CN114376643A - Hemostatic balloon with reserved bronchial ventilation channel - Google Patents

Hemostatic balloon with reserved bronchial ventilation channel Download PDF

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Publication number
CN114376643A
CN114376643A CN202111285533.5A CN202111285533A CN114376643A CN 114376643 A CN114376643 A CN 114376643A CN 202111285533 A CN202111285533 A CN 202111285533A CN 114376643 A CN114376643 A CN 114376643A
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China
Prior art keywords
balloon
bronchial
main
bronchus
inflatable balloon
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Pending
Application number
CN202111285533.5A
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Chinese (zh)
Inventor
王晚萍
边海波
郭志勇
赵靖男
高栋材
郎伟宇
王夏珍
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CHANGZHI PEOPLE'S HOSPITAL
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CHANGZHI PEOPLE'S HOSPITAL
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Priority to CN202111285533.5A priority Critical patent/CN114376643A/en
Publication of CN114376643A publication Critical patent/CN114376643A/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027—Type of occlusion
    • A61B17/1204—Type of occlusion temporary occlusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A61B2017/242—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers for bronchial passages

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention discloses a hemostasis balloon with a reserved bronchus ventilation channel, which comprises an inflatable balloon, wherein the inflatable balloon is matched with the shape of a bronchus of a human body, a ventilation valve for feeding air into the inflatable balloon is arranged at the end part of the inflatable balloon, a spiral connector is arranged on the ventilation valve and is used for being butted with an inflation gun, a bronchus ventilation channel is reserved on the inflatable balloon, and penetrates through the inflatable balloon.

Description

Hemostatic balloon with reserved bronchial ventilation channel
Technical Field
The invention relates to the field of hemostatic supplies, in particular to a hemostatic balloon with a reserved bronchial ventilation channel.
Background
In the clinical pathological diagnosis process, the biopsy of lung tissue through percutaneous puncture and the biopsy through a bronchoscope are the most common operation modes for the biopsy of lung occupation lesion, however, in the biopsy process, sudden intrabronchial hemorrhage occurs, the whole airway is submerged by blood, the patient enters an asphyxia state, and once the intratracheal hemorrhage occurs in the biopsy process, the death rate of the patient is very high. However, the bronchial tree has a complex structure and many branches, and particularly, the spatial structure specificity of each bifurcation is strong, and the common balloon dilatation hemostasis can not be effectively attached, has poor hemostasis effect, and can not meet the use requirements.
Disclosure of Invention
In order to solve the technical problems, the technical scheme provided by the invention is as follows: the utility model provides a reserve hemostasis sacculus of bronchus passageway, includes inflatable sacculus, inflatable sacculus and human bronchus shape phase-adaptation, inflatable sacculus tip sets up the breather valve of admitting air to inflatable sacculus inside, set up the screw connector on the breather valve for with the rifle butt joint of aerifing, it has the bronchus passageway of ventilating to reserve on the inflatable sacculus, the bronchus passageway of ventilating runs through inflatable sacculus.
Furthermore, the inflatable balloon comprises a first main balloon, a first branch balloon is arranged on one side of the first main balloon, the first main balloon is in a strip shape, one side of the first branch balloon, which is far away from the first main balloon, is an arc end protruding outwards, the bronchial ventilation channel is arranged in the first main balloon in a penetrating manner, and the spiral connector is arranged at the top of the first main balloon.
Further, the inflatable balloon is matched with the shape of the right middle bronchus and the right upper lobe area of the human body.
Furthermore, the inflatable balloon is adaptive to the shape of the junction of the openings of the left main bronchus, the left upper lobe and the left lower lobe bronchus of the human body.
Furthermore, the inflatable balloon is adaptive to the shape of the junction of the openings of the left main bronchus, the left upper lobe and the left lower lobe bronchus of the human body.
Further, the inflatable balloon is adaptive to the shape of the space structure at the junction of the opening of the left main bronchus and the carina of the human body.
Further, the inflatable balloon conforms to the shape of the junction of the opening of the right main bronchus and the carina.
Further, the inflatable balloon is adaptive to the hollow shape of the junction of the carina of the human body.
Furthermore, the inflatable balloon comprises a second main balloon and two second branch balloons communicated with the bottoms of the second main balloon, and bronchus ventilation channels penetrating through the two second branch balloons are respectively arranged at the top of the second main balloon.
Furthermore, the inner diameter of a bronchus ventilation channel reserved on the inflatable saccule is 8mm-15mm, and folds are arranged on the outer wall of the inflatable saccule.
After the scheme is adopted, the invention has the following advantages: the inflatable balloon corresponds to the part of the bronchus needing hemostasis, the part of the bronchus needing hemostasis can be effectively attached through the inflatable arrangement, a bronchus channel is reserved, the part of the bronchus needing hemostasis is adapted to the part of the bronchus needing to pass through, the hemostasis effect is good, the placement and the taking out are convenient, and the use is convenient.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention, and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
Fig. 1 is a schematic structural diagram of a hemostatic balloon with a reserved bronchial ventilation channel according to a first embodiment of the present invention.
Fig. 2 is a schematic view of the internal structure of a hemostatic balloon embodiment one of the present invention with a reserved bronchial ventilation channel.
Fig. 3 is a schematic structural diagram of a second embodiment of the hemostatic balloon with a reserved bronchial ventilation channel of the invention.
Fig. 4 is a schematic view of the internal structure of a second embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 5 is a schematic structural diagram of a third embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 6 is a schematic view of the internal structure of a third embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 7 is a schematic structural diagram of a fourth embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 8 is a schematic view of the internal structure of a fourth embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 9 is a schematic structural diagram of a fifth embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 10 is a schematic view of the internal structure of a fifth embodiment of the hemostatic balloon with a reserved bronchial ventilation channel.
Fig. 11 is a schematic structural diagram of a sixth embodiment of the hemostatic balloon with a reserved bronchial ventilation channel according to the invention.
Fig. 12 is a schematic view of the internal structure of a sixth embodiment of the hemostatic balloon with a reserved bronchial ventilation passage according to the invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, 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 some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without any inventive step, shall fall within the scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures.
In the description of the embodiments of the present invention, it should be noted that, if the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings or the orientations or positional relationships that the products of the present invention are usually placed in when used, the terms are only used for convenience of describing the present invention and simplifying the description, but do not indicate or imply that the devices or elements indicated must have a specific orientation, be constructed in a specific orientation, and be operated, and therefore, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used solely to distinguish one from another and are not to be construed as indicating or implying relative importance.
Furthermore, the terms "horizontal", "vertical", "overhang" and the like do not require that the components be absolutely horizontal or overhang, but may be slightly inclined. For example, "horizontal" merely means that the direction is more horizontal than "vertical" and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the embodiments of the present invention, "a plurality" represents at least 2.
In the description of the embodiments of the present invention, it should be further noted that unless otherwise explicitly stated or limited, the terms "disposed," "mounted," "connected," and "connected" should be interpreted broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be connected internally or indirectly through two or more elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
Example one
Combine attached figure 1, attached figure 2 a reserve hemostasis sacculus of bronchus passageway, including inflating sacculus 1, it suits with human bronchus portion shape to inflate sacculus 1, and inflates sacculus 1 outer wall and set up the fold, inflates sacculus 1 tip and sets up the breather valve to inflating sacculus 1 inside and admitting air, sets up screw connector 2 on the breather valve for dock with the rifle of aerifing, it has bronchus passageway 3 to reserve on the sacculus 1, bronchus passageway 3 runs through and inflates sacculus 1.
The inflatable balloon 1 comprises a main balloon 1.1, a branch balloon 1.2 is arranged on one side of the main balloon 1.1, the main balloon 1.1 is in a strip shape, one side, away from the main balloon 1.1, of the branch balloon 1.2 is an outwards convex arc end, a branch air pipe ventilation channel 3 penetrates through the main balloon 1.1, and a spiral connector 2 is arranged at the top of the main balloon 1.1.
The inflatable balloon 1 in the embodiment is adapted to the regional shape of the right middle bronchus and the right upper lobe of the human body, the balloon simulates the spatial structure of the right middle bronchus and the right upper lobe of the human body, the maximum 30-degree angle movement can be realized, the spatial structure difference of the right upper lobe of different patients can be adapted, and the change of the spatial structure of the bronchus during respiration of the patients can be realized.
Example two
The difference between the present embodiment and the first embodiment is as follows with reference to fig. 3 and 4: in the embodiment, the inflatable balloon 1 is matched with the shape of the junction of the openings of the left main bronchus, the left upper lobe and the left lower lobe bronchus of the human body.
This embodiment has designed upper left lobe bronchus bifurcation department hemostatic balloon, and the human left main bronchus of sacculus simulation, upper left lobe and the left inferior lobe bronchus opening junction spatial structure of left side can have the activity of 30 degrees angles at the biggest, adapt to different patients upper right lobe spatial structure differences, and the change of bronchus spatial structure when the patient breathes, and this embodiment sacculus is special to upper right lobe and opening intersection hemorrhage design, can coincide in upper left lobe opening bifurcation department completely. Meanwhile, the air bag is provided with a left inferior lobe bronchus ventilation channel, so that blood flowing into the left inferior lobe is conveniently sucked by the negative pressure of the bronchoscope.
EXAMPLE III
The difference between the present embodiment and the first embodiment is as follows with reference to fig. 5 and 6: in the embodiment, the inflatable balloon 1 is matched with the shape of the junction of the openings of the left main bronchus, the left upper lobe and the left lower lobe bronchus of the human body.
The embodiment designs a hemostatic balloon at the bifurcation of a left inferior lobe bronchus, the balloon simulates the space structure at the intersection of the left main bronchus, the left superior lobe and the left inferior lobe bronchus opening of a human body, and the balloon can move at an angle of 30 degrees at most to adapt to the space structure difference of the right superior lobe of different patients and the change of the space structure of the bronchus when the patients breathe; the balloon is specially designed for bleeding at the intersection of the left superior lobe and the opening, and can be completely anastomosed at the opening bifurcation of the left inferior lobe. Meanwhile, a bronchus ventilation channel of the left upper lobe is reserved in the air bag, the inner diameter of the reserved bronchus ventilation channel is 8-15 mm, blood flowing into the left upper lobe is conveniently sucked by the negative pressure of the bronchoscope, and the diameter of the bronchoscope is 4-6 mm.
Example four
The difference between the present embodiment and the first embodiment is as follows with reference to fig. 7 and 8: the inflatable balloon 1 in the embodiment is adapted to the shape of the space structure at the junction of the opening of the left main trachea and the carina of the human body.
This embodiment has designed left main tributary trachea opening part hemostatic balloon, and the human left main tributary trachea opening of sacculus simulation and carina process juncture spatial structure can have the activity of 40 degrees angles of the biggest, come the adaptation different patients left main tributary trachea spatial structure differences, and the change of bronchus spatial structure when the patient breathes, and this embodiment sacculus is special to the design of bleeding of left main tributary trachea opening intersection, can kiss in left main tributary trachea opening bifurcation department completely.
EXAMPLE five
With reference to fig. 9 and 10, the present embodiment is different from the first embodiment in that: the inflatable balloon 1 in the embodiment is matched with the shape of the junction of the opening and the carina of the right main bronchus of the body.
This embodiment has designed right main tributary trachea opening part hemostasis sacculus, and human right main tributary trachea opening of sacculus simulation and carina process juncture spatial structure can have the activity of 40 degrees angles of the biggest, come the difference of adaptation different patients right main tributary trachea spatial structure, and the change of bronchus spatial structure when the patient breathes, and this sacculus is special to the design of bleeding of right main tributary trachea opening intersection, can kiss in right main tributary trachea opening bifurcation department completely.
EXAMPLE six
The difference between the present embodiment and the first embodiment is as follows with reference to fig. 11 and 12: in the embodiment, the inflatable balloon 1 is adaptive to the shape of a hollow space at the intersection of the carina of the human body.
In the embodiment, the inflatable balloon 1 comprises a second main balloon 1.3 and two second branch balloons 1.4 communicated with the bottoms of the second main balloon 1.3, and the tops of the second main balloon 1.3 are respectively provided with a bronchial ventilation channel 3 penetrating through the two second branch balloons 1.4.
The hemostatic balloon at the carina is designed in the embodiment, the balloon simulates the space structure at the junction of the carina of a human body, and can move at an angle of 40 degrees at most to adapt to the space structure difference of the right main bronchus of different patients and the change of the space structure of the bronchus of the patient during respiration; the balloon of the embodiment is specially designed for bleeding at the carina and can be completely matched with the carina area. Meanwhile, the left and right main bronchial ventilation channels are reserved on the air bag to ensure the normal ventilation of the patient.
The balloon in the first to sixth embodiments is provided with a vent valve, an outer opening of the vent valve comprises a spiral connector, the outer wall of the spiral connector is provided with a screwing thread (not shown in the figure), the air gun can be rotated to fix or loosen an air pipe of an air gun, generally, the air gun comprises an air pressure gauge, the air pressure of an air valve is controlled to be 3-6 bar, after the balloon is inflated, the air pipe of the air gun is separated from the spiral connector, the periphery of the balloon is provided with a wrinkle belt for preventing slipping, and the balloon can be firmly fixed at the opening bifurcation of a right inferior lobe and a right middle lobe and is not easy to fall off after being inflated; when the air bag needs to be taken out, the air pipe of the air gun is connected with the spiral connector, air in the air bag is sucked out, the air bag and the air pipe of the air gun are directly taken out from the bronchus together after the air bag is contracted, and a sealing cover can be arranged outside the vent valve.
In practice, the balloon material may be selected from medical elastic materials, such as: medical polyurethane elastomers, medical thermoplastic elastomers, polyolefin alloy thermoplastic elastomers, polyether block amide/polyethylene-vinyl acetic acid blends, polyethylene terephthalate, poly (ether-block-amide), polyamides, polyurethanes and combinations thereof, the balloon walls are stretchable with wall thicknesses ranging from 8um to 60um, capable of withstanding a substantially complete inflation at pressures between 3 bar and 24 bar, and are 2mm in diameter and 10mm in length after balloon retraction and folding.
The present invention and its embodiments have been described above, and the description is not intended to be limiting, and the drawings are only one embodiment of the present invention, and the actual structure is not limited thereto. In summary, those skilled in the art should appreciate that they can readily use the disclosed conception and specific embodiments as a basis for designing or modifying other structures for carrying out the same purposes of the present invention without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (10)

1. The hemostatic balloon with the reserved bronchial ventilation channel is characterized by comprising an inflatable balloon, the inflatable balloon is matched with the shape of a human bronchial part, a vent valve for air inflow to the inside of the inflatable balloon is arranged at the end part of the inflatable balloon, a spiral connector is arranged on the vent valve and used for being in butt joint with an inflation gun, the inflatable balloon is reserved with the bronchial ventilation channel, and the bronchial ventilation channel penetrates through the inflatable balloon.
2. The hemostatic balloon for reserving a bronchial ventilation passage as claimed in claim 1, wherein the inflatable balloon comprises a first main balloon, the first main balloon is provided with a first sub balloon on one side, the first main balloon is in a strip shape, one side of the first sub balloon, which is away from the first main balloon, is an outwardly convex arc end, the bronchial ventilation passage is penetratingly arranged in the first main balloon, and the spiral connector is arranged at the top of the first main balloon.
3. A haemostatic balloon for reserving a bronchial ventilation passage according to claim 2, characterised in that the inflatable balloon conforms to the shape of the right middle bronchus and right upper leaflet region of the human body.
4. A haemostatic balloon for reserving a bronchial ventilation passage according to claim 2, wherein the inflatable balloon conforms to the shape of the junction of the bronchial openings of the left main bronchus, left superior leaflet and left inferior leaflet of the human body.
5. A haemostatic balloon for reserving a bronchial ventilation passage according to claim 2, wherein the inflatable balloon conforms to the shape of the junction of the bronchial openings of the left main bronchus, left superior leaflet and left inferior leaflet of the human body.
6. A haemostatic balloon for reserving a bronchial ventilation passage according to claim 2, characterised in that the inflatable balloon is adapted to the shape of the spatial structure at the junction of the opening of the left main bronchus and the carina of the human body.
7. A haemostatic balloon for reserving a bronchial ventilation passage according to claim 2, wherein the inflatable balloon conforms to the shape of the body's right main bronchus opening and carina junction.
8. A haemostatic balloon for reserving a bronchial ventilation passage according to claim 2, characterised in that the inflatable balloon conforms to the shape of the void at the interface of the carina of the human body.
9. A hemostasis balloon with a reserved bronchial ventilation channel as claimed in claim 8, wherein the inflation balloon comprises a second main balloon and two second branch balloons communicated with the bottoms of the second main balloon, and bronchial ventilation channels penetrating through the two second branch balloons are respectively arranged at the top of the second main balloon.
10. A haemostatic balloon for reserving a bronchial ventilation passage according to any of claims 1-9, wherein the reserved bronchial ventilation passage on the inflatable balloon has an inner diameter of 8mm-15mm, and the outer wall of the inflatable balloon is provided with folds.
CN202111285533.5A 2021-11-02 2021-11-02 Hemostatic balloon with reserved bronchial ventilation channel Pending CN114376643A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111285533.5A CN114376643A (en) 2021-11-02 2021-11-02 Hemostatic balloon with reserved bronchial ventilation channel

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111285533.5A CN114376643A (en) 2021-11-02 2021-11-02 Hemostatic balloon with reserved bronchial ventilation channel

Publications (1)

Publication Number Publication Date
CN114376643A true CN114376643A (en) 2022-04-22

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202111285533.5A Pending CN114376643A (en) 2021-11-02 2021-11-02 Hemostatic balloon with reserved bronchial ventilation channel

Country Status (1)

Country Link
CN (1) CN114376643A (en)

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