CN111265751A - Single-cavity single-bag single-double-lung ventilation catheter - Google Patents

Single-cavity single-bag single-double-lung ventilation catheter Download PDF

Info

Publication number
CN111265751A
CN111265751A CN202010253360.8A CN202010253360A CN111265751A CN 111265751 A CN111265751 A CN 111265751A CN 202010253360 A CN202010253360 A CN 202010253360A CN 111265751 A CN111265751 A CN 111265751A
Authority
CN
China
Prior art keywords
catheter
catheter body
video
connecting pipe
connector
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.)
Pending
Application number
CN202010253360.8A
Other languages
Chinese (zh)
Inventor
董文艳
宋志高
高宏
黄东晓
王雁娟
姚敏
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Wuxi Childrens Hospital
Original Assignee
Wuxi Childrens Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Wuxi Childrens Hospital filed Critical Wuxi Childrens Hospital
Priority to CN202010253360.8A priority Critical patent/CN111265751A/en
Publication of CN111265751A publication Critical patent/CN111265751A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • A61M16/0404Special features for tracheal tubes not otherwise provided for with means for selective or partial lung respiration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0434Cuffs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0475Tracheal tubes having openings in the tube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10184Means for controlling or monitoring inflation or deflation
    • A61M25/10185Valves

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Biophysics (AREA)
  • Child & Adolescent Psychology (AREA)
  • Otolaryngology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention relates to a single-cavity single-bag single-double-lung ventilation catheter, which comprises a catheter body and a catheter breathing connector arranged at the tail end of the catheter body, wherein the head part of the catheter body is provided with a catheter side ventilation part and a catheter bag body matched with the catheter side ventilation part, the catheter side ventilation part is communicated with a cavity in the catheter body, and the catheter side ventilation part is positioned on the inner side of the arc-shaped head end of the catheter body; the catheter balloon body is positioned at the head part of the catheter body and wraps the corresponding outer wall except the side vent part of the catheter at the head part of the catheter body; the length direction of the catheter balloon body is consistent with that of the catheter body, the length of the catheter balloon body is larger than that of the side vent part of the catheter, the side vent part of the catheter is located between two ends of the catheter balloon body, and the lower edge of the catheter balloon body is located between the side vent part of the catheter and the end hole of the catheter body. The invention can effectively provide the stability and reliability of ventilation of single lung and double lungs, and is convenient to use.

Description

Single-cavity single-bag single-double-lung ventilation catheter
Technical Field
The invention relates to a tracheal catheter, in particular to a single-cavity single-bag single-double-lung ventilation catheter, and belongs to the technical field of tracheal catheters.
Background
In thoracic cavity operation, in order to vacate enough operation space, the operation side lung needs to be made to pause breathing so that the operation side lung collapses, and meanwhile, the non-operation side lung is made to be ventilated in a single lung to meet the oxygen supply requirement in the operation. After lung operation is finished, the operation side lung needs to be ventilated temporarily, the airtightness of the operation side lung incisal margin is detected, and complications such as pneumothorax and the like caused by air leakage of the operation side lung incisal margin after the chest wall is closed directly are avoided. After the operation is finished, ventilation of the two lungs is needed, so that the collapsed operation side lung is expanded again during the operation, and the purpose of breathing and exchanging gas is achieved.
Currently, single lung ventilation is performed, most notably and most commonly by the administration of a double lumen bronchial catheter to manage the airway. The double-lumen bronchial catheter has the following disadvantages:
1) the double-lumen bronchial catheter is limited by the inner diameter of the trachea of a human body, so that the diameter of a single lumen is small, and when a single lung is ventilated, particularly asthma and COPD (chronic obstructive pulmonary disease) patients, the airway pressure is high, and the injury of the non-operative side lung can be caused. When a patient is accompanied with the pulmonary bullae, the pulmonary bullae are easy to rupture, and pneumothorax is generated;
2) the double-cavity bronchial catheter is provided with two ventilation tube cavities, and the influence of the catheter wall is added, so that the whole outer diameter of the double-cavity bronchial catheter is thick, the injury to glottis and laryngopharynx during intubation is large, more complications are caused, and most commonly, postoperative throat pain and hoarseness even arytenoid cartilage dislocation is caused;
3) the double-cavity bronchial catheter is limited by the inner diameter of the trachea of a human body, and the diameter of a single lumen is small due to the fact that a child is limited by the inner diameter of a glottis, so that a thin product which can adapt to children cannot be produced, and the application of the double-cavity bronchial catheter in children is limited. The current double-cavity bronchial catheter can be used by children over 10 years old at least;
4) the double-cavity bronchial catheter is limited by the inner diameter of the trachea of a human body, so that the diameter of a single lumen is small, and sputum suction operation is not facilitated. When some patients with poor lung function or patients who need mechanical breathing support cannot recover spontaneous breathing after operation due to other reasons, the double-cavity bronchial catheter needs to be pulled out and the single-cavity tracheal catheter needs to be inserted again, so that breathing management and sputum suction operation during the breathing support period are facilitated. The workload of an anaesthetist is increased, meanwhile, the related adverse reactions caused by intubation of a patient are increased, and in some patients with poor intubation conditions, even the conditions of anoxia, sudden cardiac arrest and even death caused by intubation failure are increased.
The bronchus obturator cooperates with the single-cavity endotracheal tube to be the most common method for ventilating and managing the airway of the single lung outside the double-cavity endotracheal tube, the tube does not need to be replaced when the breathing support of the endotracheal tube needs to be kept after the operation, the bronchus obturator can be pulled out, but the bronchus obturator also has a plurality of defects:
1) the bronchus stopper is difficult to place and position, and needs a video tool to assist, namely, the video tool and the bronchus stopper need to be operated simultaneously, so that the operation is complex and can be smoothly carried out by an anesthesiologist with rich experience;
2) when the bronchial plug is positioned, a video tool and the bronchial plug are required to be synchronously placed into a single-cavity tracheal catheter matched for use, and the lumen of the single-cavity tracheal catheter is determined to be not smaller than 5.5mm, namely, the bronchial plug can only be used for patients over 6 years old, and is difficult to use for children under 6 years old;
3) when in use, the bronchus blocking device is used for blocking the bronchus mouth of the lung at the operation side, and is difficult to discharge the gas in the lung at the operation side; the sputum suction operation cannot be performed on the operated side lung; when the operation side lung is required to be inflated, the air in the bronchus stopper air bag needs to be discharged, and the operation side lung is inflated through the single-lumen tube, so that blood or secretion in the bronchus of the operation side lung flows into the main trachea, and the non-operation side lung and the main trachea are polluted;
4) the balloon of the bronchial plug is not easy to fix, the lung isolation effect is unstable, the lung isolation effect is poor due to easy displacement in the operation, and the mucosa is easily damaged by the high-pressure low-capacity balloon;
5) if the tube can not be pulled out after the operation, the breathing support is needed, and the matched single-cavity tracheal catheter needs to use the subglottic sputum suction tracheal catheter, so the cost is obviously increased;
6) the bronchus stopper has larger manufacturing process difficulty and high price, is multiple times of a double-cavity bronchus catheter, and has heavier economic burden for patients.
At present, when a child lacks an effective single-lung breathing management tool, a single-cavity tracheal catheter is often used to insert a non-operative side for single-lung ventilation, and of course, the single-cavity tracheal catheter can also be used for a group outside the child, but the defect of the single-cavity tracheal catheter is very obvious:
1) the single-cavity tracheal catheter needs to be placed into a non-operative side bronchus, so that the bronchus opening of the lung at the operative side is basically blocked, gas in the lung at the operative side is difficult to discharge, the lung at the operative side is not beneficial to collapse, and sufficient operation space is not beneficial to operation;
2) when the operation side lung needs to be inflated during or after the operation, the single-cavity tracheal catheter needs to be retreated a little, and the opening at the head end of the single-cavity tracheal catheter is retreated into the main tracheal catheter so as to complete the inflation of the operation side lung under the ventilation of the two lungs. The infantile airway is short, the trachea catheter is easy to fall off the airway due to the operation of withdrawing the trachea, and the trachea cannula in an emergency lateral position can be generated, so that oxygen deficiency, even sudden cardiac arrest and even death can be caused;
3) when the operation side lung needs to be expanded temporarily in the operation, the single-cavity tracheal catheter needs to retreat a little, the opening at the head end of the single-cavity tracheal catheter retreats into the main tracheal tube and is completed under the ventilation of the two lungs, and then the head end of the single-cavity tracheal catheter needs to be re-placed into the non-operation side placing tube. The operation is a positioning operation, the depth needs to be accurate, and the operation can be completed only by a plurality of times, so that the injury and bleeding of mucosa at the opening of a bronchus can be caused, and even the bronchospasm can be caused;
4) the operative side pulmonary hemorrhage and mucus are accumulated above the single-cavity tracheal catheter air bag, an effective suction method is lacked, and the operative side pulmonary hemorrhage and mucus are easy to block the opening of the operative side tracheal catheter due to blood clots or mucus, or the non-operative side pulmonary hemorrhage and main tracheal catheter are easy to be polluted due to blood or mucus flowing into the non-operative side tracheal catheter and the main tracheal catheter.
In a word, a simple, effective, safe and practical single-lung ventilation management tool which can effectively exhaust and expand the operation side lung in the operation and does not need to be operated by drawing and inserting a tube when respiratory support needs to be kept at the end of the operation is clinically lacked.
Disclosure of Invention
The invention aims to overcome the defects in the prior art, and provides a single-cavity single-bag single-double-lung ventilation catheter which is compact in structure, can effectively perform the management operation of air exhaust and expansion on the operation side lung in an operation, can realize the aim of double-lung ventilation, improves the stability and reliability of double-lung ventilation, and is convenient to operate and use.
According to the technical scheme provided by the invention, the single-cavity single-sac single-double-lung ventilation catheter comprises a catheter body and a catheter breathing connector arranged at the tail end of the catheter body, wherein a catheter body end hole is formed in the head end of the catheter body, and the catheter body end hole is communicated with the catheter breathing connector through a catheter body;
the head of the catheter body is provided with a catheter side vent part and a catheter bag body matched with the catheter side vent part, the catheter side vent part is communicated with a cavity in the catheter body, and the catheter side vent part is positioned on the inner side of the arc-shaped head end of the catheter body;
the catheter balloon body is positioned at the head part of the catheter body and wraps the corresponding outer wall except the side vent part of the catheter at the head part of the catheter body; the length direction of the catheter balloon is consistent with that of the catheter body, the length of the catheter balloon is greater than that of the side vent part of the catheter, the side vent part of the catheter is positioned between two ends of the catheter balloon, and the lower edge of the catheter balloon is positioned between the side vent part of the catheter and the end hole of the catheter body;
the dental pad mechanism for opening the oral cavity is arranged on the catheter body and can be locked on the catheter body; when the locking state of the bite-block mechanism and the catheter body is released, the catheter body and the bite-block mechanism can move relatively.
The side vent part of the conduit comprises one or more side vent holes, and the side vent holes penetrate through the corresponding side wall of the conduit body;
the device also comprises a balloon inflation and deflation connecting pipe which can inflate and deflate the catheter balloon and an inflation and deflation sealing valve which is in adaptive connection with the balloon inflation and deflation connecting pipe; the end hole of the catheter body is in a wedge shape or a flat shape at the end of the head end of the catheter body.
When the end part of the conduit body is in a slanting wedge shape at the end part of the head end of the conduit body, the slant formed by the end part of the conduit body and the side ventilation part of the conduit are positioned at the same side of the conduit body;
when the end part of the catheter body is in a flat shape at the end part of the head end of the catheter body, the head end of the catheter body is provided with a head end exhaust hole which is communicated with the catheter wall of the catheter body, the head end exhaust hole is positioned between the lower edge of the catheter sac body and the end part of the catheter body, and the head end exhaust hole and the side ventilation part of the catheter are positioned at the same side of the catheter body.
The conduit breathing connector comprises a connector conduit connecting pipe which can be in adaptive connection with the tail end of the conduit body and a connector connecting sleeve which is used for being in adaptive connection with a breathing machine/an anaesthesia machine, the tail end of the conduit body can be sleeved on the connector conduit connecting pipe, the connector connecting sleeve can be communicated with the conduit body through the connector conduit connecting pipe, and the connector connecting sleeve can rotate relative to the connector conduit connecting pipe and the conduit body.
The joint conduit connecting pipe is provided with a joint conduit connecting pipe convex ring, and the pipe wall of the joint connecting sleeve is provided with a joint connecting sleeve groove allowing the joint conduit connecting pipe to be embedded;
when the joint connecting sleeve is sleeved on the joint conduit connecting pipe, the joint conduit connecting pipe is embedded in the joint connecting sleeve groove, the joint conduit connecting pipe convex ring can be embedded in the joint connecting sleeve positioning groove in the joint connecting sleeve, and the joint connecting sleeve can rotate on the joint conduit connecting pipe by utilizing the matching of the joint conduit connecting pipe convex ring and the joint connecting sleeve positioning groove.
The bite block mechanism comprises a bite block locking connecting sleeve which can be sleeved on the catheter body and a locking adjusting connecting pipe which can be sleeved on the catheter body and can be in adaptive connection with the bite block locking connecting sleeve, and a bite block sleeve for occlusion of teeth is sleeved on the locking adjusting connecting pipe;
the inner wall of the locking and adjusting connecting pipe is provided with an adjusting connecting pipe internal thread, and the pipe wall thickness of the locking and adjusting connecting pipe is gradually changed; the outer wall of the bite block locking connecting sleeve is provided with a locking sleeve body external thread which can be matched with the internal thread of the adjusting connecting pipe, the head end of the bite block locking connecting sleeve can extend into the locking adjusting connecting pipe and is fixedly connected with the locking adjusting connecting pipe, and the tail end of the bite block locking connecting sleeve is divided into a plurality of connecting locking pieces;
the locking adjusting connecting pipe and the bite block locking connecting sleeve move relatively to enable the connection locking piece to be contracted close to the catheter body, and the bite block locking connecting sleeve and the catheter body can be locked with each other; the locking adjusting connecting pipe and the bite block locking connecting sleeve move relatively to enable the locking connecting piece to be capable of releasing the locking state of the bite block locking connecting sleeve and the catheter body when the connecting locking piece is opened to be far away from the catheter body.
The catheter comprises a catheter body and is characterized by further comprising a video image acquisition mechanism capable of acquiring the position state of the catheter body during use, wherein the video image acquisition mechanism is in adaptive connection with the catheter body, and a marker color is coated on a catheter balloon.
The video head portrait acquisition mechanism comprises a sampling connecting rod which can be embedded in the catheter body and a connecting rod video head which is positioned at the head end of the sampling connecting rod, and the length of the sampling connecting rod is greater than that of the catheter body; the connecting rod video head can penetrate out of the hole at the end part of the catheter body through the sampling connecting rod, or the connecting rod video head can be withdrawn from the catheter body through the sampling connecting rod; the connecting rod video head can be electrically connected with the connecting rod video output connector through a connecting rod video line embedded in the sampling connecting rod.
The end part of the sampling connecting rod is provided with a video conduit connector, the conduit breathing connector is detachably connected with the conduit body, when the conduit breathing connector is detached and separated from the conduit body, the video conduit connector is in adaptive connection with the tail end of the conduit body, and the video conduit connector is detachably connected with the tail end of the conduit body;
after the video catheter connector is in adaptive connection with the catheter body, the sampling connecting rod can penetrate into the catheter body; the video catheter connector is communicated with the catheter body, and the catheter body can be in adaptive connection with a breathing machine/an anesthesia machine through the video catheter connector;
the sampling connecting rod comprises a plurality of uniformly distributed connecting rod sheets, and gas circulation grooves allowing gas to pass through can be formed between adjacent connecting rod sheets; the gas enters the catheter body through the video catheter connector, flows under the guidance of the gas circulation groove and can be discharged through the side vent part of the catheter and the end hole of the catheter body.
The video catheter connector comprises a video connecting pipe which can be matched with the catheter body, an adjusting transition connecting pipe which is matched with the video connecting pipe and a video ventilating connecting pipe which is matched with the adjusting transition connecting pipe;
the tail end of the catheter body can be sleeved on the video connection connecting pipe, the inner wall of the adjustment transition connecting pipe is provided with a transition adjustment internal thread, the adjustment transition connecting pipe can be in adaptive connection with a breathing machine/an anaesthesia machine through the video ventilation connecting pipe, the video ventilation connecting pipe can be communicated with the video connection connecting pipe through the adjustment transition connecting pipe, the adjustment transition connecting pipe can rotate relative to the video connection connecting pipe, and the video ventilation connecting pipe can rotate relative to the adjustment transition connecting pipe;
the outer wall of the sampling connecting rod is provided with a connecting rod external thread which can be matched with the transition adjusting internal thread, and the sampling connecting rod sequentially passes through the video ventilation connecting pipe, the adjusting transition connecting pipe and the video connecting pipe and then enters the catheter body; the position state of the sampling connecting rod on the catheter body can be adjusted through the matching of the external thread of the connecting rod and the internal thread of the transition adjustment.
The invention has the advantages that: the tail end of the catheter body is connected and matched with the catheter breathing connector, the side vent part of the catheter is communicated with the cavity in the catheter body, and the side vent part of the catheter is positioned on the inner side of the arc-shaped head end of the catheter body; the catheter balloon body wraps the corresponding outer wall except the side vent part of the catheter at the head part of the catheter body; the pipe side portion of ventilating is located between the both ends of pipe utricule, the lower edge of pipe utricule is located between pipe side portion of ventilating and pipe body tip hole, thereby utilize pipe side portion of ventilating and pipe body tip hole can be simultaneously with the internal gas outgoing of pipe, when pipe side portion of ventilating corresponds with the bronchus opening of operation side lung, can effectively exhaust the administrative operation with the inflation to operation side lung in the operation, then can realize the purpose that two lungs ventilate, improve the stability and the reliability that two lungs ventilate, operation convenient to use.
Drawings
FIG. 1 is a perspective view of one embodiment of the present invention.
Fig. 2 is a cross-sectional view corresponding to the gas conduit of fig. 1.
Fig. 3 is a schematic view of the video image capturing mechanism with sampling link engaged with the catheter body according to the present invention.
Fig. 4 is a cross-sectional view of the fit in fig. 3.
Fig. 5 is a schematic diagram of the video image capturing mechanism of fig. 3.
Fig. 6 is a detailed enlarged view of a sampling link of the present invention.
Fig. 7 is a perspective view of the video conduit connector of the present invention.
Fig. 8 is a cross-sectional view of a video conduit connector of the present invention.
Figure 9 is a perspective view of the video vent tube of the present invention.
FIG. 10 is a perspective view of an adjusting transition piece according to the present invention.
Fig. 11 is a perspective view of a video connector tube of the present invention.
FIG. 12 is a perspective view of the pivotally connected first ring member of the present invention.
Fig. 13 is a perspective view of the video image capturing mechanism of the present invention engaged with a catheter body using a connecting wire body.
Fig. 14 is a cross-sectional view of the fit in fig. 13.
FIG. 15 is a cross-sectional view of a connecting wire body of the present invention within a catheter body.
Fig. 16 is a cross-sectional view of a linear video head of the present invention within a catheter body.
Fig. 17 is a schematic diagram of the position of a video camera in a catheter and a lateral airway of the catheter according to the present invention.
Fig. 18 is a schematic view of the catheter body end hole of the present invention in the form of a beveled wedge at the tip of the head end of the catheter body.
FIG. 19 is a schematic view of a tip vent provided in the catheter body of the present invention.
FIG. 20 is a schematic view of a tip end hole of a catheter body of the present invention with the tip end of the catheter body flattened.
Fig. 21 is a perspective view of the catheter breathing connector of the present invention.
FIG. 22 is a cross-sectional view of a catheter breathing connector of the present invention.
Figure 23 is a perspective view of the bite block mechanism of the present invention.
Figure 24 is a perspective view showing the coupling and engagement of the bite block cover and the bite block locking connection sleeve according to the present invention.
Fig. 25 is a perspective view of the locking adjusting connecting pipe and the bite block locking connecting sleeve in connection and cooperation.
FIG. 26 is a cross-sectional view of a lock adjustment coupling of the present invention.
Description of reference numerals: 1-catheter body, 2-catheter balloon body, 3-side vent hole, 4-inflation/deflation sealing valve, 5-balloon inflation/deflation connecting tube, 6-locking adjusting connecting tube, 7-connector connecting sleeve, 8-dental pad cover, 9-dental pad groove, 10-dental pad cover lug, 11-sleeve body groove, 12-connector catheter connecting tube convex ring, 13-connector catheter connecting tube, 14-connecting rod video head, 15-sampling connecting rod, 16-connecting rod video output connector, 17-connecting rod video line, 18-video ventilation connecting tube, 19-dental pad locking connecting sleeve, 20-adjusting transition connecting tube, 21-video connecting tube, 22-video ventilation line body side tube, 23-rotating connecting first ring body, 24-rotating connecting second ring body, 25-connecting rod external thread, 26-connecting rod piece, 27-connecting rod hole, 28-ventilating connecting pipe inner cavity, 29-side pipe positioning sealing body, 30-transition adjusting internal thread, 31-ventilating connecting pipe lower body part, 32-rotating connecting first groove, 33-rotating connecting second groove, 34-connector connecting sleeve wall groove, 35-video connecting pipe end plate, 36-video connecting pipe rotating positioning groove, 37-video connecting pipe inner limiting block, 38-annular body, 39-annular body end groove, 40-annular body inner step, 41-connecting wire body, 42-line body video connector, 43-line body video head, 44-base guiding limiting groove, 45-head end, vent hole 46-connector connecting sleeve positioning groove, 47-connector pipe connecting pipe end plate, 48-slope surface, 49-joint connecting sleeve groove, 50-adjusting connecting pipe internal thread, 51-connecting locking piece, 52-locking sleeve external thread, 53-locking piece dividing groove and 54-guide pipe body end hole and 55-video head base.
Detailed Description
The invention is further illustrated by the following specific figures and examples.
In order to effectively ensure the ventilation state of the right lung and improve the use convenience, the invention comprises a catheter body 1 and a catheter breathing connector arranged at the tail end of the catheter body 1, wherein the head end part of the catheter body 1 is provided with a catheter body end hole 54, and the catheter body end hole 54 can be communicated with the catheter breathing connector through the catheter body 1;
the head of the catheter body 1 is provided with a catheter side vent part and a catheter bag body 2 matched with the catheter side vent part, the catheter side vent part is communicated with a cavity in the catheter body 1, and the catheter side vent part is positioned on the inner side of the arc-shaped head end of the catheter body 1;
the catheter balloon 2 is positioned at the head part of the catheter body 1, and the catheter balloon 2 wraps the corresponding outer wall of the catheter body 1 except the side vent part of the catheter; the length direction of the catheter balloon 2 is consistent with that of the catheter body 1, the length of the catheter balloon 2 is larger than that of the side vent part of the catheter, the side vent part of the catheter is positioned between two ends of the catheter balloon 2, and the lower edge of the catheter balloon 2 is positioned between the side vent part of the catheter and the end hole 54 of the catheter body.
Specifically, the catheter body 1, the catheter respiration connector and the catheter balloon 2 are all made of materials meeting medical standards, the length and the outer diameter of the catheter body 1 can adopt the same existing specifications, and can be specifically selected according to needs, and the details are omitted here. The catheter breathing connector is connected with the tail end of the catheter body 1, and the catheter body 1 can be in adaptive connection with a breathing machine/anesthesia machine for breathing support through the catheter breathing connector, so that required breathing support is carried out through the catheter body 1. Certainly, after the catheter breathing connector is connected with the tail end of the catheter body 1, the sealing capacity of the joint between the catheter body connector and the tail end of the catheter body 1 can be ensured. A catheter body end hole 54 is located at the tip end of the catheter body 1, the catheter body end hole 54 is in communication with the catheter body 1, and gases entering the catheter body 1 during respiratory support can be released through the catheter body end hole 54.
Generally, the head end of the catheter body 1 has an arc shape, and the catheter side vent portion is located at the bottom of the arc opening of the catheter body 1, i.e., the catheter side vent portion is located inside the arc head of the catheter body 1. The side of the tube side ventilation part through the tube wall of the tube body 1, namely the tube body 1 after intubation to support respiration, the side of the tube side ventilation part can release gas, so that the gas in the tube body 1 can release gas through the end hole 54 of the tube body and the side of the tube side ventilation part, and then the respiration support is effectively realized.
In order to realize the effect of ventilation, a catheter balloon 2 is required to be arranged at the head end of the catheter body 1, and the catheter balloon 2 is wrapped on the outer wall of the catheter body 1. In the embodiment of the invention, the length direction of the catheter balloon 2 is consistent with the length direction of the catheter body 1, but the length of the catheter balloon 2 is far smaller than that of the catheter body 1. In order not to affect the release of gas through the side vent part of the catheter, the catheter balloon 2 wraps the corresponding outer wall of the side vent part of the catheter on the head part of the catheter body 1, and the side vent part of the catheter is positioned between two ends of the catheter balloon 2, namely, the outer ring of the side vent part of the catheter is the catheter balloon 2 wrapping the catheter body 1, and the lower edge of the catheter balloon 2 is positioned between the side vent part of the catheter and the end hole 54 of the catheter body.
When the operation lung is a left lung, the catheter body 1 is inserted into an air passage by adopting a common technical means after anesthesia, the depth and the position of the catheter body 1 are adjusted, the catheter balloon 2 is positioned at the right side of the carina, namely the front half part of the catheter balloon 2 is positioned in the opening of a bronchus at the right side, the rear half part of the catheter balloon 2 is positioned behind the carina in the bronchus, and the side vent part of the catheter is positioned behind the carina in the main bronchus at the moment, so that the side vent part of the catheter is opposite to the opening of the. Appropriate amount of gas is filled into catheter utricule 2, and catheter utricule 2 inflation, first half shutoff right side bronchus of catheter utricule 2, and simultaneously, second half shutoff main trachea of catheter utricule 2, pipe body 1 can breathe through pipe body tip hole 54 and support the right lung, and simultaneously, pipe body 1 can breathe through pipe side portion of ventilating and support the left lung to can implement two lungs and ventilate. In practice, the front half of the catheter balloon 2 refers to the part of the catheter balloon 2 adjacent to the catheter body end hole 54, and the rear half of the catheter balloon 2 refers to the part of the catheter balloon 2 away from the catheter body end hole 54.
Before the operation is started, the connection between the catheter breathing connector at the tail part of the catheter body 1 and the breathing machine/anesthesia machine is disconnected to suspend breathing support for three minutes, negative pressure suction can be carried out in the catheter body 1 if necessary, the gas in the right lung passes through the end hole 54 of the catheter body, the gas in the left lung passes through the side ventilation part of the catheter and is exhausted out of the body through the tail part of the catheter body 1, and at the moment, the left lung and the right lung are both in a shriveled state.
When the operation is started, the depth position of the catheter body 1 is kept unchanged, the catheter body 1 is rotated by 180 degrees, the side ventilation part of the catheter is changed from being opposite to the opening of the left side bronchus to being opposite to the right side wall behind the carina, and the catheter breathing connector at the tail part of the catheter body 1 is connected with a breathing machine/an anaesthesia machine again to carry out required breathing support. Because the side ventilating part of the catheter corresponds to the right side wall behind the bulge, the side ventilating part of the catheter is sealed by utilizing the matching of the side wall and the side ventilating part of the catheter, so that the side ventilating part of the catheter forms a blind hole; the catheter body 1 supports the breathing of the right lung by the end hole 54 of the catheter body, and the right lung ventilation can be implemented. And the left lung in a collapsed state, such that the operative left chest has sufficient space to accommodate the surgical procedure.
When the operation is finished and the left lung is required to be ventilated to detect the left lung sealing property or the double lungs are ventilated, the depth position of the catheter body 1 is kept unchanged again, the angle of the catheter body 1 is rotated to 180 degrees, so that the side ventilating part of the catheter body is opposite to the opening of the left side trachea again, and the double lungs of the right lung and the left lung can be ventilated simultaneously by utilizing the end hole 54 of the catheter body 1 and the side ventilating part of the catheter; if the cutting anastomosis of the left lung leaks air, the cutting and suturing part with the air leakage needs to be reinforced and repaired until the detection of the cutting anastomosis is satisfied, and then the operation of the left lung can be completed. That is, the whole process needs to retreat the catheter body 1 into the main trachea, and only the catheter body 1 needs to be rotated, so that the problem caused by the existing retreat of the catheter body 1 into the main trachea can be avoided, and the convenience and the reliability of the operation during the ventilation of the double lungs are improved.
After the operation of the left lung is finished, the ventilation of the two lungs is required to be recovered in time, so that the collapse time of the operated lung can be reduced as much as possible, the reduction of the surface active substances of the alveoli is reduced, and the occurrence probability of atelectasis caused by the reduction of the surface active substances of the alveoli is reduced. After the left lung operation is determined to be finished, when the thoracic cavity can be closed, the catheter body 1 is retreated by 3cm-5cm, so that the catheter balloon 2 is retreated into the main trachea, the stimulation of the catheter balloon 2 to the carina can be reduced, and the cardiovascular reaction is reduced; at the moment, the side vent part of the catheter corresponds to the side wall of the main trachea and can form a blind hole state, so that the normal ventilation of the double lungs is not influenced.
Similarly, when the operation lung is the right lung, the above description may be referred to for a specific operation process using the catheter body 1 and the left and right lungs, and the specific process is well known to those skilled in the art and will not be described herein again.
Furthermore, the side vent part of the catheter comprises one or more side vent holes 3, the side vent holes 3 penetrate through the corresponding side wall of the catheter body 1, and the length of the side vent part of the catheter is 1.5 cm-3 cm;
the distance between the lower edge of the catheter balloon 2 and the end hole 54 of the catheter body is 0.8 cm-2 cm; the distance between the upper edge of the catheter sac body 2 and the outer ring edge of the lateral side ventilation part of the catheter is 0.8 cm-2 cm.
In the embodiment of the invention, the side vent part of the conduit can be one or more side vent holes 3, the side vent holes 3 penetrate through the wall of the conduit body 1, and when the side vent part of the conduit is one side vent hole 3, the aperture and the size of the side vent hole 3 are consistent with those of the side vent part of the conduit, so that the venting effect is improved as much as possible. As shown in fig. 1, 2, 3, 4, 13, 14, 18, 19 and 20, the side vent portion of the catheter employs one side vent hole 3. The length of the side vent part of the catheter is 1.5 cm-3 cm, the length of the side vent part of the catheter specifically refers to the length consistent with the length direction of the catheter body 1, and when one side vent hole 3 is adopted in the side vent part of the catheter, the length of the side vent hole 3 is consistent with the length of the side vent part of the catheter.
In specific implementation, the distance between the lower edge of the catheter balloon 2 and the end hole 54 of the catheter body is 0.8 cm-2 cm, and the distance between the upper edge of the catheter balloon 2 and the outer ring edge of the lateral ventilation part of the catheter is 0.8 cm-2 cm; the distance between the catheter sac body 2 and the end hole 54 of the catheter body and the side ventilation part of the catheter body is set, so that ventilation of the non-operation side lung can be guaranteed, the ventilation requirement of the operation side lung under the required condition can be guaranteed, and the purpose of ventilation of the two lungs is effectively achieved.
Further, the device also comprises a balloon inflation and deflation connecting pipe 5 which can inflate and deflate the catheter balloon 2 and an inflation and deflation sealing valve 4 which is in adaptive connection with the balloon inflation and deflation connecting pipe 5; the end hole 54 of the catheter body is in a wedge shape or a flat shape at the end of the head end of the catheter body 1.
In the embodiment of the present invention, the balloon body 2 of the catheter can be inflated and deflated through the balloon inflation/deflation connecting tube 5 and the inflation/deflation sealing valve 4, and the process of inflating and deflating the balloon body 2 of the catheter by using the balloon inflation/deflation connecting tube 5 and the inflation/deflation sealing valve 4 is the same as the prior art, which is known to those skilled in the art and will not be described herein again.
Further, when the end hole 54 of the catheter body is in the form of an inclined wedge at the end of the head end of the catheter body 1, the inclined plane formed by the end hole 54 of the catheter body and the side vent part of the catheter are positioned on the same side of the catheter body 1;
when the end part of the catheter body 1 is flat, the end part of the catheter body 54 is provided with the head end exhaust hole 45, the head end exhaust hole 45 penetrates through the wall of the catheter body 1, the head end exhaust hole 45 is positioned between the lower edge of the catheter sac 2 and the end part of the catheter body 54, and the head end exhaust hole 45 and the side ventilation part of the catheter are positioned on the same side of the catheter body 1.
In the embodiment of the present invention, when the tip end of the catheter body 1 is tapered, that is, when the tip end of the catheter body 1 is tapered, the tip end of the catheter body 54 is tapered as shown in fig. 18, which is the case of the tip end of the catheter body 1. The inclined slope surface 48 can be formed at the head end of the catheter body 1 through the inclined wedge-shaped catheter body end hole 54, the front surface of the inclined slope surface 48 and the catheter side ventilation part are arranged on the same side of the catheter body 1, and the back surface of the inclined slope surface 48 and the catheter side ventilation part are respectively arranged on two sides of the catheter body 1. The height of the slope surface 48 is gradually reduced in a direction from the trailing end of the catheter body 1 to the leading end of the catheter body 1, so that a tip shape can be formed at the leading end of the catheter body 1.
As shown in fig. 1, 2, 3, 4, 13, 14, 18 and 19, the catheter body end hole 54 is shown as being flat at the tip end of the catheter body 1, i.e., the tip end of the catheter body 1 is a flat end surface. Compared with the catheter body end hole 54 which is obliquely wedged at the head end of the catheter body 1, the catheter body end hole 54 can effectively reduce the length of the catheter body 1 when the head end of the catheter body 1 is flat, and further improves the convenience of operations such as intubation. When the tube body 1 and the tube body end hole 54 are used to support the right lung, in order to accommodate ventilation of the upper lobe bronchus of the right lung, the tube body 1 is provided with the head end exhaust hole 45, the head end exhaust hole 45 penetrates the tube body 1, generally, the head end exhaust hole 45 may be located on the same side as the tube side ventilation portion, and the head end exhaust hole 45 is located between the lower edge of the tube balloon 2 and the tube body end hole 54. In specific implementation, the number of the head end exhaust holes 54 provided at the head end of the catheter body 1 can be selected as required, and the above-mentioned figure shows a case where one head end exhaust hole 45 is provided at the head end of the catheter body 1. When the tube body end hole 54 of the tube body 1 enters the right bronchus, the head exhaust hole 45 can supply air to the upper lobe bronchus of the right lung, and the influence of the tube body 1 on the ventilation effect of the non-operation side lung under the condition that the tube wall of the bronchus is blocked during intubation can be avoided, thereby further improving the reliability in respiratory support.
As shown in fig. 21 and 22, the catheter respiration connector includes a connector catheter connecting tube 13 capable of being connected with the tail end of the catheter body 1 in an adaptive manner and a connector connecting sleeve 7 for being connected with a respirator/anesthesia machine in an adaptive manner, the tail end of the catheter body 1 can be sleeved on the connector catheter connecting tube 13, the connector connecting sleeve 7 can be communicated with the catheter body 1 through the connector catheter connecting tube 13, and the connector connecting sleeve 7 can rotate relative to the connector catheter connecting tube 13 and the catheter body 1.
In the embodiment of the invention, the tail end of the catheter body 1 can be sleeved on the joint catheter connecting pipe 13, and after the catheter body 1 is sleeved on the joint catheter connecting pipe 13, the sealing performance of the joint part of the catheter body 1 and the joint catheter connecting pipe 13 can be ensured, namely, gas can not escape through the joint part of the catheter body 1 and the joint catheter connecting pipe 13. The adapter sleeve 7 can be adapted to the respirator/anesthesia machine, i.e. the size, shape, etc. of the adapter sleeve 7 can be adapted to the respirator/anesthesia machine, so that the adapter sleeve 7 can be adapted to the connection of the respirator/anesthesia machine. The connector connection sleeve 7 can communicate with the catheter body 1 via the connector catheter connection 13, so that the ventilator/anaesthetic machine can deliver gas into the catheter body 1. During specific implementation, the joint connecting sleeve 7 can rotate relative to the joint conduit connecting pipe 13, the joint conduit connecting pipe 13 is connected with the conduit body 1 and then keeps stable, and at the moment, the joint connecting sleeve 7 can also rotate relative to the conduit body 1.
After the catheter body 1 is connected with the breathing machine/anesthesia machine through the joint connecting sleeve 7, the catheter body 1 is easy to twist due to the position relationship between the breathing support patient and the breathing machine/anesthesia machine, and the twisted catheter body 1 can affect the ventilation effect and seriously affect the connection and matching with the breathing machine/anesthesia machine. In the embodiment of the invention, after the catheter body 1 is connected with the breathing machine/anesthesia machine through the joint connecting sleeve 7, if the catheter body 1 is twisted, the twisting on the catheter body 1 can be eliminated through the relative rotation of the catheter body 1 and the joint connecting sleeve 7, and the normal breathing support state performed through the catheter body 1 cannot be influenced in the process of eliminating the twisting state of the catheter body 1.
Further, a joint conduit connecting convex ring 12 is arranged on the joint conduit connecting pipe 13, and a joint connecting sleeve groove 49 allowing the joint conduit connecting pipe 13 to be embedded is arranged in the pipe wall of the joint connecting sleeve 7;
when the joint conduit connecting pipe 7 is fitted over the joint conduit connecting pipe 13, the joint conduit connecting pipe 13 is fitted in the joint conduit connecting groove 49, and the joint conduit connecting pipe protruding ring 12 can be fitted in the joint conduit connecting pipe positioning groove 46 in the joint conduit connecting pipe 7, and the joint conduit connecting pipe 7 can rotate on the joint conduit connecting pipe 13 by the cooperation of the joint conduit connecting pipe protruding ring 12 and the joint conduit connecting pipe positioning groove 46.
In the embodiment of the invention, the connector conduit connecting convex ring 12 is convexly arranged on the connector conduit connecting pipe 13, and the connector conduit connecting convex ring 12 is distributed along the circumferential surface of the connector conduit connecting pipe 13. A joint connection sleeve groove 49 is provided in the pipe wall of the joint connection sleeve 7, the length of the joint connection sleeve groove 49 being smaller than the length of the joint connection sleeve 7. The connector conduit connecting tube 13 can extend into the connector connecting sleeve groove 49. The joint connecting sleeve groove 49 is annular in shape in the joint connecting sleeve 7. A connector coupling sleeve positioning groove 46 is provided on the inner wall of the connector coupling sleeve groove 49, and the connector coupling sleeve positioning groove 46 allows the insertion of the connector coupling tube connecting lug 12. When the connector conduit connecting collar 12 is inserted into the connector conduit connecting sleeve positioning groove 46, the connector conduit connecting sleeve 7 can rotate on the connector conduit connecting sleeve 13, namely, the relative rotation between the connector conduit connecting sleeve 7 and the connector conduit connecting sleeve 13 is realized. Typically, the connector conduit coupling collar 12 is a clearance fit between the connector coupling sleeve locating grooves 46, i.e., without interfering with the rotation of the connector coupling sleeve 7 relative to the connector conduit coupling 13.
In specific implementation, the joint connection sleeve 7 is provided with the joint connection sleeve wall groove 34, the joint connection sleeve wall groove 34 penetrates through the joint connection sleeve 7, and the joint connection sleeve wall groove 34 is in positive correspondence with the joint connection sleeve positioning groove 46. The joint coupling sleeve positioning slot 46 is annular and the joint coupling sleeve wall slot 34 is in the form of one or more discontinuities. Furthermore, by the fitting of the joint connection sleeve 7 to the contact surface of the joint conduit connecting pipe 13, it is possible to prevent the gas in the joint connection sleeve 7 from escaping through the joint connection sleeve groove 49 or via the joint connection sleeve groove 49 and the joint connection sleeve wall groove 34. Of course, a seal ring may be provided at the joint between the joint connection sleeve 7 and the joint conduit connecting pipe 13 to further ensure airtightness during use; after the sealing ring is provided, the rotation of the joint connection sleeve 7 on the joint guide connecting pipe 13 should be prevented from being affected. The connector conduit connecting pipe 13 is also provided with a connector conduit connecting pipe end plate 47 which is distributed at the opposite side, and the whole conduit breathing connector can be conveniently held through the connector conduit connecting pipe end plate 47.
Further, a bite block mechanism for opening the oral cavity is arranged on the catheter body 1, the bite block mechanism can be locked on the catheter body 1, and when the locking state of the bite block mechanism and the catheter body 1 is released, the bite block mechanism can move on the catheter body 1 relative to the catheter body 1.
In the embodiment of the invention, the bite block mechanism is arranged on the catheter body 1, the oral cavity can be opened through the bite block mechanism, and the teeth of a patient can be occluded on the bite block mechanism. The bite-block mechanism can be locked on the catheter body 1, and can be conveniently used for the stability of the oral cavity opening when being locked on the catheter body 1. When the position of the catheter body 1 needs to be adjusted, the locking state between the bite block mechanism and the catheter body 1 needs to be released, and after the locking state between the bite block mechanism and the catheter body 1 is released, the bite block mechanism and the catheter body 1 can move relatively, wherein the relative movement specifically comprises the rotation of the catheter body 1 relative to the bite block mechanism or the movement of pulling/pushing the catheter body 1. During the movement of the catheter body 1, the bite block mechanism can be utilized to keep the oral cavity open. Compare with current bite-block and pipe body 1 connection cooperation, convenience when can improve the pipe body 1 adjustment.
As shown in fig. 23, fig. 24, fig. 25 and fig. 26, the bite block mechanism comprises a bite block locking connection sleeve 19 capable of being sleeved on the catheter body 1 and a locking adjusting connection tube 6 capable of being sleeved on the catheter body 1 and being in fit connection with the bite block locking connection sleeve 19, and a bite block sleeve 8 for occlusion of teeth is sleeved on the locking adjusting connection tube 6;
the inner wall of the locking and adjusting connecting pipe 6 is provided with an adjusting connecting pipe internal thread 50, and the pipe wall thickness of the locking and adjusting connecting pipe 6 is gradually changed; the outer wall of the bite block locking connecting sleeve 19 is provided with a locking sleeve external thread 52 which can be matched with the adjusting connecting pipe internal thread 50, the head end of the bite block locking connecting sleeve 19 can extend into the locking adjusting connecting pipe 6 and is fixedly connected with the locking adjusting connecting pipe 6, and the tail end of the bite block locking connecting sleeve 19 is divided into a plurality of connecting locking sheets 51;
the locking adjusting connecting pipe 6 and the bite block locking connecting sleeve 19 move relatively, so that when the connecting locking piece 51 contracts towards the catheter body 1, the bite block locking connecting sleeve 19 and the catheter body 1 can be locked with each other; the locking adjusting connecting pipe 6 and the bite block locking connecting sleeve 19 move relatively, so that when the connecting locking piece 51 is opened away from the catheter body 1, the locking state of the bite block locking connecting sleeve 19 and the catheter body 1 can be released.
In the embodiment of the invention, the locking and adjusting connecting pipe 6 and the bite block locking connecting sleeve 19 can be sleeved on the catheter body 1, the bite block sleeve 8 is sleeved on the locking and adjusting connecting pipe 6, and after the bite block sleeve 8 is sleeved on the locking and adjusting connecting pipe 6, the bite block sleeve 8 and the locking and adjusting connecting pipe 6 can be kept stable, thus realizing the stability of opening the oral cavity.
The inner wall of the locking and adjusting connecting pipe 6 is provided with adjusting connecting pipe internal threads 50, and the wall thickness of the locking and adjusting connecting pipe 6 is in a gradually changing state, as shown in fig. 26. In fig. 26, the wall of the lock adjusting pipe 6 becomes thinner in the top-down direction, and the adjusting pipe internal thread 50 follows the wall of the lock connecting pipe 6. The outer wall of the bite block locking connecting sleeve 19 is provided with a locking sleeve body external thread 52, and the bite block locking connecting sleeve 19 can be connected and matched with the adjusting connecting pipe internal thread 50 of the locking adjusting connecting pipe 6 through the locking sleeve body external thread 52. The tail end of the bite block locking connection sleeve 19 can form a plurality of connection locking pieces 51 through a plurality of locking piece dividing grooves 53, and each connection locking piece 51 is also provided with a locking sleeve external thread 52.
As can be seen from the above description, the thickness change of the inner wall of the locking adjusting connecting pipe 6 is matched with the bite block locking connecting sleeve 19 and the connecting locking piece 51, and the connecting locking piece 51 of the bite block locking connecting sleeve 19 can be shrunk and pressed on the catheter body 1 through the relative movement of the locking adjusting connecting pipe 6 and the bite block locking connecting sleeve 19, so that the bite block locking connecting sleeve 19 and the catheter body 1 can be locked with each other, that is, the bite block mechanism and the catheter body 1 can be locked with each other. When the adjusting connecting pipe 6 is locked and rotated and the connection releasing locking piece 51 is pressed on the catheter body 1, the locking state of the bite block locking connecting sleeve 19 and the catheter body 1 can be released, namely the locking state of the bite block mechanism and the catheter body 1 is realized. In specific implementation, when the position with larger wall thickness of the locking adjusting connecting pipe 6 is tightly connected with the connecting locking piece 51, the connecting locking piece 51 can be pressed on the catheter body 1.
Further, the tooth cushion cover 8 is provided with tooth cushion grooves 9 allowing the teeth to be embedded, and the tooth cushion grooves 9 are symmetrically distributed on the tooth cushion cover 8; the bite block sleeve 8 is also provided with at least one sleeve body groove 11 which can be matched with the sputum suction tube, the sleeve body groove 11 is positioned between the two bite block grooves 9 on the bite block sleeve 8, and the sputum suction tube can be placed in the oral cavity through the sleeve body groove 11.
In the embodiment of the invention, the bite block sleeve 8 is generally made of medical silica gel, the bite block groove 9 is concavely arranged on the bite block sleeve 8, the bite block groove 9 is in an oval shape, and the length direction of the bite block groove 9 corresponds to the length direction of teeth. Generally, two sleeve grooves 11 which are symmetrically distributed are arranged on the bite block groove 8, each sleeve groove 11 is formed by arranging two bite block sleeve lugs 10 on the bite block sleeve 8, and a space for sucking a sputum suction tube and the like can be provided through the sleeve grooves 11, so that the sputum suction tube is placed in the oral cavity through the sleeve grooves 11, and the stability and the reliability of the sputum suction tube in sputum suction are improved.
Further, the catheter comprises a video image acquisition mechanism which can acquire the position state of the catheter body 1 during use, wherein the video image acquisition mechanism is in adaptive connection with the catheter body 1, and a marking color is coated on the catheter balloon 2.
In the embodiment of the invention, the position state of the catheter body 1 can be acquired through the video image acquisition mechanism, for example, the position state information of the catheter body 1 during intubation and in the use process is acquired, and the accuracy of the intubation process, the intubation efficiency and the like are improved. When the position state in the using process can be subjected to video image information acquisition, the whole breathing process can be effectively monitored. During concrete implementation, the pipe body 1 generally is transparent form, coats on the pipe utricule 2 and marks the color, avoids the condition that can't effectively observe pipe utricule 2 position state under the condition that current pipe utricule 2 adopted transparent color.
As shown in fig. 3, 4, 5 and 6, the video head image collecting mechanism comprises a sampling connecting rod 15 which can be embedded in the catheter body 1 and a connecting rod video head 14 which is arranged at the head end of the sampling connecting rod 15, wherein the length of the sampling connecting rod 15 is greater than that of the catheter body 1; the connecting rod video head 14 can pass through the end hole 54 of the catheter body through the sampling connecting rod 15, or the connecting rod video head 14 can be withdrawn from the catheter body 1 through the sampling connecting rod 15; the link video head 14 can be electrically connected to a link video output connector 16 via a link video line 17 embedded in the sampling link 15.
In the embodiment of the present invention, the link video head 14 is located at the end of the sampling link 15, and the link video head 14 may adopt a video image sampling form such as a conventional camera, and the specific form may be selected as needed, which is not described herein again. Generally, the length of the sampling link 15 is greater than the length of the catheter body 1, so that the link video head 14 can pass out of the head end of the catheter body 1, as shown in fig. 3 and 4. The outer diameter of the sampling linkage 15 is generally smaller than the inner diameter of the catheter body 1, and the position of the linkage video head 14 can be adjusted by the sampling linkage 15, such as by passing the linkage video head 14 out of the catheter body end hole 54, or by withdrawing the linkage video head 14 from the catheter body 1.
The main body of the connecting rod video line 17 is embedded in the sampling connecting rod 15, the connecting rod video output connector 16 is positioned outside the sampling connecting rod 15, namely the connecting rod video line 17 is positioned at the part outside the sampling connecting rod 15, the connecting rod video output connector 16 can be electrically connected with video display equipment, such as a display screen, and the specific form of the connecting rod video output connector 16 is related to the type of the video display equipment, such as a USB connector or other connector types which can be commonly used for video and image transmission, and the specific form can be selected according to the requirement, and the description is omitted here.
Furthermore, a video catheter connector is arranged at the end part of the sampling connecting rod 15, the catheter breathing connector is detachably connected with the catheter body 1, when the catheter breathing connector is detached and separated from the catheter body 1, the video catheter connector is in adaptive connection with the tail end of the catheter body 1, and the video catheter connector is detachably connected with the tail end of the catheter body 1;
after the video catheter connector is in adaptive connection with the catheter body 1, the sampling connecting rod 15 can penetrate into the catheter body 1; the video catheter connector is communicated with the catheter body 1, and the catheter body 1 can be in adaptive connection with a breathing machine/an anesthesia machine through the video catheter connector;
the sampling connecting rod 15 comprises a plurality of evenly distributed connecting rod sheets 26, and gas circulation grooves allowing gas to pass through can be formed between the adjacent connecting rod sheets 26; the gas enters the catheter body 1 through the video catheter connector, and the gas in the catheter body 1 flows under the guidance of the gas flow groove and can be discharged through the catheter side vent and the catheter body end hole 54.
In the embodiment of the invention, when the video catheter connector is arranged at the end part of the sampling connecting rod 15, the catheter breathing connector and the catheter body 1 need to be detachably connected, namely when the sampling connecting rod 15 is arranged in the catheter body 1, the catheter connector needs to be separated from the catheter body 1, so that the sampling connecting rod 15 is in adaptive connection with the tail end of the catheter body 1 through the video catheter connector. The video catheter connector and the connecting rod video head 14 are respectively positioned at two ends of the catheter body 1. Certainly, after the video catheter connector is connected with the catheter body 1, the video catheter connector and the catheter body 1 can also be detached and separated, so that the catheter breathing connector is connected and matched with the tail end of the catheter body 1 again, and the catheter body 1 is connected with a breathing machine/anesthesia machine after being inserted in place.
As is clear from the above description, when the sampling link 15 is engaged with the catheter body 1, it is necessary to insert the sampling link 15 into the catheter body 1. In order to realize the ventilation effect during the intubation process, the video catheter connector can be communicated with the catheter body 1, and the catheter body 1 can be in adaptive connection with a breathing machine/anesthesia machine through the video catheter connector.
In specific implementation, the sampling connecting rod 15 has a plurality of evenly distributed connecting rod sheets 26, and the space between adjacent connecting rod sheets 26 can form a gas circulation groove, when the sampling connecting rod 15 is inserted into the catheter body 1, a gas circulation channel is formed between the gas circulation groove and the inner wall of the catheter body 1, so that the gas sent into the catheter body 1 by the breathing machine/anesthesia machine through the video catheter connecting head can circulate in the catheter body 1 through the gas circulation channel and can be discharged through the side ventilation part of the catheter and the end hole 54 of the catheter body, and the respiratory support in the intubation process of the catheter body 1 is realized. During intubation, the position state during intubation can be observed in real time by using the connecting rod video head 14. A rod body hole 27 is formed in the sampling connecting rod 15, and the connecting rod video line 17 can be embedded in the sampling connecting rod 15 through the rod body hole 27 and is connected and matched with the connecting rod video head 14.
As shown in fig. 7, 8, 9, 10 and 11, the video catheter connector comprises a video connection tube 21 adapted to the catheter body 1, an adjustment transition tube 20 adapted to the video connection tube 21, and a video ventilation tube 18 adapted to the adjustment transition tube 20;
the tail end of the catheter body 1 can be sleeved on the video connecting pipe 21, the inner wall of the adjusting transition connecting pipe 20 is provided with transition adjusting internal threads 30, the video ventilating connecting pipe 18 can be in adaptive connection with a breathing machine/an anaesthesia machine, the video ventilating connecting pipe 18 can be communicated with the video connecting pipe 21 through the adjusting transition connecting pipe 20, the adjusting transition connecting pipe 20 can rotate relative to the video connecting pipe 21, and the video ventilating connecting pipe 18 can rotate relative to the adjusting transition connecting pipe 20;
the outer wall of the sampling connecting rod 15 is provided with a connecting rod external thread 25 which can be matched with the transition adjusting internal thread 30, and the sampling connecting rod 15 sequentially passes through the video ventilation connecting pipe 18, the adjusting transition connecting pipe 20 and the video connecting pipe 21 and then enters the catheter body 1; the position state of the sampling connecting rod 15 on the catheter body 1 can be adjusted by matching the connecting rod external thread 25 with the transition adjusting internal thread 30.
In the embodiment of the present invention, the video connection connecting tube 21 can be connected to the tail end of the catheter body 1, and the tail end of the catheter body 1 can be sleeved on the video connection connecting tube 21, as can be seen from the above description, after the catheter body 1 is sleeved on the video connection connecting tube 21, the catheter body 1 and the video connection connecting tube 21 can be detached and separated, so as to facilitate the subsequent connection and matching of the catheter body 1 and the catheter respiration connector.
The inner wall of the adjusting transition connecting pipe 20 is provided with transition adjusting internal threads 30, and the video ventilation connecting pipe 18 can be in adaptive connection with a breathing machine/an anaesthesia machine, namely the size, the shape and the like of the adaptive ventilation connecting pipe 18 can be adapted with the breathing machine/the anaesthesia machine, so that the requirement of connection with the breathing machine/the anaesthesia machine is met. The video ventilation connection tube 18 can be communicated with the video connection tube 21 through the adjusting transition connection tube 20, so that after the video connection tube 21 is connected with the catheter body 1, the video ventilation connection tube 18 can be communicated with the catheter body 1, and after the video ventilation connection tube 18 is in adaptive connection with a breathing machine/anesthesia machine, the breathing machine/anesthesia machine can convey required gas into the catheter body 1 through the video ventilation connection tube 18, the adjusting transition connection tube 20 and the video connection tube 21. In particular, the adjustment transition connection tube 20 and the video connection tube 21 can rotate relative to each other, and the video ventilation connection tube 18 and the adjustment transition connection tube 20 can also rotate relative to each other.
Set up connecting rod external screw thread 25 on the outer wall of sampling connecting rod 15, connecting rod external screw thread 25 can adjust internal thread 30 adaptation with the transition, during the concrete implementation, can set up connecting rod external screw thread 25 in the region of sampling connecting rod 15 afterbody, through connecting rod external screw thread 25 and transition regulation internal thread 30 cooperation, can realize the fine setting to sampling connecting rod 15 position. Because the adjusting transition connecting pipe 20 can rotate relative to the video connecting pipe 21, after the transition adjusting connecting rod 20 rotates, the fine adjustment of the position of the sampling connecting rod 15 in the catheter body 1 can be realized by driving and adjusting the rotation of the transition connecting pipe 20 relative to the video connecting pipe 21.
In specific implementation, the video ventilation line body side tube 22 is further disposed on the video ventilation connecting tube 18, the video ventilation line body side tube 22 is communicated with the video ventilation connecting tube 18, the video ventilation line body side tube 22 is located on one side of the video ventilation connecting tube 18, and the length direction of the video ventilation line body side tube 22 is perpendicular to the video ventilation connecting tube 18. A side tube positioning seal 29 is provided in the video-harness side tube 22. The connecting rod video output connector 16 is located outside the video ventilation connecting pipe 18, namely the connecting rod video line 17 penetrates out of the video ventilation line body side pipe 22, and the connecting rod video line 17 and the video ventilation line body side pipe 22 are sealed by the side pipe positioning sealing body 29.
In order to realize the rotation of the video ventilation connecting pipe 18 relative to the adjusting transition connecting pipe 20, the video ventilation connecting pipe 18 is connected and matched with the adjusting transition connecting pipe 20 through a first ring body 23 in a rotating connection way; similarly, the adjusting transition connecting pipe 20 is connected and matched with the video connecting pipe 21 through the rotating connecting second ring body 24. In particular, the same constructive form is adopted for the rotary connection of the first ring 23 and for the rotary connection of the second ring 24. The video ventilation connecting pipe 18 is internally provided with a ventilation connecting pipe inner cavity 28, the lower part of the ventilation connecting pipe 31 at the lower part of the video ventilation connecting pipe 18 is provided with a video ventilation connecting pipe annular groove, and the outer diameter of the lower part of the ventilation connecting pipe 31 is smaller than that of the upper part of the video ventilation connecting pipe 18. The upper part of the adjusting transition connecting pipe 20 is provided with a first rotating connecting groove 32, the lower part of the video ventilating connecting pipe 18 can be embedded in the adjusting transition connecting pipe 20, and after the video ventilating connecting pipe 18 is embedded in the adjusting transition connecting pipe 20, the annular groove of the video ventilating connecting pipe can be just corresponding to the first rotating connecting groove 32.
The specific structure of the first ring body 23 and the second ring body 24 is shown in fig. 12, and specifically includes an annular body 38, the annular body 38 is arc-shaped, and annular body end grooves 39 are provided at two ends of the annular body 38, the annular body end grooves 39 are located at the outer side of the annular body 38, and annular body steps 40 are provided at the inner side of two ends of the annular body 38. The annular body 38 can be nested within the first groove 32 of the rotatable connection and also nested within the groove of the adaptor vent coupling. The arc length of the rotary connection first groove 32 is slightly larger than that of the annular body 38, so that the annular body 38 can be connected with two ends of the rotary connection first groove 32 through the annular body end groove 39, the annular body 38 can be prevented from being separated from the rotary connection first groove 32, the annular body 38 can be embedded in the adaptive ventilation connecting pipe ring groove through the annular body step 40, the video ventilation connecting pipe 38 and the adjusting transition connecting pipe 20 can rotate around the annular body 38, and relative rotation between the video ventilation connecting pipe 38 and the adjusting transition connecting pipe 20 is realized.
The lower portion of the adjusting transitional coupling pipe 20 is provided with a second rotary connecting groove 33, the second rotary connecting groove 33 penetrates through the pipe wall of the adjusting transitional coupling pipe 20, and of course, the first rotary connecting groove 32 also penetrates through the corresponding pipe wall of the adjusting transitional coupling pipe 20. The end part of the video connection connecting pipe 21 can extend into the adjusting transition connecting pipe 20, the video connection connecting pipe 21 is provided with a video connection connecting pipe rotation positioning groove 36, and the video connection connecting pipe rotation positioning groove 36 is in a ring groove shape. When the video connection connecting pipe 21 is embedded in the adjustment transition connecting pipe 20, the video connection connecting pipe rotates the positioning groove 36 to be corresponding to the rotation connection second groove 33, so that the rotation connection second ring body 24 can be connected with the rotation connection second groove 33, and the video connection connecting pipe rotates the positioning groove 36 to be matched, so that the adjustment transition connecting pipe 20 and the video connection connecting pipe 21 can rotate around the rotation connection second ring body 24, the relative rotation between the adjustment transition connecting pipe 20 and the video connection connecting pipe 21 is realized, the specific connection matching process of the rotation connection second ring body 24 can refer to the above description, and the description is omitted here.
During specific implementation, the video connecting pipe 21 is internally provided with the video connecting pipe inner limiting block 37, and the sampling connecting rod 15 can be limited by the video connecting pipe inner limiting block 37. Still set up video connection connecting pipe end plate 35 on video connection connecting pipe 21, video connection connecting pipe end plate 35 symmetric distribution is on the outer wall of video connection connecting pipe 21, through video connection connecting pipe end plate 35 can realize the pipe body 1 with the video is connected the connection between connecting pipe 21 and is spacing, also can conveniently hold video connection connecting pipe 21.
As shown in fig. 13, 14, 15, 16 and 17, the video image capturing mechanism includes a line body video head 43 located in the lumen of the catheter body 1 and a connecting wire body 41 electrically connected to the line body video head 43, a tube body wire hole allowing the connecting wire body 41 to pass through is provided in the tube wall of the catheter body 1, and the tube body wire hole and the catheter side vent are respectively located at two sides corresponding to the catheter body 1; the connecting line body 41 is also electrically connected with a line body video connector 42, and the line body video connector 42 is positioned outside the catheter body 1; when the connecting wire body 41 is pulled, the position of the video head 43 of the wire body in the catheter body 1 can be adjusted.
Specifically, compared with the video image acquisition mechanism that employs the sampling connecting rod 15 and the connecting rod video head 14, the line body video head 43 is disposed in the lumen of the catheter body 1, and the specific type of the line body video head 43 may refer to the description of the connecting rod video head 14 as long as the acquisition of the video image can be achieved, which is not described herein again. The connection line body 41 may be an existing commonly used cable, the line body video connector 42 is electrically connected to the line body video head 43 through the connection line body 41, the specific condition of the line body video connector 42 may refer to the specific description of the connection rod video output connector 16, and the video and the image collected by the line body video head 43 may be transmitted through the line body video connector 42, which is not described herein again.
In the embodiment of the invention, a tube body wire hole is arranged in the tube wall of the catheter body 1, the tube body wire hole allows the connecting wire body 41 to pass through, and the wire body video connector 42 is positioned outside the catheter body 1, so that the main part of the connecting wire body 41 is positioned in the tube wall of the catheter body 1 through the tube body wire hole, the part of the connecting wire body 41 positioned outside the tail end of the catheter body 1 is electrically connected with the wire body video connector 42, the length of the tube body wire hole is smaller than that of the catheter body 1, and the tube body wire hole and the side ventilation part of the catheter are respectively positioned at two sides. In specific implementation, the linear video head 43 may be located outside the side vent hole 3 in the catheter body 1, that is, the linear video head 43 is located between the side vent hole 3 and the catheter body end hole 54, and the information in front of the catheter body end hole 54 can be captured by using the linear video head 43. The specific situation of the line video connector 42 can refer to the description of the situation of the link video output connector 16, and is not described herein again.
Certainly, a structure for limiting the line body video head 43 can be further arranged in the catheter body 1, so that the line body video head 43 is prevented from being far away from the side vent hole 3, the line body video head 43 can be just corresponding to the side vent hole 3 by pulling the connecting line body 41, and video and image information of a part corresponding to the side vent hole 3 can be collected. Specifically, a base guide limiting groove 44 is arranged in the guide pipe body 1, and a video head base 55 of the line body video head 43 can be matched with the base guide limiting groove 44, so that the line body video head 43 is installed in the base guide limiting groove 44 through the video head base 55, the video head base 55 can move in the base guide limiting groove 44, and the limit of the line body video head 43 in the guide pipe body 1 can be realized through the matching of the length of the base guide limiting groove 44 and the video head base 55. When the linear video head 43 is mounted in the catheter body 1 via the video head mount 55, the linear video head 43 is generally attached to the inner wall of the catheter body 1.
When the video image acquisition mechanism adopts the sampling connecting rod 15 to be matched with the connecting rod video head 14, the video head image acquisition mechanism can be repeatedly used, namely, the video image acquisition mechanism can be matched with different catheter bodies 1. When the video image acquisition mechanism adopts the line body video head 43 to be matched with the connecting line body 41, the line body video head 43 is always positioned in the catheter body 1 after the catheter body 1 is inserted with the tube, namely, the line body video head 43 can not be reused generally at the moment.
In addition, can also bury a fixed camera underground in the curved inboard of 1 head end of pipe body, the camera can be wrapped up by pipe utricule 2 to avoid blood etc. to cause the pollution on camera surface in intubate and use, improve the stability and the reliability of the process of making a video recording. The fixed camera can be arranged in the lower edge of the catheter balloon body 2 or on the outer ring of the catheter balloon body 2, which is adjacent to the side vent part of the catheter, as long as the video acquisition and the image acquisition within the required range in the process of inserting the catheter body 1 and in the use process after inserting the catheter can be effectively realized.
Of course, when the specific implementation is performed, the video image acquisition mechanism may also adopt other structural forms, as long as the video image acquisition requirements of the conditions of the catheter body 1 during the intubation process, the catheter after the intubation and the like can be all achieved, and the video image acquisition mechanism can be specifically selected and determined according to the requirements of the person in the art, and is not described herein again.

Claims (10)

1. A single-cavity single-bag single-double-lung ventilation catheter comprises a catheter body (1) and a catheter breathing connector arranged at the tail end of the catheter body (1), wherein a catheter body end hole (54) is formed in the head end of the catheter body (1), and the catheter body end hole (54) can be communicated with the catheter breathing connector through the catheter body (1); the method is characterized in that:
the head of the catheter body (1) is provided with a catheter side vent part and a catheter bag body (2) matched with the catheter side vent part, the catheter side vent part is communicated with a cavity in the catheter body (1), and the catheter side vent part is positioned on the inner side of the arc-shaped head end of the catheter body (1);
the catheter balloon (2) is positioned at the head part of the catheter body (1), and the catheter balloon (2) wraps the corresponding outer wall except the side vent part of the catheter at the head part of the catheter body (1); the length direction of the catheter balloon (2) is consistent with that of the catheter body (1), the length of the catheter balloon (2) is greater than that of the side vent part of the catheter, the side vent part of the catheter is positioned between two ends of the catheter balloon (2), and the lower edge of the catheter balloon (2) is positioned between the side vent part of the catheter and the end hole (54) of the catheter body;
a bite block mechanism for opening the oral cavity is arranged on the catheter body (1), and the bite block mechanism can be locked on the catheter body (1); when the locking state of the bite block mechanism and the catheter body (1) is released, the catheter body (1) and the bite block mechanism can move relatively.
2. The single lumen, single balloon, single and double lung ventilation catheter of claim 1, wherein: the side vent part of the catheter comprises one or more side vent holes (3), and the side vent holes (3) penetrate through the corresponding side wall of the catheter body (1);
the catheter also comprises a balloon inflation and deflation connecting pipe (5) capable of inflating and deflating the catheter balloon (2) and an inflation and deflation sealing valve (4) which is in adaptive connection with the balloon inflation and deflation connecting pipe (5); the end hole (54) of the catheter body is in a wedge shape or a flat shape at the end of the head end of the catheter body (1).
3. The single lumen, single balloon, single and double lung ventilation catheter of claim 2, wherein: when the end part of the head end of the conduit body (1) is in a slanting wedge shape, the inclined plane formed by the end part hole (54) of the conduit body and the side vent part of the conduit are positioned on the same side of the conduit body (1);
when the end part of the catheter body (1) is in a flat shape, the end part of the catheter body (54) is provided with an end exhaust hole (45), the end exhaust hole (45) is communicated with the catheter wall of the catheter body (1), the end exhaust hole (45) is positioned between the lower edge of the catheter sac (2) and the end part hole (54) of the catheter body, and the end exhaust hole (45) and the side ventilation part of the catheter are positioned on the same side of the catheter body (1).
4. The single lumen, single balloon, single and double lung ventilation catheter of claim 1, wherein: the pipe breathing connector comprises a connector pipe connecting pipe (13) which can be connected with the tail end of the pipe body (1) in an adaptive mode and a connector connecting sleeve (7) which is used for being connected with the breathing machine/anaesthesia machine in an adaptive mode, the tail end of the pipe body (1) can be sleeved on the connector pipe connecting pipe (13), the connector connecting sleeve (7) can be communicated with the pipe body (1) through the connector pipe connecting pipe (13), and the connector connecting sleeve (7) can rotate relative to the connector pipe connecting pipe (13) and the pipe body (1).
5. The single lumen, single balloon, single and double lung ventilation catheter of claim 1, wherein: a joint conduit connecting convex ring (12) is arranged on the joint conduit connecting pipe (13), and a joint connecting sleeve groove (49) allowing the joint conduit connecting pipe (13) to be embedded is arranged in the pipe wall of the joint connecting sleeve (7);
when the joint connecting sleeve (7) is sleeved on the joint conduit connecting pipe (13), the joint conduit connecting pipe (13) is embedded in the joint connecting sleeve groove (49), the joint conduit connecting pipe convex ring (12) can be embedded in the joint connecting sleeve positioning groove (46) in the joint connecting sleeve (7), and the joint connecting sleeve (7) can rotate on the joint conduit connecting pipe (13) by utilizing the matching of the joint conduit connecting pipe convex ring (12) and the joint connecting sleeve positioning groove (46).
6. The single lumen, single balloon, single and double lung ventilation catheter of claim 1, wherein: the bite block mechanism comprises a bite block locking connecting sleeve (19) capable of being sleeved on the catheter body (1) and a locking adjusting connecting pipe (6) capable of being sleeved on the catheter body (1) and being in adaptive connection with the bite block locking connecting sleeve (19), wherein a bite block cover (8) for occlusion of teeth is sleeved on the locking adjusting connecting pipe (6);
an adjusting connecting pipe internal thread (50) is arranged on the inner wall of the locking adjusting connecting pipe (6), and the pipe wall thickness of the locking adjusting connecting pipe (6) is gradually changed; the outer wall of the bite block locking connecting sleeve (19) is provided with a locking sleeve body external thread (52) which can be matched with the adjusting connecting pipe internal thread (50), the head end of the bite block locking connecting sleeve (19) can extend into the locking adjusting connecting pipe (6) and is fixedly connected with the locking adjusting connecting pipe (6), and the tail end of the bite block locking connecting sleeve (19) is divided into a plurality of connecting locking pieces (51);
the locking adjusting connecting pipe (6) and the bite block locking connecting sleeve (19) move relatively, so that when the connecting locking piece (51) shrinks towards the catheter body (1), the bite block locking connecting sleeve (19) and the catheter body (1) can be locked with each other; the locking adjusting connecting pipe (6) and the bite block locking connecting sleeve (19) move relatively, so that when the connecting locking piece (51) is opened to be far away from the catheter body (1), the locking state of the bite block locking connecting sleeve (19) and the catheter body (1) can be released.
7. The single lumen, single balloon, single and double lung ventilation catheter of claim 1, wherein: the catheter is characterized by further comprising a video image acquisition mechanism capable of acquiring the position state of the catheter body (1) during use, wherein the video image acquisition mechanism is in adaptive connection with the catheter body (1), and a marking color is coated on the catheter balloon (2).
8. The single lumen, single balloon, single and double lung ventilation catheter of claim 7, wherein: the video head portrait acquisition mechanism comprises a sampling connecting rod (15) which can be embedded in the catheter body (1) and a connecting rod video head (14) which is positioned at the head end of the sampling connecting rod (15), wherein the length of the sampling connecting rod (15) is greater than that of the catheter body (1); the connecting rod video head (14) can penetrate out of the end hole (54) of the catheter body through the sampling connecting rod (15), or the connecting rod video head (14) can be withdrawn from the catheter body (1) through the sampling connecting rod (15); the connecting rod video head (14) can be electrically connected with a connecting rod video output connector (16) through a connecting rod video line (17) embedded in the sampling connecting rod (15).
9. The single lumen, single balloon, single and double lung ventilation catheter of claim 8, wherein: the end part of the sampling connecting rod (15) is provided with a video catheter connector, the catheter breathing connector is detachably connected with the catheter body (1), when the catheter breathing connector is detached and separated from the catheter body (1), the video catheter connector is in adaptive connection with the tail end of the catheter body (1), and the video catheter connector is detachably connected with the tail end of the catheter body (1);
after the video catheter connector is in adaptive connection with the catheter body (1), the sampling connecting rod (15) can penetrate into the catheter body (1); the video catheter connector is communicated with the catheter body (1), and the catheter body (1) can be in adaptive connection with a breathing machine/an anesthesia machine through the video catheter connector;
the sampling connecting rod (15) comprises a plurality of uniformly distributed connecting rod sheets (26), and gas circulation grooves allowing gas to pass through can be formed between the adjacent connecting rod sheets (26); the gas enters the catheter body (1) through the video catheter connector, and the gas in the catheter body (1) flows under the guidance of the gas circulation groove and can be discharged through the catheter side vent part and the catheter body end hole (54).
10. The single lumen, single balloon, single and double lung ventilation catheter of claim 9, wherein: the video catheter connector comprises a video connecting pipe (21) which can be matched with the catheter body (1), an adjusting transition connecting pipe (20) which is matched with the video connecting pipe (21), and a video ventilating connecting pipe (18) which is matched with the adjusting transition connecting pipe (20);
the tail end of the catheter body (1) can be sleeved on the video connection connecting pipe (21), the inner wall of the adjustment transition connecting pipe (20) is provided with a transition adjustment internal thread (30) which can be adaptively connected with a breathing machine/anesthesia machine through the video ventilation connecting pipe (18), the video ventilation connecting pipe (18) can be communicated with the video connection connecting pipe (21) through the adjustment transition connecting pipe (20), the adjustment transition connecting pipe (20) can rotate relative to the video connection connecting pipe (21), and the video ventilation connecting pipe (18) can rotate relative to the adjustment transition connecting pipe (20);
the outer wall of the sampling connecting rod (15) is provided with a connecting rod external thread (25) which can be matched with the transition adjusting internal thread (30), and the sampling connecting rod (15) sequentially passes through the video ventilation connecting pipe (18), the adjusting transition connecting pipe (20) and the video connecting pipe (21) and then enters the catheter body (1); the position state of the sampling connecting rod (15) on the catheter body (1) can be adjusted through the matching of the connecting rod external thread (25) and the transition adjusting internal thread (30).
CN202010253360.8A 2020-04-02 2020-04-02 Single-cavity single-bag single-double-lung ventilation catheter Pending CN111265751A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010253360.8A CN111265751A (en) 2020-04-02 2020-04-02 Single-cavity single-bag single-double-lung ventilation catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010253360.8A CN111265751A (en) 2020-04-02 2020-04-02 Single-cavity single-bag single-double-lung ventilation catheter

Publications (1)

Publication Number Publication Date
CN111265751A true CN111265751A (en) 2020-06-12

Family

ID=70991902

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010253360.8A Pending CN111265751A (en) 2020-04-02 2020-04-02 Single-cavity single-bag single-double-lung ventilation catheter

Country Status (1)

Country Link
CN (1) CN111265751A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113521467A (en) * 2021-06-21 2021-10-22 南昌大学第二附属医院 Gas guide device capable of detecting patient awakening state

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113521467A (en) * 2021-06-21 2021-10-22 南昌大学第二附属医院 Gas guide device capable of detecting patient awakening state

Similar Documents

Publication Publication Date Title
US6443156B1 (en) Separable double lumen endotracheal tube
US7938118B2 (en) Combination laryngeal mask airway with dual blocking and fluid removal features and method
US7174889B2 (en) Device for insertion of endotracheal tube
US20030188749A1 (en) Systems and methods for endotracheal intubation
US20040079364A1 (en) Laryngeal mask airway
CN104491976A (en) Visible tracheal catheter and bronchus blocking tube connecting tube
CN111265751A (en) Single-cavity single-bag single-double-lung ventilation catheter
CN204428601U (en) A kind of invisible tracheal catheter combines pipe with bronchus shutoff pipe
CN111437483B (en) Single-cavity single-sac tracheal catheter capable of conveniently implementing single-lung and double-lung ventilation
US20130092171A1 (en) Multi-lumen tracheal tube with pressure distribution
WO2024055656A1 (en) Inner membrane tube bronchial catheter
CN110180064B (en) Endotracheal intubation device
CN111330139A (en) Double-sac single-cavity tracheal catheter
CN212491056U (en) Single-cavity single-bag single-double-lung ventilation catheter
CN211050591U (en) Endotracheal intubation device
WO2022253265A1 (en) High-frequency ventilation laryngeal mask allowing airway surgery operation to be performed
US20200030557A1 (en) Medical tubes for selective mechanical ventilation of the lungs
WO2020118374A1 (en) A device for maintaining an airway in a patient
CN212789400U (en) Double-sac single-cavity tracheal catheter
CN113694333B (en) Multifunctional air bag sputum suction laryngeal mask
CN215024444U (en) Magnetic guide double-cavity tube
CN111867442A (en) Supraglottic airway device with dynamic cuff having excellent ventilation
CN2910241Y (en) Novel two-way throat cover for respiratory tract and esophagus
CN112316268A (en) Single lung ventilation management catheter
CN203436651U (en) Oropharyngeal airway capable of blocking esophagus and guiding trachea cannula

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination