main tracheal lumen is smaller than that of the bronchial lumen, the inner wall of one side of the main tracheal lumen is tightly attached to the outer wall of one side of the bronchial lumen to form an integral structure, and the orifice at one end of the main tracheal lumen is a beveled orifice.
Preferably, a second through hole communicated with the bronchial airbag is formed in the tube wall layer of the bronchial tube cavity, a third through hole communicated with the main tracheal airbag is formed in the tube wall layer of the main tracheal tube cavity, two first inflation tubes are arranged on the cap interface, and the two first inflation tubes are respectively inserted into the second through hole and the third through hole; a first through hole and a fourth through hole which are respectively communicated with the second air bag and the third air bag are formed in the tube wall layer of the tube cavity of the lavage tube, two inflation tubes II are arranged on the cap connector II, and the two inflation tubes II are respectively inserted into the first through hole and the fourth through hole; and the two inflation tubes I and the two inflation tubes II are respectively provided with an inflation valve.
Preferably, rubber plugs are inserted into one end of the first connecting pipe and one end of the second connecting pipe.
Preferably, the main trachea airbag, the bronchus airbag and the second airbag are all low-pressure airbags, and the third airbag is a high-pressure airbag.
Preferably, the middle parts of the two auxiliary connectors are provided with hose telescopic joints, and the middle part of the cap connector II is provided with a telescopic joint.
Preferably, the two auxiliary interfaces are both in an L shape, and the first connecting pipe and the second connecting pipe are perpendicular to the two auxiliary interfaces respectively.
Preferably, a pressure sensor for detecting the pressure in the lung lobe of the lavage is further installed between the lavage interface and the interface I.
The invention has the beneficial effects that:
in the lung lavage process, the patient does not need to shake due to the combined ultrasonic vibration lavage technology, and the single-lobe lung lavage is provided with the multiple cuff waterproof system, so that the perfusate is effectively prevented from entering the ventilated side lung. Compared with the traditional whole lung large-capacity lavage technology, the lung lobe and lung segment lavage technology has small influence on circulation and can provide treatment opportunity for patients with pneumoconiosis complicated with serious cardiac insufficiency; the invention can also be used in other clinical fields, pneumonia treatment, deep sputum excretion and the like; the pressure measuring system can effectively control the perfusion pressure, and avoid hydropneumothorax caused by overhigh pressure or serious intrapulmonary bypass caused by overlow pressure. The invention has the advantages of ingenious design and strong practicability.
Drawings
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
FIG. 1: the invention has a schematic structure.
FIG. 2: the invention relates to a section view of a tube orifice of a bronchial tube cavity and a main trachea cavity.
FIG. 3: the invention relates to a section view of a tube opening of a lavage tube cavity.
In the figure: 1. three-way component, 2, lavage component, 3, two-chamber component, 4, two-chamber connecting component, 5, bronchial lumen, 6, main tracheal lumen, 7, lavage connecting component, 8, lavage tubular lumen, 9, inflation valve, 11, loop interface, 12, secondary interface, 13, adapter one, 14, adapter two, 15, interface one, 16, interface two, 17, plug, 18, hose expansion joint, 19, expansion joint, 41, cap interface one, 42, main tracheal lumen interface, 43, bronchial lumen interface, 44, inflation tube one, 51, through hole two, 61, main tracheal balloon, 62, through hole three, 63, bronchial balloon, 71, cap interface two, 72, lavage interface, 73, ventilation interface, 74, inflation tube two, 81, balloon two, 82, balloon three, 83, through hole one, 84, through hole four.
Detailed Description
The embodiments of the invention will be described in detail below with reference to the attached drawings, but the invention can be implemented in many different ways, which are defined and covered by the claims:
as shown in fig. 1 to 3, the present invention provides a lung lavage kit, which comprises a three-way component 1, a lavage component 2, and a dual-cavity component 3.
The tee joint component 1 comprises a loop interface 11 and two auxiliary interfaces 12 communicated with the loop interface 11, the two auxiliary interfaces 12 are connected with a first connecting pipe 13 and a second connecting pipe 14 respectively, one end of the first connecting pipe 13 and one end of the second connecting pipe 14 are provided with a first interface 15 and a second interface 16 respectively, the middle parts of the two auxiliary interfaces 12 are provided with hose telescopic joints 18, the two auxiliary interfaces 12 can be stretched, the two auxiliary interfaces 12 are L-shaped, the first connecting pipe 13 and the second connecting pipe 14 are perpendicular to the two auxiliary interfaces 12 respectively, rubber plugs 17 are inserted into one end of the first connecting pipe 13 and one end of the second connecting pipe 14 respectively and can be used for enabling a bronchofiberscope to pass in and out.
Double-chamber subassembly 3 is including double-chamber coupling assembling 4, bronchus lumen 5, main trachea lumen 6, be equipped with main trachea gasbag 61 on main trachea lumen 6 and the bronchus lumen 5 respectively, bronchus gasbag 63, main trachea lumen 6 cover is established on bronchus lumen 5, double-chamber coupling assembling 4 is including cap interface 41 and insert main trachea lumen interface 42 in cap interface 41, bronchus lumen interface 43, main trachea lumen interface 42 communicates with each other with main trachea lumen 6, bronchus lumen interface 43 communicates with each other with bronchus lumen 5. The inner diameter of the first cap interface 41 is matched with the outer diameter of the main gas pipe cavity 6.
Lavage subassembly 2 is equipped with gasbag two 81, gasbag three 82 including lavage coupling assembling 7, lavage tube lumen 8, the head and the middle part of lavage tube lumen 8 respectively, and lavage coupling assembling 7 is including cap interface two 71 and insert lavage interface 72, the interface of ventilating 73 in cap interface two 71, and lavage tube lumen 8 communicates with each other with lavage interface 72, and cap interface two 71 internal diameters are bigger than lavage tube 8 lumen external diameter, with bronchial tube lumen interface 43 external diameter phase-match. Cap interface two 71 may be closely coupled to bronchial lumen interface 43. The second cap interface 71 is provided with a section of telescopic joint 19, and the connecting position of the second cap interface 71 and the bronchial lumen interface 43 can be adjusted according to the insertion depth of the lavage tube.
When the bronchofiberscope is used, the bronchofiberscope is inserted into the bronchial lumen 5 from the bronchial lumen interface 43 and penetrates out, the head end of the bronchial lumen 5 is guided to be placed into a corresponding bronchus, the main tracheal air bag 61 and the bronchial air bag 63 are inflated, and the bronchofiberscope is withdrawn. If only the lung row is isolated for double-lung ventilation, the first interface 15 and the second interface 16 are connected with the main airway lumen interface 42 and the bronchial lumen interface 43. For example, in the case of a lobular or segmental bronchial lavage, the bronchofiberscope is inserted into the lavage tube lumen 8 through the lavage port 72 and then passes out, the head end of the lavage tube lumen 8 is guided to be placed into the corresponding lobular or segmental bronchial tube, the second air bag 81 and the third air bag 82 are inflated, and the bronchofiberscope is withdrawn. The first interface 15 and the second interface 16 are connected with the vent interface 73 and the main trachea lumen interface 42. The lavage port 72 is connected to a lung lavage machine to perform a high-selection lavage of the target lobe or segment.
A second through hole 51 communicated with the bronchial airbag 63 is formed in the tube wall layer of the bronchial lumen 5, a third through hole 62 communicated with the main airway airbag 61 is formed in the tube wall layer of the main airway lumen 6, two first inflation tubes 44 are arranged on the cap interface 41, and the two first inflation tubes 44 are respectively inserted into the second through hole 51 and the third through hole 62; a first through hole 83 and a fourth through hole 84 which are respectively communicated with the second air bag 81 and the third air bag 82 are formed in the wall layer of the lavage tube cavity 8, two inflation tubes 74 are arranged on the cap connector II 71, and the two inflation tubes 74 are respectively inserted into the first through hole 83 and the fourth through hole 84; the inflation valves 9 are arranged on the two inflation tubes I44 and the two inflation tubes II 74, so that whether the main air tube air bag 61, the bronchus air bag 63, the air bag II 81 and the air bag III 82 are inflated or not is controlled by the corresponding inflation valves 9.
In this embodiment, the internal diameter of main trachea lumen 6 is greater than the external diameter of bronchial lumen 5, and the length of main trachea lumen 6 is less than the length of bronchial lumen 5, and the inner wall of one side of main trachea lumen 6 is hugged closely and forms the integral type with the outer wall of bronchial lumen 5 one side, and the head end mouth of pipe of main trachea lumen 6 and bronchial lumen 5 is the scarf.
The main air tube air bag 61, the bronchus air bag 63 and the second air bag 81 are all low-pressure air bags, and the third air bag 82 is a high-pressure air bag.
When the bronchofiberscope is used, the bronchofiberscope is inserted into the bronchial lumen 5 from the bronchial lumen interface 43 and penetrates out, the head end of the bronchial lumen is guided to be placed into the corresponding bronchus, the main tracheal air bag 61 and the bronchial air bag 63 are inflated, and the bronchofiberscope is withdrawn.
If only double-lung isolated ventilation is needed, the first interface 15 and the second interface 16 are connected with the main airway lumen interface 42 and the bronchial lumen interface 43, the circuit interface 11 is connected with a respiratory circuit, and auxiliary ventilation is carried out on the patient.
For example, in the case of performing a alveolar or segmental broncholavage, the bronchofiberscope is inserted into the lavage tube lumen 8 through the lavage port 72 and then passes out, the head end of the lavage tube lumen is guided to be placed into the corresponding lobe or segmental bronchus, the second air bag 81 and the third air bag 82 are inflated, and the bronchofiberscope is withdrawn. The first interface 15 and the second interface 16 are connected with the vent interface 73 and the main trachea lumen interface 42. The bronchial air bag 63 is evacuated, the circuit interface 11 is connected to the breathing circuit, and the lung tissue of the patient other than the irrigated lung is ventilated in an assisted manner. The lavage port 72 is connected to a lung lavage machine to perform a high-selection lavage of the target lobe or segment.
A pressure sensor for detecting the pressure in the lung lobe is also arranged between the lavage interface 72 and the interface one 15.
The invention is described above with reference to the accompanying drawings, it is obvious that the invention is not limited to the above-described embodiments, and it is within the scope of the invention to adopt such insubstantial modifications of the inventive method concept and solution, or to apply the inventive concept and solution directly to other applications without modification.

Claims (8)

1. The utility model provides a lung lavage external member, includes tee bend subassembly, lavage subassembly, two-chamber subassembly, its characterized in that: the tee joint component comprises a loop interface and two auxiliary interfaces which are communicated with the loop interface, a first connecting pipe and a second connecting pipe are connected to the two auxiliary interfaces respectively, and a first interface and a second interface are arranged at one end of the first connecting pipe and one end of the second connecting pipe respectively; the double-cavity assembly comprises a double-cavity connecting assembly, a bronchial lumen and a main tracheal lumen, wherein a main tracheal balloon and a bronchial balloon are respectively arranged on the main tracheal lumen and the bronchial lumen, the main tracheal lumen is sleeved on the bronchial lumen, the double-cavity connecting assembly comprises a cap interface I, a main tracheal lumen interface and a bronchial lumen interface, the main tracheal lumen interface and the bronchial lumen interface are inserted into the cap interface I, the main tracheal lumen interface is communicated with the main tracheal lumen, and the bronchial lumen interface is communicated with the bronchial lumen; lavage coupling assembling is including lavage coupling assembling, lavage tube lumen, the head and the middle part of lavage tube lumen are equipped with gasbag two, gasbag three respectively, lavage assembly is including cap interface two and insert lavage interface, the interface of ventilating in cap interface two, lavage tube lumen communicates with each other with the lavage interface, the interface of ventilating communicates with each other with the bronchial lumen interface of inserting in cap interface two.
2. A lung lavage kit as claimed in claim 1, wherein: the inner diameter of the main trachea lumen is larger than the outer diameter of the bronchial lumen, the length of the main trachea lumen is smaller than that of the bronchial lumen, the inner wall of one side of the main trachea lumen is tightly attached to the outer wall of one side of the bronchial lumen to form an integral structure, and the tube opening at one end of the main trachea lumen is a diagonal cut.
3. A lung lavage kit as claimed in claim 1, wherein: a second through hole communicated with the bronchial airbag is formed in the tube wall layer of the bronchial tube cavity, a third through hole communicated with the main tracheal airbag is formed in the tube wall layer of the main tracheal tube cavity, two first inflation tubes are arranged on the cap interface, and the two first inflation tubes are respectively inserted into the second through hole and the third through hole; a first through hole and a fourth through hole which are respectively communicated with the second air bag and the third air bag are formed in the tube wall layer of the tube cavity of the lavage tube, two inflation tubes II are arranged on the cap connector II, and the two inflation tubes II are respectively inserted into the first through hole and the fourth through hole; and the two inflation tubes I and the two inflation tubes II are respectively provided with an inflation valve.
4. A lung lavage kit as claimed in claim 1, wherein: rubber plugs are inserted into one end of the first connecting pipe and one end of the second connecting pipe.
5. A lung lavage kit as claimed in claim 1, wherein: the main trachea air bag, the bronchus air bag and the air bag II are all low-pressure air bags, and the air bag III is a high-pressure air bag.
6. A lung lavage kit as claimed in claim 1, wherein: and the middle parts of the two auxiliary connectors are provided with hose telescopic joints, and the middle part of the cap connector II is provided with a telescopic joint.
7. A lung lavage kit as claimed in claim 1, wherein: the two auxiliary interfaces are both L-shaped, and the first connecting pipe and the second connecting pipe are perpendicular to the two auxiliary interfaces respectively.
8. A lung lavage kit as claimed in claim 1, wherein: and a pressure sensor for detecting the pressure in the lung lobe of the lavage is further arranged between the lavage interface and the interface I.
CN201910873887.8A 2019-09-16 2019-09-16 Lung lavage external member Withdrawn CN110947042A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910873887.8A CN110947042A (en) 2019-09-16 2019-09-16 Lung lavage external member

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910873887.8A CN110947042A (en) 2019-09-16 2019-09-16 Lung lavage external member

Publications (1)

Publication Number Publication Date
CN110947042A true CN110947042A (en) 2020-04-03

Family

ID=69976283

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910873887.8A Withdrawn CN110947042A (en) 2019-09-16 2019-09-16 Lung lavage external member

Country Status (1)

Country Link
CN (1) CN110947042A (en)

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Application publication date: 20200403