CN201320340Y - Double-cavity conduct tube for throat ventilation - Google Patents

Double-cavity conduct tube for throat ventilation Download PDF

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Publication number
CN201320340Y
CN201320340Y CNU2009200387216U CN200920038721U CN201320340Y CN 201320340 Y CN201320340 Y CN 201320340Y CN U2009200387216 U CNU2009200387216 U CN U2009200387216U CN 200920038721 U CN200920038721 U CN 200920038721U CN 201320340 Y CN201320340 Y CN 201320340Y
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CN
China
Prior art keywords
side conduit
tube
conduit
double
intermediate conductor
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Expired - Fee Related
Application number
CNU2009200387216U
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Chinese (zh)
Inventor
蔡定球
汪小海
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Publication date
Application filed by Nanjing Drum Tower Hospital filed Critical Nanjing Drum Tower Hospital
Priority to CNU2009200387216U priority Critical patent/CN201320340Y/en
Application granted granted Critical
Publication of CN201320340Y publication Critical patent/CN201320340Y/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model relates to a double-cavity conduct tube for throat ventilation. The structure of the tube is that a left tube and a right tube are respectively arranged at two sides of a middle tube; the forepart of the middle tube is longer than the left and right tubes; blind ends are arranged at the front ends of the left and right tubes; the forepart of the middle tube is provided with a small cuff; and a big cuff is arranged at the parallel rear parts of the middle, left, and right tubes and is connected on the external surface of the middle, left, and right tubes. The double-cavity conduct tube for throat ventilation solves the defects that a special laryngoscope affects the vision field of a doctor which is adverse for the operation of trachea intubation; the combitube has small ventilation and difficulty in positioning the tube; a fiber endoscope is expensive and needs considerable experience and the like. The utility model is applicable to regular and difficult trachea intubations which can be performed within a plurality of minutes by one person and has good effect, simple structure, low cost, convenient and reliable operation.

Description

Double-cavity trachea catheter
Technical field
This utility model relates to a kind of Medical Instruments, particularly a kind of double-cavity trachea catheter.
Background technology
At present, endotracheal tube is the apparatus that must use in the tracheal intubation.Endotracheal intubation is under the state of patient's general anesthesia, flesh pine, hyperventilation and apnea, earlier expose glottis with laryngoscope, the endotracheal tube that will have certain camber (about 20 degree) then inserts trachea by glottis in the tube core of a certain camber, guarantee that patient's oxygen supplies.Because the angle of the height of different its larynxes of patient, form, the oropharynx longitudinal axis and the trachea of epiglottis differs; or due to illness the people grows the anatomical variation that deformity or wound cause and can not expose glottis fully; usually can cause tracheal intubation difficulty, deal with the life security that can threaten patient improperly.
Before the present utility model,, often adopt extra utensil for solving this difficult problem.As special laryngoscope, glottis is better exposed, but influence the doctor visual field, be unfavorable for the tracheal intubation operation on the contrary; The associating conduit, but ventilation is less than the normal physiological requirement, and the catheter positioning difficulty, can not replace conventional tracheal intubation; And for example fibrescope costs an arm and a leg, and user must possess suitable experience, otherwise can bring bigger injury to patient.Need spend the considerable time for difficult airway, and tracheal intubation must be finished in several minutes, otherwise can cause patient's life danger.
Summary of the invention
The purpose of this utility model just is to overcome above-mentioned defective, designs, develops a kind of double-cavity trachea catheter.
The technical solution of the utility model is:
Double-cavity trachea catheter, its major technique is characterised in that a left side conduit, right side conduit is set respectively in the intermediate conductor both sides, the intermediate conductor leading portion is longer than left side conduit, right side conduit, left side conduit, right side catheter proximal end are cecum, little cover capsule is set on the intermediate conductor leading portion, on intermediate conductor, left side conduit, right side conduit back segment arranged side by side, big cover capsule is set, overlaps greatly on the outer surface that capsule is connected intermediate conductor, left side conduit, right side conduit.
Advantage of the present utility model and effect are to be applicable to common and difficult tracheal intubation, just can finish in several minutes, do not need specially or especially the training and experience, the one man operation gets final product, and is effective.It is simple in structure, cost is low, easy to use, reliable.When the internal diameter of intermediate conductor tube chamber is 1.30cm, makes to insert gastroscope and use; When internal diameter is 1.55cm, do to insert duodenoscope usefulness, solved at present the difficult problem of abundant oxygen supply when making gastroscope in the world.
Other advantage of the present utility model and effect will continue to describe below.
Description of drawings
The structural representation that esophagus is used is inserted in Fig. 1---this utility model clinical anesthesia, gastroscope, duodenoscope.
The specific embodiment
As shown in Figure 1:
Intermediate conductor 1 both sides are provided with a left side conduit 6, right side conduit 7 respectively, and intermediate conductor 1 leading portion is longer than left side conduit 6, right side conduit 7, and the 6-10 centimetre is got 8 centimeters in this example; Left side conduit 6, right side conduit 7 front ends are cecum, little cover capsule 2 is set on intermediate conductor 1 leading portion, on intermediate conductor 1, left side conduit 6, right side conduit 7 back segment arranged side by side, big cover capsule 4 is set, big cover capsule 4 is connected on the outer surface of intermediate conductor 1, left side conduit 6, right side conduit 7, big cover capsule 4 is got 14 centimeters apart from intermediate conductor 1 front end (being the top) 12-16 centimetre in this example; Be provided with passage 3 at distance left side conduit 6, right side conduit 7 front end 6cm with interior front, 5 oval-shaped passages 3 are respectively arranged in this example, it is of a size of long 0.5cm, and wide 0.25cm arranges before and after being; Joint 5 on left side conduit 6, right side conduit 7 ends is used for connecting the various mechanical interfaces of anesthetic machine.
In the concrete application process, according to patient's needs, selecting dissimilar this utility model is double-cavity trachea catheter.Tube chamber of conduit 1 front end 6-10cm can insert in the esophagus at an easy rate in the middle of it, the left side conduit 6 of both sides, the blunt slick projection of right side conduit 7 nose circles can be ridden very naturally and be stayed in outside the esophagus opening, make left side conduit 6, right side conduit 7 integral body to be deep in the esophagus again; This moment, promptly expression left side conduit 6, right side conduit 7 were in place; After overlapping little cover capsule 2 inflation of capsule 4 and intermediate conductor 1 front end greatly, just can fix left side conduit 6, right side conduit 7 and the position of intermediate conductor 1 in the oral cavity, and the turnover of each conduit of shutoff void gas outward and between the esophagus, mouth, nasal cavity fully; This moment is because 5 pairs of elliptical vent hole 3 that conduit 6, right side conduit 7 front front ends respectively have on the left of the both sides just in time are in patient's throat section, so when left side, both sides conduit 6, right side conduit 7 rear ends and anesthetic machine join capable mechanical ventilation, can guarantee the effective ventilation effect of left side conduit 6, right side conduit 7.
The degree of depth of general adult women intubate is 23 ± 1cm, and the adult male is 24 ± 1cm.Adopt test lung that the mensuration of double-cavity trachea catheter respiration parameter is shown, during the internal diameter of both sides conduit 〉=0.6cm, the ventilation efficiency of double-cavity trachea catheter is the endotracheal tube of 0.75cm greater than common internal diameter.
Big cover capsule 4 of the present utility model is oval-shaped, is the low pressure air bag, and fully the gas of oropharynx, nasopharynx spills during the shutoff mechanical ventilation, and the clinical trial result shows: Vt preset value=Vt measured value.
When the conduit that intermediate conductor 1, left side conduit 6, right side conduit 7 are combined into one is inserted, do not need laryngoscope to expose glottis as fulcrum, as long as open the oral cavity conduit is inserted, thereby protected tooth with tooth.And the degree of depth inserted of conduit is constant is surpassing esophagus opening 6-10cm place, easy operating.
This conduit makes and inserts simply because design is ingenious, operation easily, and accurate positioning is easy to fix, and guarantees the lasting ventilation efficiency of the passage 3 on left side, both sides conduit 6, the right side conduit 7, has satisfied the physiological need amount of various patient ventilatings.The blood gas analysis result of clinical practice and when using each of patient to detecting numerical value all in normal range.The firm fixing conduit of inserting that makes is after fixing, even rotate patient's head position, the ventilation usefulness of left side conduit 6, right side conduit 7 is not affected yet, thereby has improved the safety of using this conduit, and this is that other conduits are not as good as part.
In addition, the ventilation approach of this conduit is a gas through left side, both sides conduit 6,5 paired elliptical vent hole 3 of right side conduit 7 front ends, reaches endotracheal through throat, glottis.Be that with common tracheal intubation difference left side of the present utility model conduit 6, right side conduit 7 directly do not insert in the trachea, so laryngeal edema that it has avoided tracheal intubation to cause, the spoon cartilage dislocation, hoarseness etc. have reduced the incidence rate of the respiratory tract infection that causes behind the air flue mucosa irriate.
This utility model is applicable to all cases of present clinical practice tracheal intubation, and it had both had the advantage consistent with the tracheal intubation ventilatory effect, had overcome the many disadvantageous shortcoming that tracheal intubation had again.When this utility model was used, it did not stimulate air flue, can prevent the mistake suction.Be particularly useful for looking at straight vocal cords, air flue is hemorrhage or esophageal reflux is more, air flue enters difficulty and the patient of restriction of neck motion.No matter select a time or emergency treatment, the still institute's external environment of no matter being in hospital, this conduit all can use.Size is suitable for the adult at present.
Material of the present utility model is identical with the material of prior art, the plastics or the macromolecular material that all are semi flexible are made, in contrast to this, the blind method such as insert of the fibrescope of conventional tracheal intubation and invention recently, associating conduit, special laryngoscope, Endotol, light index conduit, fish hook shape conduit does not reach above-mentioned effect.
Though structure of the present utility model is extremely simple, but the tee pipe of intermediate conductor 1, left side conduit 6, right side conduit 87 intersects the structure of (not connected) side by side, but played beyond thought technique effect, the clinical trial result: the ventilation parameter of double-cavity trachea catheter and the parameter of vim and vigour of clinical patient, all in ideal normal range.
Protection domain of the present utility model is not limited only to the description of the above-mentioned specific embodiment.

Claims (7)

1. double-cavity trachea catheter, it is characterized in that being provided with respectively a left side conduit, right side conduit in the intermediate conductor both sides, the intermediate conductor leading portion is longer than left side conduit, right side conduit, left side conduit, right side catheter proximal end are cecum, little cover capsule is set on the intermediate conductor leading portion, on intermediate conductor, left side conduit, right side conduit back segment arranged side by side, big cover capsule is set, overlaps greatly on the outer surface that capsule is connected intermediate conductor, left side conduit, right side conduit.
2. double-cavity trachea catheter according to claim 1 is characterized in that on left side conduit, right side conduit leading portion a plurality of passages being set.
3. double-cavity trachea catheter according to claim 2 is characterized in that passage is arranged on the left side conduit of big cover capsule front, the right side conduit leading portion.
4. double-cavity trachea catheter according to claim 3 is characterized in that passage is apart from 6 centimeters in the left side conduit, right side catheter proximal end.
5. double-cavity trachea catheter according to claim 2 is characterized in that passage is oval, and size is long 0.5 centimeter, wide 0.25 centimeter.
6. double-cavity trachea catheter according to claim 2 is characterized in that passage is front and back and arranges.
7. double-cavity trachea catheter according to claim 1 is characterized in that the intermediate conductor leading portion is longer than left side conduit, right side conduit 6-10 centimetre.
CNU2009200387216U 2009-01-06 2009-01-06 Double-cavity conduct tube for throat ventilation Expired - Fee Related CN201320340Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNU2009200387216U CN201320340Y (en) 2009-01-06 2009-01-06 Double-cavity conduct tube for throat ventilation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNU2009200387216U CN201320340Y (en) 2009-01-06 2009-01-06 Double-cavity conduct tube for throat ventilation

Publications (1)

Publication Number Publication Date
CN201320340Y true CN201320340Y (en) 2009-10-07

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CNU2009200387216U Expired - Fee Related CN201320340Y (en) 2009-01-06 2009-01-06 Double-cavity conduct tube for throat ventilation

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105797252A (en) * 2016-05-27 2016-07-27 熊振天 Dual-cavity tracheal catheter positioning method and device, dual-cavity tracheal catheter
WO2016116038A1 (en) * 2015-01-21 2016-07-28 肖金仿 Lung isolation catheter

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016116038A1 (en) * 2015-01-21 2016-07-28 肖金仿 Lung isolation catheter
CN105797252A (en) * 2016-05-27 2016-07-27 熊振天 Dual-cavity tracheal catheter positioning method and device, dual-cavity tracheal catheter

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Legal Events

Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20091007

Termination date: 20140106