CN115779216A - Reinforced bronchial catheter with plugging and hemostasis functions - Google Patents
Reinforced bronchial catheter with plugging and hemostasis functions Download PDFInfo
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- CN115779216A CN115779216A CN202211585626.4A CN202211585626A CN115779216A CN 115779216 A CN115779216 A CN 115779216A CN 202211585626 A CN202211585626 A CN 202211585626A CN 115779216 A CN115779216 A CN 115779216A
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Abstract
The invention discloses a reinforced bronchial catheter with a plugging and hemostasis function, and relates to the technical field of bronchial catheters. The invention comprises the following steps: the intubation tube comprises an intubation tube body, a first inflation channel and a second inflation channel, wherein the trachea channel, the first inflation channel and the second inflation channel are mutually independent; the first inflation cuff is arranged at the front end of the intubation tube body and communicated with the first inflation channel. The invention can be firstly placed into the reinforced bronchial catheter through the bronchofiberscope guide when painless bronchofiberscope diagnosis and treatment is carried out, oxygen is connected, oxygen supply in the air passage is realized, the blood oxygen is prevented from dropping, if the blood oxygen still drops, the oxygen can be supplied by pressurizing after being sealed by the air bag, and the oxygen can be supplied to a patient with narrow air passage through the narrow air passage, so that the oxygen supply is ensured, the suffocation caused by bleeding and edema of the narrow part during treatment is avoided, and the bronchofiberscope guide can be adopted to block and strengthen the side lung to carry out the single lung ventilation when the blood in the air passage bleeds.
Description
Technical Field
The invention belongs to the technical field of bronchial catheters, and particularly relates to a reinforced bronchial catheter with a plugging and bleeding stopping function.
Background
The trachea cannula is a special trachea catheter which is placed into a trachea or a bronchus through a glottis through an oral cavity or a nasal cavity, provides the best conditions for unobstructed respiratory tract, ventilation and oxygen supply, respiratory tract suction and the like, is an important measure for rescuing patients with respiratory dysfunction, and is mainly suitable for rapidly establishing an artificial respiration channel to maintain patients with unobstructed airways during clinical anesthesia, emergency treatment and resuscitation.
Pulmonary nodules, pulmonary infection and the like need to be diagnosed by a bronchofiberscope, but the painless popularization rate is low, the development is limited, and the method is mainly related to certain defects of the current anesthesia method.
Currently, there are three main ways of painless bronchofiberscope anesthesia and ventilation:
1. intubating-free general anesthesia for keeping spontaneous respiration
The advantages are that: simple operation and quick revival.
The disadvantages are as follows: hypoxemia caused by respiratory depression, glossoptosis and the like is easy to occur, and the safety is not high.
2. Laryngeal mask general anesthesia
The advantages are that: can effectively prevent hypoxemia caused by respiratory depression, glossoptosis and the like which may occur in general anesthesia.
The disadvantages are that: when major bleeding occurs in the air passage, the ventilation efficiency is reduced due to the rise of the air passage pressure, effective lung isolation cannot be carried out, and the rescue opportunity can be delayed by temporarily replacing the tracheal catheter.
3. General anesthesia of trachea cannula
The advantages are that: can safely and effectively maintain oxygen supply, and can supply oxygen to healthy side lungs through the tracheal catheter after the plugging device is placed in the case of sudden heavy bleeding, thereby ensuring the oxygen supply.
The disadvantages are that: conventional endotracheal intubation stimulates more, requires greater depth of anesthesia, and may result in increased recovery time and reduced comfort over previous methods. When sudden heavy bleeding occurs, the plugging device needs to be temporarily placed, and the rescue opportunity can be delayed.
4. Double-cavity tube general anesthesia
The advantages are that: can effectively isolate the two lungs and can effectively protect the healthy lateral lung when the lung has huge abscess and hemorrhage.
The disadvantages are as follows: the double-cavity tube has a large outer diameter and a small endoscope, so that the under-endoscope diagnosis and treatment are not facilitated through a thick bronchoscope; the double-lumen tracheal intubation has large stimulation, generally needs muscle relaxing medicines, leads to the prolonging of the awakening time and possible damage to the glottis, and has lower comfort compared with the prior method;
in order to solve the above-mentioned problems, a bronchial tube is proposed that can significantly improve the safety of anesthesia.
Disclosure of Invention
The invention aims to provide a reinforced bronchial catheter with a function of blocking and stopping bleeding, and solves the technical problem that an anesthesia method and bronchial guide thereof in the prior art are not easy to use.
In order to achieve the purpose, the invention is realized by the following technical scheme:
a reinforced bronchial catheter with a function of blocking and stopping bleeding comprises:
the trachea cannula comprises a cannula body, wherein a trachea channel, a first inflation channel and a second inflation channel which are mutually independent are arranged in the cannula body, and the length of the cannula body is 19-41cm;
the first inflation cuff is arranged at the front end of the intubation tube body and communicated with the first inflation channel;
the second inflation cuff is arranged at the front end of the cannula body and is positioned behind the first inflation cuff, and the second inflation cuff is communicated with the second inflation channel;
the first inflation conduit is arranged at the rear end of the intubation tube body and is communicated with the first inflation channel;
the second inflation conduit is arranged at the rear end of the cannula body and communicated with the second inflation channel;
the intubation joint is arranged at the rear end of the intubation body and is communicated with the trachea channel.
Optionally, the intubation tube body includes an inner tube, an outer tube and a blocking portion, the inner space of the inner tube is the tracheal channel, and the blocking portion divides the cavity between the inner tube and the outer tube into the first inflation channel and the second inflation channel. By utilizing the inner tube, the outer tube and the blocking part, the trachea channel, the first inflation channel and the second inflation channel can not influence each other.
Optionally, the tube further comprises a stainless steel spring, the stainless steel spring is embedded in the tube wall of the inner tube, and the stainless steel spring extends from one end of the inner tube to the other end of the inner tube. Through the stainless steel spring who sets up, can increase the resistance to compression anti-folding ability of intubate body, can prevent that the kink from appearing in the intubate body, and then influence the passing through of bronchofiberscope.
Optionally, the first inflation channel includes a first interface and a second interface, the first interface is communicated with the first inflation cuff, and the second interface is disposed at the distal end of the cannula body and is communicated with the first inflation conduit.
Optionally, the second inflation channel includes a third interface and a fourth interface, the third interface is communicated with the second inflation cuff, and the fourth interface is disposed at the end of the cannula body and is communicated with the second inflation conduit.
Optionally, one end of each of the first inflation catheter and the second inflation catheter, which is far away from the cannula body, is connected with an indication balloon, and one end of each indication balloon is connected with an inflation connector. The indicating saccule and the inflating cuff are communicated with each other, so that the air pressure between the indicating saccule and the inflating cuff is the same, and the inflation degree of the inflating cuff in a human body can be known by observing the indicating saccule positioned outside the human body.
Optionally, one end of the cannula body is provided with a guiding portion, the guiding portion is an oblique opening or a flat opening, and the guiding portion is any one of medical-grade polyvinyl chloride or silica gel. The medical polyvinyl fluoride or silica gel respectively has good medical characteristics, such as colorlessness, innocuity, high temperature resistance, oxidation resistance and softness, and can avoid the damage to human bodies.
Optionally, the first inflation cuff is 0.5-1.5cm in length and the second inflation cuff is 1.5-3.0cm in length, the first inflation cuff being located on a side closer to the guide portion and the second inflation cuff being located on a side further from the guide portion. The invention adopts the design of double cuffs, and avoids the problems that half of the cuffs are arranged in the bronchus to be blocked and half of the cuffs are leaked outside to cause insufficient pressure due to overlong length of a single cuff.
Optionally, the one end of the intubate body of this embodiment is equipped with guide portion, and guide portion is toper body structure, and the hole has been seted up to toper body both sides, just guide portion is any one in medical grade polyvinyl chloride or the silica gel. The invention is beneficial to the tracheal catheter to pass through the glottis by reducing the end part of the guiding part, can reduce the damage of vocal cords and leads the tracheal intubation to be more smooth by the guidance of the bronchofiberscope.
Optionally, first aerify the cuff with the cuff is the transparent silica gel material is aerifyd to the second, and when not aerifing, with cannula body outer wall week side is closely laminated, when hiding on the pipe wall, through sign line suggestion operator cuff position, is difficult for damaging the vocal cords, does not influence the bronchoscope operation. After inflation, the maximum diameter of the first inflatable cuff is 1.5-2.5cm, which can effectively block the bronchus, and the maximum diameter of the second inflatable cuff is 2.0-4.0cm, which can effectively block the bronchus.
The embodiment of the invention has the following beneficial effects:
the invention can be firstly placed into the reinforced bronchial catheter through the bronchofiberscope guide when painless bronchofiberscope diagnosis and treatment is carried out, oxygen is connected, oxygen supply in the air passage is realized, the blood oxygen is prevented from dropping, if the blood oxygen still drops, the oxygen can be supplied by pressurizing after being sealed by the air bag, and the oxygen can be supplied to a patient with narrow air passage through the narrow air passage, so that the oxygen supply is ensured, the suffocation caused by bleeding and edema of the narrow part during treatment is avoided, and the bronchofiberscope guide can be adopted to block and strengthen the side lung to carry out the single lung ventilation when the blood in the air passage bleeds.
Of course, it is not necessary for any product in which the invention is practiced to achieve all of the above-described advantages at the same time.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the invention and, together with the description, serve to explain the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic structural view of a cannula body according to an embodiment of the present invention;
FIG. 2 is a schematic view of the internal structure of the cannula body according to one embodiment of the present invention;
FIG. 3 is a schematic view of a first inflation channel according to an embodiment of the present invention.
Wherein the figures include the following reference numerals:
the trachea cannula comprises a cannula body 1, a trachea channel 101, a first inflation channel 102, a second inflation channel 103, an inner tube 104, an outer tube 105, a baffle 106, a guide part 107, a hole 108, a first inflation cuff 2, a second inflation cuff 3, a first inflation conduit 4, a second inflation conduit 5, a cannula joint 6, a stainless steel spring 7, an indicating balloon 8 and an inflation joint 9.
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. The following description of at least one exemplary embodiment is merely illustrative in nature and is in no way intended to limit the invention, its application, or uses.
To maintain the following description of the embodiments of the present invention clear and concise, a detailed description of known functions and known components of the invention have been omitted.
Referring to fig. 1-3, in the present embodiment, an enhanced bronchial catheter with a function of stopping bleeding is provided, which includes:
the intubation tube comprises an intubation tube body 1, wherein a trachea channel 101, a first inflation channel 102 and a second inflation channel 103 which are mutually independent are arranged in the intubation tube body;
the first inflation cuff 2 is arranged at the front end of the cannula body 1 and is communicated with the first inflation channel 102;
the second inflatable cuff 3 is arranged at the front end of the cannula body 1 and is positioned behind the first inflatable cuff 2, and the second inflatable cuff 3 is communicated with the second inflatable channel 103;
the first inflation conduit 4 is arranged at the rear end of the cannula body 1 and is communicated with the first inflation channel 102;
the second inflation conduit 5 is arranged at the rear end of the cannula body 1 and is communicated with the second inflation channel 103;
the intubation joint 6 is disposed at the rear end of the intubation body 1 and is communicated with the tracheal tube 101.
The invention can be firstly placed into the reinforced bronchial catheter through the bronchofiberscope guide when painless bronchofiberscope diagnosis and treatment is carried out, oxygen is connected, oxygen supply in the air passage is realized, the blood oxygen is prevented from dropping, if the blood oxygen still drops, the oxygen can be supplied by pressurizing after being sealed by the air bag, and the oxygen can be supplied to a patient with narrow air passage through the narrow air passage, so that the oxygen supply is ensured, the suffocation caused by bleeding and edema of the narrow part during treatment is avoided, and the bronchofiberscope guide can be adopted to block and strengthen the side lung to carry out the single lung ventilation when the blood in the air passage bleeds.
The cannula body 1 of the present embodiment includes an inner tube 104, an outer tube 105, and a stopper 106, an inner space of the inner tube is a tracheal passage 101, and the stopper 106 divides a cavity between the inner tube 104 and the outer tube 105 into a first inflation passage 102 and a second inflation passage 103. With the inner tube 104, the outer tube 105, and the baffle 106, the tracheal tube passage 101, the first inflation passage 102, and the second inflation passage 103 can be made to have no influence on each other, and it is conceivable that two baffles 106 are provided, thereby dividing the space between the inner tube 104 and the outer tube 105 into the first inflation passage 102 and the second inflation passage 103.
The present embodiment further includes a stainless steel spring 7, the stainless steel spring 7 is embedded in the wall of the inner tube 104, and the stainless steel spring 7 extends from one end of the inner tube 104 to the other end of the inner tube 104. Through the stainless steel spring 7 that sets up, can increase the resistance to compression bending ability of intubate body 1, can prevent that the condition of kink from appearing in intubate body 1 to it is little to the internal diameter influence when buckling, can not influence the activity of bronchofiberscope.
The first inflation channel 102 of this embodiment comprises a first port in communication with the first inflation cuff 2 and a second port at the distal end of the cannula body 1 in communication with the first inflation conduit 4.
The second inflation channel 103 of this embodiment comprises a third port in communication with the second inflation cuff 3 and a fourth port at the distal end of the cannula body 1 in communication with the second inflation conduit 5.
The first inflation catheter 4 and the second inflation catheter 5 of the present embodiment are both connected with an indication balloon 8 at the ends far away from the cannula body 1, and an inflation connector 9 is connected at one end of the indication balloon 8. The indicating saccule 8 and the inflation cuff are communicated with each other, so that the air pressure between the indicating saccule and the inflation cuff is the same, and the inflation degree of the inflation cuff in the human body can be known by observing the indicating saccule 8 positioned outside the human body. The inflation connector 9 can be connected to a sterile syringe (not shown) to perform the inflation and deflation process of the inflatable cuff by pushing and pulling the sterile syringe.
In order to reduce the injury to the human body caused by the use of the cannula body 1, the following two embodiments are proposed:
as shown in fig. 1: example 1: one end of the cannula body 1 of the embodiment is provided with a guiding portion 107, the guiding portion 107 is a bevel or a flat, and the guiding portion 107 is medical grade polyvinyl chloride or silica gel. The medical polyvinyl fluoride or silica gel respectively has good medical characteristics, such as colorlessness, innocuity, high temperature resistance, oxidation resistance and softness, and can avoid the damage to human bodies.
As shown in fig. 2: example 2: the one end of the intubate body 1 of this embodiment is equipped with guide portion 107, and guide portion 107 is the toper body structure, and hole 108 has been seted up to toper body both sides, just guide portion 107 is any one in medical grade polyvinyl chloride or the silica gel. According to the invention, one end of the guide part 107 is reduced, so that the tracheal catheter can pass through a glottis conveniently, vocal cord injury can be reduced, the tracheal intubation guided by a bronchofiberscope is smoother, and in sudden heavy bleeding, the tapered distal end can be inserted into the distal end of the bronchus, so that the balloon can be opened after the catheter goes deep into the bronchus, the effect of the stopper is exerted to perform compression hemostasis, and the holes on the two sides of the tapered tube are opened to prevent airflow limitation caused by the reduction of the distal end of the catheter, so that the ventilation effect is achieved.
In this embodiment, the first inflation cuff 2 is 0.5-1.5cm in length, the second inflation cuff 3 is 1.0-3.0cm in length, the first inflation cuff 2 is located on the side closer to the guide portion 107, and the second inflation cuff 3 is located on the side away from the guide portion 107. The present invention employs a double cuff design, with the first inflation cuff 2 being about 0.5-1.5cm in length and the second inflation cuff 3 being about 1.0-3.0cm in lengthcmThe condition that half of the cuff is on the bronchus to be blocked and half of the cuff leaks outside due to overlong length of the single cuff to cause insufficient pressure is avoided; when required in the main air passageWhen oxygen is supplied by pressurization, the double air bags are inflated simultaneously, so that the contact area between the air bags and the air pipe can be increased, and the effect of closed ventilation can be achieved by lower pressure.
The spacing between the first inflation cuff 2 of this embodiment 1 and the end of the guide portion 107 is 1.0-4.0mm, and the guide portion 107 of this embodiment 2 is of a tapered tubular structure. The two embodiments can reduce the distance from the far end of the cuff to the tip of the catheter, are favorable for opening the air bag after sudden heavy bleeding is inserted into the bronchus, and play the role of the stopper to perform compression hemostasis.
The first inflatable cuff 2 and the second inflatable cuff 3 of the embodiment are made of transparent silica gel, and are tightly attached to the periphery of the outer wall of the intubation body 1 when not inflated, and are hidden on the tube wall, so that vocal cords are not easily damaged, and the operation of a bronchoscope is not influenced. After inflation, the maximum diameter of the first inflatable cuff is 1.5-2.5cm, which can effectively block the bronchus, and the maximum diameter of the second inflatable cuff is 2.0-4.0cm, which can effectively block the bronchus.
The length of the intubation tube body 1 is 19-41cm, which is larger than the distance from the incisor teeth to the far end of the bronchus, so that the catheter can be ensured to penetrate into the far end of the bronchus to perform plugging hemostasis.
The inner diameter of the inner tube 104 of this embodiment includes the following two embodiments:
example 1: is consistent with common clinical tracheal catheters, including 3.5mm, 4.0mm, 4.5mm, 5.0mm, …, 8.5mm and the like.
Example 2: the inner tube 104 has 10-20% of the outer diameter of the bronchofiberscope existing in the market, and the outer diameter models of the bronchofiberscope commonly used at present are 2.8mm, 3.9mm, 4.9mm, 5.9mm, 6.3mm and the like.
The above embodiments may be combined with each other.
It should be noted that the terms "first," "second," and the like in the description and claims of this application and in the drawings described above are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used is interchangeable under appropriate circumstances such that the embodiments of the application described herein are capable of operation in other sequences than those illustrated or described herein.
In the description of the present invention, it is to be understood that the orientation or positional relationship indicated by the orientation words such as "front, rear, upper, lower, left, right", "lateral, vertical, horizontal" and "top, bottom", etc. are usually based on the orientation or positional relationship shown in the drawings, and are only for convenience of description and simplicity of description, and in the case of not making a reverse description, these orientation words do not indicate and imply that the device or element being referred to must have a specific orientation or be constructed and operated in a specific orientation, and therefore, should not be considered as limiting the scope of the present invention; the terms "inner and outer" refer to the inner and outer relative to the profile of the respective component itself.
Claims (10)
1. The utility model provides a possess strenghthened type bronchial catheter of shutoff hemostasis function which characterized in that includes:
the intubation tube comprises an intubation tube body (1), wherein a trachea channel (101), a first inflation channel (102) and a second inflation channel (103) which are mutually independent are arranged in the intubation tube body;
the first inflation cuff (2) is arranged at the front end of the cannula body (1) and communicated with the first inflation channel (102);
the second inflatable cuff (3) is arranged at the front end of the intubation tube body (1) and is positioned behind the first inflatable cuff (2), and the second inflatable cuff (3) is communicated with the second inflatable channel (103);
the first inflation conduit (4) is arranged at the rear end of the cannula body (1) and communicated with the first inflation channel (102);
the second inflation conduit (5) is arranged at the rear end of the cannula body (1) and communicated with the second inflation channel (103);
the intubation joint (6) is arranged at the rear end of the intubation body (1) and communicated with the tracheal channel (101).
2. The enhanced bronchial catheter with the function of hemostasis sealing according to claim 1, wherein the intubation body (1) comprises an inner tube (104), an outer tube (105) and a baffle (106), the inner space of the inner tube is the tracheal passage (101), and the baffle (106) divides the cavity between the inner tube (104) and the outer tube (105) into the first inflation passage (102) and the second inflation passage (103).
3. The enhanced bronchial catheter with the function of plugging hemostasis as claimed in claim 2, further comprising a stainless steel spring (7), wherein the stainless steel spring (7) is embedded in the wall of the inner tube (104), and the stainless steel spring (7) extends from one end of the inner tube (104) to the other end of the inner tube (104).
4. The enhanced bronchial catheter with the function of hemostasis by occlusion according to claim 2, wherein the first inflation channel (102) comprises a first interface and a second interface, the first interface is communicated with the first inflation cuff (2), and the second interface is disposed at the distal end of the catheter body (1) and is communicated with the first inflation catheter (4).
5. The enhanced bronchial catheter with the function of stopping bleeding according to claim 2, wherein the second inflation channel (103) comprises a third interface and a fourth interface, the third interface is communicated with the second inflation cuff (3), and the fourth interface is arranged at the end of the cannula body (1) and is communicated with the second inflation catheter (5).
6. The enhanced bronchial catheter with the function of blocking and stopping bleeding of claim 1, wherein one ends of the first inflation catheter (4) and the second inflation catheter (5) far away from the intubation body (1) are both connected with an indication balloon (8), and one end of the indication balloon (8) is connected with an inflation connector (9).
7. The reinforced bronchial catheter with the function of stopping bleeding according to claim 1, wherein a guide part (107) is arranged at one end of the cannula body (1), the guide part (107) is a bevel or a flat, and the guide part (107) is any one of medical grade polyvinyl chloride or silica gel.
8. The reinforced bronchial catheter with the function of stopping bleeding according to claim 1, wherein a guiding portion (107) is disposed at one end of the intubation body (1), the guiding portion (107) is a tapered tube structure, holes (108) are disposed at two sides of the tapered tube structure, and the guiding portion (107) is any one of medical grade polyvinyl chloride or silica gel.
9. An enhanced bronchial catheter with a sealing and hemostatic function according to any one of claims 7-8, characterized in that the first inflatable cuff (2) is located on the side close to the guiding part (107) and the second inflatable cuff (3) is located on the side far from the guiding part (107).
10. The reinforced bronchial catheter with the function of blocking and stopping bleeding according to any one of claims 1 to 9, wherein the first inflatable cuff (2) and the second inflatable cuff (3) are made of transparent silica gel, and are tightly attached to the peripheral side of the outer wall of the cannula body (1) when not inflated, and the cuff position is marked by a mark line.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211585626.4A CN115779216A (en) | 2022-12-09 | 2022-12-09 | Reinforced bronchial catheter with plugging and hemostasis functions |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211585626.4A CN115779216A (en) | 2022-12-09 | 2022-12-09 | Reinforced bronchial catheter with plugging and hemostasis functions |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN115779216A true CN115779216A (en) | 2023-03-14 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211585626.4A Withdrawn CN115779216A (en) | 2022-12-09 | 2022-12-09 | Reinforced bronchial catheter with plugging and hemostasis functions |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN115779216A (en) |
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2022
- 2022-12-09 CN CN202211585626.4A patent/CN115779216A/en not_active Withdrawn
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Application publication date: 20230314 |
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