Novel visual bronchus plugging device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a novel visual bronchial occluder.
Background
The bronchus plugging device is mainly suitable for upper and lower airway abnormalities, patients need to carry out operations of lung isolation and thoracoscopy, particularly patients who need to block bronchiectasis, hemorrhage, pulmonary abscess and broncho fistula of bronchus, and tracheal catheters need to be kept after the operations, so that repeated intubation and difficult airway and child single lung ventilation patients can be avoided.
When a bronchus stopper on the market is placed into a body of a patient, firstly, the bronchus stopper is often difficult to place due to the fact that the bronchus stopper cannot be visually seen to cause high difficulty in placing operation, meanwhile, when the bronchus stopper is placed into the body of the patient, if air passage secretion exists in a trachea, on one hand, the placement of the bronchus stopper can be influenced, accurate placement cannot be achieved through visual operation, on the other hand, surgical risks can be increased if foreign matters are not well cleared away, secondly, when the bronchus stopper is used in the market, the trachea tissue of the patient can be scratched due to placement, air passage damage is caused to be unfavorable for recovery of the patient, and finally, when the bronchus stopper is used, the bronchus stopper is likely to shift due to life activity or movement of the patient after a period of time, so that the bronchus stopper cannot achieve an ideal effect.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides a novel visual bronchial occluder, which solves the problems that visual operation cannot be carried out, and tracheal tissue can be scratched and displaced, so that the tracheal occluder cannot be used well.
(II) technical scheme
In order to achieve the purpose, the invention is realized by the following technical scheme: the utility model provides a novel visual bronchus plugging device, includes the shutoff pipe, the one end fixedly connected with silica gel head of shutoff pipe, the other end fixedly connected with handle of shutoff pipe, the lower part is provided with inhales the phlegm pipeline in the shutoff pipe, the lower part of inhaling in the phlegm pipeline is provided with the driving tube, the one end of inhaling the phlegm pipeline extends to silica gel head one side, the other end of inhaling the phlegm pipeline runs through the lateral wall that the shutoff pipe is close to handle one end and extends, the one end fixedly connected with sputum aspirator connector that silica gel head was kept away from to the phlegm pipeline of inhaling.
Preferably, the periphery that the shutoff pipe is close to silica gel head one end is provided with the shutoff gasbag, upper portion is provided with the gas filled connection pipe in the shutoff pipe, the one end and the shutoff gasbag intercommunication of gas filled connection pipe, the one end that the gas filled connection pipe kept away from the shutoff gasbag runs through the lateral wall that the shutoff pipe is close to handle one side and extends, the one end that the gas filled connection pipe kept away from the shutoff gasbag is connected with the gas filled gasbag.
Preferably, the one end that the driving tube is close to the silica gel head is provided with porous pipeline section, the other end of driving tube runs through the lateral wall that inhales phlegm pipeline and is close to sputum aspirator connector one end and extends, be provided with the clearance claw in the porous pipeline section, clearance claw fixed connection is in the one end of transmission stranded conductor and the setting of transmission stranded conductor slip in the driving tube.
Preferably, the end, far away from the cleaning claw, of the transmission stranded wire penetrates through the driving pipe and is fixedly connected with the handle, the driving pipe is close to a stop block fixedly connected with the periphery of one end of the handle, and a spring is arranged between the periphery of the handle and the stop block.
Preferably, the middle part of one end of the silica gel head far away from the plugging conduit is provided with a miniature camera, the miniature camera is connected with a transmission line, and one end of the transmission line far away from the miniature camera penetrates through the side wall of one end of the plugging conduit far away from the silica gel head and is connected with a display.
Preferably, the silica gel head is uniformly distributed with air holes.
Preferably, the periphery of shutoff pipe is provided with the grip block, be provided with the arc in the grip block, one side of arc is rotated and is connected with the screw thread post, screw thread post threaded connection is on the grip block, the grip block is connected with the clip through the rope.
Preferably, the use method of the novel visual bronchial occlusion device comprises the following steps:
the method comprises the following steps: is put into
The plugging handle is held to enable the plugging catheter to be placed into one side of the lung of the patient through the tracheal catheter placed into the lung of the patient, the silica gel head cannot scratch the tracheal wall of the patient when the plugging catheter is placed into the lung of the patient, the miniature camera displays the placement condition through the display, can also display whether secretions exist in the trachea of the patient or in the tracheal catheter, and observes the placement condition of the patient to ensure accurate placement;
if secretions exist in the trachea or the tracheal catheter of a patient, the connector of the sputum aspirator is connected with the sputum aspirator, the secretions in the lung enter the silica gel head through the air holes, the driving stranded wire slides in the driving tube by pressing the handle, the cleaning claw extends into the silica gel head by the driving stranded wire, the tracheal secretions in the silica gel head are grabbed by the cleaning claw and enter the porous tube section, then the sputum aspirator sucks the tracheal secretions out through the sputum suction pipeline, the sputum suction pipeline can be used according to actual conditions, and can also be connected with an oxygen machine to supply oxygen to the patient;
step two: positioning
After the plugging catheter is successfully placed, the inflatable airbag is pressed, the inflatable airbag enables the plugging airbag to expand through the inflatable connecting pipe, the trachea of a patient is plugged, then the threaded column is screwed to enable the arc-shaped plate to clamp the main plugging catheter, meanwhile, the clamp is clamped on clothes of the patient or a position convenient to clamp, the situation that the plugging catheter does not displace after being placed is kept, the miniature camera can enable the branch pipe to observe whether the silica gel head displaces from the trachea of the patient, and the plugging catheter can be timely adjusted after the displacement of the plugging catheter is observed from the display;
step three: normal operation
The sputum aspirator connector and the sputum aspirator are disconnected and simultaneously plugged, the handle is opened and connected to the upper surface of the breathing machine, and normal work of the visual plugging catheter is realized.
(III) advantageous effects
The invention provides a novel visual bronchus plugging device. The method has the following beneficial effects:
1. according to the invention, the micro camera is arranged at one end of the plugging catheter, the placing condition can be clearly seen when the plugging catheter is placed, the operation difficulty of the bronchial occluder is reduced through visual operation, meanwhile, the pulmonary secretion in the trachea of a patient can be seen through the micro camera, the pulmonary secretion is adsorbed into the silica gel head by the sputum aspirator connected with the connector of the sputum aspirator, the stubborn secretion in the silica gel head is grabbed by the cleaning claw through the handle and the transmission stranded wire and is taken into the porous pipe section, then the pulmonary secretion of the patient is sucked by the sputum aspirator through the sputum suction pipeline, so that the bronchial occluder can be well placed into the lung of the patient, foreign matters are visually placed and removed, and the normal use of the bronchial occluder is ensured.
2. According to the invention, the inflatable air bag is pressed, the inflatable air bag enables the plugging air bag to plug the bronchus of the patient through the inflatable connecting pipe, the clamping block is moved to a proper position on the surface of the plugging catheter after plugging, the threaded column is screwed to enable the arc-shaped plate to clamp the plugging catheter, so that the plugging catheter is clamped, the clamp is clamped at a bed or a fixable part of the patient, the plugging catheter is positioned by the clamping block, meanwhile, the miniature camera can observe whether the plugging catheter is displaced from the bronchus of the patient and simultaneously display on the display, and timely observation and adjustment can also be realized.
3. According to the invention, through the arrangement of the silica gel head at the top end of the plugging catheter, the situation that the trachea tissue of the patient is scratched when the plugging catheter is placed in the patient is avoided, the postoperative recovery of the patient is facilitated, and the method is worthy of vigorous popularization.
Drawings
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a cross-sectional structural view of the present invention;
FIG. 3 is an enlarged view taken at A in FIG. 2;
FIG. 4 is an enlarged view of FIG. 2 at B;
FIG. 5 is a schematic plan view of the clamping block and its attachment clip of the present invention.
Wherein, 1, transmission line; 2. an inflatable air bag; 3. an inflation connecting pipe; 4. a clamping block; 5. plugging the catheter; 6. plugging the air bag; 7. air holes; 8. a miniature camera; 9. a silica gel head; 10. a drive tube; 11. a handle; 12. a spring; 13. a sputum aspirator connector; 14. a sputum aspiration conduit; 15. a handle; 16. a display; 17. driving a stranded wire; 18. a stopper; 19. a porous tube section; 20. cleaning the claws; 21. an arc-shaped plate; 22. a threaded post; 23. and (4) a clamp.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example (b):
as shown in fig. 1-5, the embodiment of the present invention provides a novel visual bronchial occlusion device, which includes an occlusion catheter 5, one end of the occlusion catheter 5 is fixedly connected with a silicone head 9, the silicone head 9 can prevent the tracheal tube of a patient from being scratched when the occlusion catheter 5 is placed in a patient, so as to ensure normal recovery after the operation of the patient, and prevent the patient from increasing recovery burden after the operation, meanwhile, the arrangement of the uniformly distributed air holes 7 on the surface of the silicone head 9 enables the silicone head 9 to ventilate well, on the other hand, the air holes 7 can adsorb lung secretions inside the trachea of the patient, so as to ensure normal use after the tracheal occlusion of the patient, the other end of the occlusion catheter 5 is fixedly connected with a handle 15, the handle 15 can facilitate the insertion of the occlusion catheter 5 into the patient, and also can ensure the occlusion during other measures, the sputum suction pipeline 14 is disposed at the inner lower portion of the occlusion catheter 5, the sputum suction pipeline 14 can be connected with a sputum aspirator to enable pulmonary secretions in a patient to be well cleared, the lower portion in the sputum suction pipeline 14 is provided with a driving pipe 10, the driving pipe 10 is internally provided with a transmission stranded wire 17 which can ensure that the purpose that the transmission stranded wire 17 drives a clearing claw 20 to enter the silica gel head 9 to grab pulmonary fixings can be achieved through a handle 11, one end of the sputum suction pipeline 14 extends to one side of the silica gel head 9, the other end of the sputum suction pipeline 14 penetrates through the side wall of one end, close to the handle 15, of the plugging catheter 5 and extends, the sputum suction pipeline 14 penetrates through the side wall of one end of the plugging catheter 5 to facilitate good use of the plugging catheter 5, one end, far away from the silica gel head 9, of the sputum suction pipeline 14 is fixedly connected with a sputum aspirator connector 13, the outer diameter of the plugging catheter 5 can be produced according to the actual situation of the patient, the outer diameter of the plugging catheter 5 can be set to be between 2-10 mm according to the actual use situation, meanwhile, the size of 2-10 mm is the optimal selection, the plugging catheter 5 can also be set to be 3-4 mm thick, when the sputum suction pipeline 14 and the plugging catheter 5 are set, the outer diameter of the sputum suction pipeline 14 is one half to one third of the inner diameter of the plugging catheter 5, and the use can be well met.
The periphery that shutoff pipe 5 is close to silica gel head 9 one end is provided with shutoff gasbag 6, upper portion is provided with gas filled connection pipe 3 in the shutoff pipe 5, the one end and the shutoff gasbag 6 intercommunication of gas filled connection pipe 3, the one end that gas filled connection pipe 3 kept away from shutoff gasbag 6 runs through the lateral wall that shutoff pipe 5 is close to handle 15 one side and extends, the one end that gas filled connection pipe 3 kept away from shutoff gasbag 6 is connected with gas filled gasbag 2, in the time of the use, through pressing gas filled gasbag 2, gas filled gasbag 2 makes shutoff gasbag 6 swell through gas filled connection pipe 3, shutoff gasbag 6 can make shutoff pipe 5 fix in the position department that the patient needs to fix after swelling, realize the shutoff at patient's trachea position like this, realize the normal use of bronchus plugging device.
The one end that the driving tube 10 is close to silica gel head 9 is provided with porous pipeline section 19, the other end of driving tube 10 runs through the lateral wall that inhales phlegm pipeline 14 and be close to sputum aspirator connector 13 one end and extend, be provided with clearance claw 20 in the porous pipeline section 19, clearance claw 20 fixed connection is in the one end of transmission stranded conductor 17 and the setting of transmission stranded conductor 17 slip in driving tube 10, the sputum aspirator passes through sputum aspirator connector 13 and inhales the secretion that phlegm pipeline 14 made in the patient's trachea and adsorbs inside silica gel head 9, difficult adnexed secretion is inhaled phlegm pipeline 14 and is adsorbed through porous pipeline section 19 and advance in inhaling phlegm pipeline 14.
One end, far away from the cleaning claw 20, of the transmission stranded wire 17 penetrates through the driving pipe 10 and is fixedly connected with the handle 11, the periphery, close to one end of the handle 11, of the driving pipe 10 is fixedly connected with the stop block 18, the spring 12 is arranged on the periphery of the handle 11 and between the handle 11 and the stop block 18, secretion adhered inside the silica gel head 9 is difficult to clean, at the moment, the handle 11 is pressed through the stop block 18, the spring 12 is compressed, the handle 11 enables the cleaning claw 20 to be separated from the porous pipe section 19 through the transmission stranded wire 17, the handle 11 is loosened, the spring 12 enables the transmission stranded wire 17 to drive the cleaning claw 20 to rebound, the cleaning claw 20 can grab the adhered secretion in the silica gel head 9, the secretion is well processed, the cleaning claw 20 is a shifting claw made of four pieces of steel, when the cleaning claw 20 enters the porous pipe section 19, the four pieces of the cleaning claw 20 are compressed and are well stored after being compressed, and when the secretion in the lung needs to be grabbed, the transmission stranded wire 17 enables the cleaning claw 20 to extend out of the porous pipe section 19, the cleaning claw 20 is elastically clamped, the transmission stranded wire 17 is extracted after the cleaning claw 20 is opened, and the lung secretion inside the silica gel head 9 is grabbed due to the effect of the porous pipe section 19 to shrink, so that the silica gel head 9 is prevented from being blocked.
The one end middle part that shutoff pipe 5 was kept away from to silica gel head 9 is provided with miniature camera 8, miniature camera 8 is connected with transmission line 1, the one end that miniature camera 8 was kept away from to transmission line 1 runs through the one end lateral wall that shutoff pipe 5 kept away from silica gel head 9 and is connected with display 16, when putting into the bronchus occluder, the actual conditions of shutoff pipe 5 can audio-visually be put into through miniature camera 8 observation, whether there is the secretion in miniature camera 8 can audio-visually seeing patient's bronchus simultaneously, if there can be timely through inhaling clear away of components such as phlegm pipeline 14 realization trachea incretion, the inside cleanness of tracheal tube has been guaranteed, guarantee the inside fine clearance of patient.
Evenly distributed has gas pocket 7 in the silica gel head 9, and gas pocket 7 can realize patient's oxygen supply through shutoff pipe 5 on the one hand, and on the other hand also can be fine when clearing up patient's lung secretion realize that patient's lung is clean through lung secretion, guarantees that the patient can be safe smooth when using the bronchus plugging device.
The periphery of shutoff pipe 5 is provided with grip block 4, be provided with arc 21 in the grip block 4, one side of arc 21 is rotated and is connected with screw thread post 22, screw thread post 22 threaded connection is on grip block 4, grip block 4 is connected with clip 23 through the rope, after shutoff pipe 5 puts into, after the position was placed, make grip block 4 remove suitable position on shutoff pipe 5, twist this moment and move screw thread post 22 and make arc 21 carry out the centre gripping with grip block 4 and shutoff pipe 5, can keep fixed position when guaranteeing shutoff pipe 5 to use with clip 23 centre gripping to suitable sick bed or other positions after the centre gripping, avoid the displacement to lead to trachea plugging device result of use variation or failure.
A novel visual bronchial occlusion device using method comprises the following steps:
the method comprises the following steps: is put into
The plugging handle 15 is held to enable the plugging catheter 5 to be placed into one side of the lung of the patient through the tracheal catheter placed into the lung of the patient, the silica gel head 9 cannot scratch the tracheal wall of the patient when the plugging catheter is placed into the lung of the patient, the miniature camera 8 displays the placement condition through the display 16, can also display whether secretions exist in the trachea of the patient or in the tracheal catheter, and observes the placement condition of the patient to ensure accurate placement;
if secretions exist in the trachea of a patient or in a tracheal catheter, the connector 13 of the sputum aspirator is connected with the sputum aspirator, the lung secretions enter the silica gel head 9 through the air hole 7, the handle 11 is pressed to enable the transmission stranded wire 17 to slide in the driving tube 10, the transmission stranded wire 17 enables the cleaning claw 20 to extend into the silica gel head 9, the cleaning claw 20 grabs the tracheal secretions in the silica gel head 9 into the porous tube section 19, then the sputum aspirator sucks the tracheal secretions out through the sputum suction pipeline 14, the sputum suction pipeline 14 can be used according to actual conditions, and can also be connected with an oxygen machine to supply oxygen to the patient;
step two: positioning
After the plugging catheter 5 is successfully placed, the inflatable airbag 2 is pressed, the inflatable airbag 2 enables the plugging airbag 6 to expand through the inflatable connecting pipe 3, the trachea of a patient is plugged, then the threaded column 22 is screwed to enable the arc-shaped plate 21 to clamp the main plugging catheter 5, meanwhile, the clamp 23 is clamped at clothes of the patient or a position convenient to clamp, the situation that the plugging catheter 5 does not displace after being placed is kept, the miniature camera 8 can also observe whether the silica gel head 9 displaces from the trachea of the patient through the branch pipe, and the plugging catheter 5 is timely adjusted after the displacement of the plugging catheter 5 is observed through the display 16;
step three: normal operation
With sputum aspirator connector 13 and sputum aspirator disconnection simultaneously with its shutoff, handle 15 is opened and is connected on the breathing machine, realizes the normal work of visual shutoff pipe 5.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.