CN117838231A - Bronchus pleural fistula plugging device - Google Patents
Bronchus pleural fistula plugging device Download PDFInfo
- Publication number
- CN117838231A CN117838231A CN202410128398.0A CN202410128398A CN117838231A CN 117838231 A CN117838231 A CN 117838231A CN 202410128398 A CN202410128398 A CN 202410128398A CN 117838231 A CN117838231 A CN 117838231A
- Authority
- CN
- China
- Prior art keywords
- frame
- distal end
- tube
- pipe
- support frame
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 210000000621 bronchi Anatomy 0.000 title claims abstract description 9
- 206010065839 Pleural fistula Diseases 0.000 title abstract description 19
- 206010053481 Bronchopleural fistula Diseases 0.000 claims abstract description 10
- 238000007789 sealing Methods 0.000 claims description 16
- 239000007788 liquid Substances 0.000 claims description 8
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 2
- 239000012528 membrane Substances 0.000 claims 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims 1
- 206010016717 Fistula Diseases 0.000 abstract description 4
- 230000003890 fistula Effects 0.000 abstract description 4
- 208000015181 infectious disease Diseases 0.000 description 3
- 230000000149 penetrating effect Effects 0.000 description 3
- 239000000956 alloy Substances 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000003281 pleural cavity Anatomy 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000002151 Pleural effusion Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000004199 lung function Effects 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 238000001959 radiotherapy Methods 0.000 description 1
- 239000003566 sealing material Substances 0.000 description 1
- 238000013538 segmental resection Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- 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
- A61B17/12031—Type of occlusion complete 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Reproductive Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Gynecology & Obstetrics (AREA)
- Radiology & Medical Imaging (AREA)
- Endoscopes (AREA)
Abstract
The invention relates to the technical field of medical equipment, and provides a bronchopleural fistula plugging device, which comprises: a plugging assembly, and a tube body; the shutoff subassembly includes: a support frame, and an exhaust assembly; the far end of the supporting frame is of an opening structure; the exhaust assembly includes: an outlet duct, and a frame; the outer side of the frame is fixedly provided with a diaphragm; the far end of the air outlet pipe is of an opening structure; the body includes: an outer tube, and an inner tube; the distal end of the outer tube penetrates through the support frame and then extends to the distal end of the support frame; an air bag is fixedly arranged on the outer side of the middle part of the support frame, and an air inlet hole is formed in the middle part of the support frame; the far end of the inner tube penetrates through the air inlet hole and then extends into the air bag; according to the bronchus pleural fistula plugging device, the supporting frame is arranged, so that the supporting frame can be placed into pleural fistula, and gas is sent into the air bag from the air inlet pipe through the negative pressure device, so that the size of the air bag is controlled to be consistent with the size of a fistula, and subsequent plugging operation is facilitated.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a bronchopleural fistula plugging device.
Background
Bronchopleural fistulae refer to abnormal passages formed between the bronchial tree and the pleural cavity, which occur mostly after pulmonary surgery, especially after lobectomy or segmental resection, and may also develop due to pulmonary infection, tumor, trauma, radiation therapy, or pleural lesions; the bronchopleural fistula treatment method comprises conservative treatment, interventional treatment and operation treatment, wherein the main treatment aims at closing a leakage orifice, reducing pleural effusion and pneumothorax, controlling infection, recovering lung function and finally improving the life quality and survival rate of patients; interventional therapy, mainly intrabronchial occlusion: sealing the leak with a sealing material by means of a bronchoscope; at present, the bronchus plugging device on the market can not be adjusted according to the size of pleural fistula, so that the device needs to be replaced, and the operation time is increased.
Thus, there is a need for an adjustable bronchopleural fistula blocking device.
Disclosure of Invention
The invention aims at overcoming the defects in the prior art and provides a bronchopleural fistula plugging device.
In order to achieve the above purpose, the technical scheme adopted by the invention is as follows:
a bronchopleural fistula plugging device, comprising: the pipe body is fixedly connected with the plugging assembly; wherein,
the occlusion assembly includes: the exhaust assembly is detachably connected with the support frame; the far end of the supporting frame is of an opening structure;
wherein, exhaust assembly includes: the air outlet pipe is fixedly arranged in the support frame, and the frame is fixedly arranged in the air outlet pipe; a diaphragm is fixedly arranged on the outer side of the frame; the far end of the air outlet pipe is of an opening structure;
the pipe body includes: an outer tube, and an inner tube disposed inside the outer tube; the distal end of the outer tube extends to the distal end of the support frame after penetrating through the support frame;
an air bag is fixedly arranged on the outer side of the middle part of the support frame, and an air inlet hole is formed in the middle part of the support frame; the distal end of the inner tube extends into the air bag after penetrating through the air inlet hole.
Preferably, the supporting frame is in a shape of a circular truncated cone, and the diameter of the distal end surface of the supporting frame is smaller than that of the proximal end surface of the supporting frame.
Preferably, a sealing plate is fixedly arranged on the inner wall of the distal end of the supporting frame; the proximal end of the sealing plate is fixedly connected with the distal end of the air outlet pipe.
More preferably, the proximal end of the frame and the distal end of the frame are each fixedly provided with a tubular structure; the tubular structure of the distal end of the frame is fixedly connected with the proximal end of the sealing plate.
Preferably, the frame is made of a memory nickel-titanium alloy material, and the frame can be expanded until the diaphragm is abutted against the inner wall of the air outlet pipe.
More preferably, the distal end of the outer tube extends through the sealing plate; the proximal end of the outer tube is fixedly provided with a connecting tube, which is communicated with the outer tube.
More preferably, the connecting pipe is fixedly provided with a liquid inlet pipe and an air inlet pipe; the other end of the air inlet pipe is fixedly provided with a negative pressure device; the connecting pipe is respectively communicated with the liquid inlet pipe and the air inlet pipe.
More preferably, the sealing plate is provided with a plurality of air outlet holes, and the air outlet holes are arranged between the air outlet pipe and the tubular structure at the far end of the frame.
More preferably, the proximal end of the inner tube is fixedly connected with the negative pressure device, and the distal end of the inner tube sequentially penetrates through the air inlet tube, the connecting tube and the outer tube and then extends into the air bag.
Preferably, a camera is fixedly arranged on the distal end of the outer tube; a light source is fixedly disposed on the distal end of the outer tube.
Compared with the prior art, the invention has the following technical effects:
according to the bronchus pleural fistula plugging device, the supporting frame is arranged, so that the supporting frame can be placed into pleural fistula, and gas is sent into the air bag from the air inlet pipe through the negative pressure device, so that the size of the air bag is controlled to be consistent with the size of a fistula, and subsequent plugging operation is facilitated; the invention is also provided with the exhaust component, so that the air in the pleural fistula is exhausted from the air outlet pipe and the external air cannot enter the pleural fistula.
Drawings
FIG. 1 is a schematic view showing the basic structure of a bronchopleural fistula plugging device according to an embodiment of the invention;
FIG. 2 is a cross-sectional view of FIG. 1;
FIG. 3 is an enlarged view of FIG. 2A;
reference numerals in the drawings include:
1. a plugging assembly; 11. a support frame; 111. an air bag; 12. an exhaust assembly; 121. an air outlet pipe; 122. a frame; 123. a diaphragm; 2. a tube body; 21. an outer tube; 22. an inner tube; 23. a connecting pipe; 24. a liquid inlet pipe; 25. an air inlet pipe; 251. a negative pressure device.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
It should be noted that, without conflict, the embodiments of the present invention and features of the embodiments may be combined with each other.
The invention is further described below with reference to the drawings and specific examples, which are not intended to be limiting.
Example 1
As shown in fig. 1-3, the present embodiment provides a bronchopleural fistula blocking device comprising: a plugging assembly 1 and a pipe body 2 fixedly connected with the plugging assembly 1; wherein,
the occlusion assembly 1 comprises: a support frame 11, and an exhaust assembly 12 detachably connected to the support frame 11;
wherein, the far end of the supporting frame 11 is of an opening structure; the supporting frame 11 is in a round table shape, and the diameter of the far end surface of the supporting frame 11 is smaller than that of the near end surface of the supporting frame 11; an air bag 111 is fixedly arranged on the outer side of the middle part of the supporting frame 11, and an air inlet hole is formed in the middle part of the supporting frame 11; a sealing plate is fixedly arranged on the inner wall of the far end of the supporting frame 11;
the exhaust assembly 12 includes: an air outlet pipe 121 fixedly provided in the support frame 11, and a frame 122 fixedly provided in the air outlet pipe 121; the outside of the frame 122 is fixedly provided with a diaphragm 123; the distal end of the air outlet pipe 121 is of an opening structure; the proximal end of the sealing plate is fixedly connected with the distal end of the air outlet pipe 121; the proximal end of the frame 122 and the distal end of the frame 122 are each fixedly provided with a tubular structure; the tubular structure of the distal end of the frame 122 is fixedly connected to the proximal end of the sealing plate; the frame 122 is made of a memory nickel-titanium alloy material, and the frame 122 can be expanded until the diaphragm 123 is abutted against the inner wall of the air outlet pipe 121; a plurality of air outlet holes are formed in the sealing plate and are arranged between the air outlet pipe 121 and the tubular structure at the far end of the frame 122;
the pipe body 2 includes: an outer tube 21, and an inner tube 22 provided inside the outer tube 21; the distal end of the outer tube 21 extends to the distal end of the support frame 11 after penetrating the support frame 11; the distal end of the outer tube 21 extends through the sealing plate; a camera is fixedly arranged on the distal end of the outer tube 21; a light source is fixedly provided on the distal end of the outer tube 21;
the distal end of the inner tube 22 extends into the balloon 111 after passing through the air inlet hole; the proximal end of the inner tube 22 is fixedly connected with the negative pressure device 251, and the distal end of the inner tube 22 sequentially penetrates through the air inlet tube 25, the connecting tube 23 and the outer tube 21 and then extends into the air bag 111;
a connection tube 23 is fixedly provided at the proximal end of the outer tube 21, the connection tube 23 being in communication with the outer tube 21; the connecting pipe 23 is fixedly provided with a liquid inlet pipe 24 and an air inlet pipe 25; the other end of the air inlet pipe 25 is fixedly provided with a negative pressure device 251; the connecting pipe 23 is respectively communicated with the liquid inlet pipe 24 and the air inlet pipe 25;
example 2
This embodiment provides a method of occluding using a bronchopleural fistula occluding device as described in embodiment 1, comprising the steps of:
the operator sends the plugging component 1 and the tube body 2 into the pleural fistula from the throat part of the patient, the camera and the light source are started, and the operator observes the internal condition through a display connected with the camera; the affected part can be cleaned through the liquid inlet pipe 24, the supporting frame 11 is sent to the affected part, the air is sent into the air bag 111 from the air inlet pipe 25 through the inner pipe 22 by using the negative pressure device 251, and the air bag 111 is expanded until the size of the air bag is equal to that of the pleural fistula; when external gas enters the pleural fistula from the air outlet pipe 121, the frame 122 expands until the diaphragm 123 is attached to the inner wall of the air outlet pipe 121, so that the external gas cannot enter the pleural fistula from the far end of the air outlet pipe 12, and the pressure of the pleural cavity is reduced; the air in the pleural fistula enters the air outlet pipe 121 through the air outlet hole, and the frame 122 is contracted, so that the air is discharged from the distal end of the air outlet pipe 121; the pleural fistula is plugged by injecting plugging material through the connecting pipe 23, so that further aggravation of infection is prevented, and closure of the fistula is facilitated.
In summary, the supporting frame is arranged in the bronchus pleural fistula plugging device, so that the supporting frame can be placed into pleural fistula, and gas is sent into the air bag from the air inlet pipe through the negative pressure device, so that the size of the air bag is controlled to be consistent with that of a fistula, and the subsequent plugging operation is facilitated; the invention is also provided with the exhaust component, so that the air in the pleural fistula is exhausted from the air outlet pipe and the external air cannot enter the pleural fistula.
The foregoing description is only illustrative of the preferred embodiments of the present invention and is not to be construed as limiting the scope of the invention, and it will be appreciated by those skilled in the art that equivalent substitutions and obvious variations may be made using the description and illustrations of the present invention, and are intended to be included within the scope of the present invention.
Claims (10)
1. A bronchopleural fistula plugging device, comprising: the device comprises a plugging assembly (1) and a pipe body (2) fixedly connected with the plugging assembly (1); wherein,
the closure assembly (1) comprises: the device comprises a support frame (11) and an exhaust assembly (12) detachably connected with the support frame (11); the far end of the supporting frame (11) is of an opening structure;
wherein the exhaust assembly (12) comprises: an air outlet pipe (121) fixedly arranged in the support frame (11), and a frame (122) fixedly arranged in the air outlet pipe (121); a diaphragm (123) is fixedly arranged on the outer side of the frame (122); the far end of the air outlet pipe (121) is of an opening structure;
the pipe body (2) comprises: an outer tube (21) and an inner tube (22) provided inside the outer tube (21); the distal end of the outer tube (21) penetrates through the support frame (11) and then extends to the distal end of the support frame (11);
an air bag (111) is fixedly arranged on the outer side of the middle part of the supporting frame (11), and an air inlet hole is formed in the middle part of the supporting frame (11); the distal end of the inner tube (22) extends into the balloon (111) after passing through the air inlet hole.
2. The bronchial occlusion device according to claim 1, characterized in that the support (11) is frustoconical, the distal surface diameter of the support (11) being smaller than the proximal surface diameter of the support (11).
3. The broncho-occlusion device according to claim 1, characterized in that the distal inner wall of the support frame (11) is fixedly provided with a sealing plate; the proximal end of the sealing plate is fixedly connected with the distal end of the air outlet pipe (121).
4. A bronchial occlusion device according to claim 3, characterized in that the proximal end of the frame (122) and the distal end of the frame (122) are fixedly provided with tubular structures; a tubular structure at the distal end of the frame (122) is fixedly connected to the proximal end of the sealing plate.
5. The bronchial occlusion device according to claim 1, wherein the frame (122) is made of a memory nitinol material, the frame (122) being expandable until the membrane (123) abuts against the inner wall of the outlet tube (121).
6. A bronchial occlusion device according to claim 3, characterized in that the distal end of the outer tube (21) extends through the sealing plate; a connecting pipe (23) is fixedly arranged at the proximal end of the outer pipe (21), and the connecting pipe (23) is communicated with the outer pipe (21).
7. The bronchus occlusion device according to claim 6, wherein the connecting tube (23) is fixedly provided with a liquid inlet tube (24) and an air inlet tube (25); the other end of the air inlet pipe (25) is fixedly provided with a negative pressure device (251); the connecting pipe (23) is respectively communicated with the liquid inlet pipe (24) and the air inlet pipe (25).
8. The bronchus occlusion device of claim 4, wherein said sealing plate is provided with a plurality of air outlet holes, said plurality of air outlet holes being arranged between said air outlet tube (121) and a tubular structure at a distal end of said frame (122).
9. The bronchus occlusion device according to claim 7, wherein the proximal end of the inner tube (22) is fixedly connected to the negative pressure device (251), and the distal end of the inner tube (22) extends into the balloon (111) after passing sequentially through the air inlet tube (25), the connecting tube (23), and the outer tube (21).
10. The broncho-occlusion device according to claim 1, characterized in that a camera is fixedly arranged on the distal end of the outer tube (21); a light source is fixedly arranged on the distal end of the outer tube (21).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202410128398.0A CN117838231A (en) | 2024-01-30 | 2024-01-30 | Bronchus pleural fistula plugging device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202410128398.0A CN117838231A (en) | 2024-01-30 | 2024-01-30 | Bronchus pleural fistula plugging device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN117838231A true CN117838231A (en) | 2024-04-09 |
Family
ID=90532471
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202410128398.0A Withdrawn CN117838231A (en) | 2024-01-30 | 2024-01-30 | Bronchus pleural fistula plugging device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN117838231A (en) |
-
2024
- 2024-01-30 CN CN202410128398.0A patent/CN117838231A/en not_active Withdrawn
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
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| WW01 | Invention patent application withdrawn after publication |
Application publication date: 20240409 |
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| WW01 | Invention patent application withdrawn after publication |