CN201558392U - Combined connector and bronchus sealing sleeve with the same - Google Patents

Combined connector and bronchus sealing sleeve with the same Download PDF

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Publication number
CN201558392U
CN201558392U CN2009202168675U CN200920216867U CN201558392U CN 201558392 U CN201558392 U CN 201558392U CN 2009202168675 U CN2009202168675 U CN 2009202168675U CN 200920216867 U CN200920216867 U CN 200920216867U CN 201558392 U CN201558392 U CN 201558392U
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China
Prior art keywords
bronchus
combined joint
interface
occlusion catheter
tracheal intubation
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Expired - Fee Related
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CN2009202168675U
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Chinese (zh)
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邵贤斌
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Individual
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Individual
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Abstract

The utility model discloses a combined connector (1) and a bronchus sealing sleeve with the connector. The combined connector comprises an upper interface (1-1), a lower interface (1-6) and a side interface (1-5). The bronchus sealing sleeve with the connector comprises a bronchus sealing catheter (2), a tracheal cannula (3) and the combined connector (1), wherein the bronchus sealing catheter (2) penetrates through the tracheal cannula (3), and the combined connector (1) is connected with the bronchus sealing catheter (2) and the tracheal cannula (3) in a removable and sealing way. No secondary intubation is needed after double lung isolation, and the breathing machine can be connected immediately for postoperative care through pulling down the upper part of the combined connector (1) and the bronchus sealing catheter (2). Due to the unique design, the utility model can greatly facilitate the clinical operation of the surgery.

Description

Combined joint and have the bronchus shutoff sleeve pipe of this joint
Technical field
This utility model belongs to the medical device field, particularly a kind of combined joint and have the bronchus shutoff sleeve pipe of this joint.
Background technology
One-lung ventilation (OLV) is a management of respiratory method commonly used in the modern thoracic surgery, even patient's a side lobe of the lung ceases breathing, and keep the human body needs by an other side lobe of the lung oxygen uptake, so that the patient is carried out two lungs isolation, the separation of two lung ventilation, bronchoalveolar lavage or the side pulmonary collapse etc.Two lung Sequestrations can prevent that secretions, the source of infection, blood or the abscess thing of a side lung (art side lung) from entering in the opposite side lung (key side lung), thereby reach the purpose of the strong lung of protection.Surgical procedures art side alveolar withered so that can prevent that also the secretions of art side lung and blood from pouring in down a chimney to strong side lung.Art side lung selectivity part or full lung subside, and for operation dissections, ligation hilus pulumonis etc. provide an ideal surgical field of view, while can avoid oppressing heart, prevent owing to pulmonary parenchyma being crossed injury of lung that multioperation causes etc.
Prior art clinically has three classes at present: double lumen endobronchial tube intubate (DLT), Univent single cavity double sac bronchial obstruction conduit and Arndt bronchial obstruction conduit.DLT is made up of two suitable tracts of diameter, divides left and right model, and airway resistance is big.The guidance cavity of Univent single cavity double sac bronchial obstruction conduit is also bigger, causes imitating the ventilation tract and reduces.Arndt bronchial obstruction conduit has remedied the less shortcoming of above-mentioned two class conduit effective ventilation tracts preferably, but it must use under the guiding of fibre bronchus mirror, has limited its scope of application in hospital.
The utility model content
For solving above-mentioned problems of the prior art, this utility model designs and makes a kind of combined joint on the basis of existing technology and has the bronchus shutoff sleeve pipe of combined joint, the processing simple in structure, easy of described combined joint can be connected to each other a plurality of parts or split easily and quickly; Bronchus shutoff sleeve pipe with described combined joint can generally be used for all kinds of thoracic surgeries, and it has increased the effective ventilation tract, easy to operate and avoided postoperative secondary intubate of bronchial catheter, has simplified operative process effectively.
This utility model provides a kind of combined joint on the one hand, and described combined joint is roughly 1 type, Y type or comprises more multiple-limb, is preferably the Y type.Communicate between each branch of the combined joint of described Y type, and comprise interface, lower interface, side interface; First apparatus enters described combined joint and is passed by described lower interface from described side interface; Described side interface comprises side connector, and this side connector can make first apparatus and the described side interface that pass described combined joint be tightly connected removably; Described lower interface can be tightly connected with second apparatus directly or indirectly removably.
Further, described lower interface is tightly connected removably by the lower contact and second apparatus.
Further, described side connector is connected near the described side interface by fixture;
Further, described lower contact is connected near the described lower interface by fixture;
Described fixture is a band;
Described combined joint, described side connector, described lower contact, described band are made by silica gel, latex, rubber or plastic or other material.
Described detachable being tightly connected comprise be threaded, flange connects, to connected modes such as folder connection, cutting ferrule connection, clamp connection or self sealss connections.
Further, described side connector comprises by what silica gel, rubber or plastic or other material were made having certain elastic sealing block, the external diameter of sealing piece equals or is slightly larger than the internal diameter of side interface, has through hole in the sealing piece, the external diameter that directly is equal to or slightly less than first apparatus of this through hole, thus sealing block can be tightly connected first apparatus and described side interface.
Further, described side connector also comprises a sealing cap, and it has the inner chamber that can hold sealing block, and can be connected removably with side interface.Described detachable connection comprise be threaded, flange connects, to connected modes such as folder connection, cutting ferrule connection, clamp connection or self sealss connections.In an embodiment of the present utility model, the outer wall of described sealing cap inwall and side interface has respective threads can connect them removably.Described sealing cap has through hole, the external diameter that directly is equal to or slightly less than first apparatus of this through hole, thus sealing block and sealing cap can be tightly connected first apparatus and described side interface.
The internal diameter of described side interface and described lower interface and described second apparatus passes the diameter of the part of these parts greater than described first apparatus significantly; When described lower interface is tightly connected removably by the lower contact and second apparatus, the internal diameter of described lower contact also passes the diameter of the part of described lower contact greater than described first apparatus significantly, thereby makes occlusion catheter can successfully pass the combined joint and second apparatus.
Further, the end periphery of described lower interface peripheral and/or described second apparatus that links to each other with described lower interface has the structure being convenient to grip (when combined joint comprises lower contact, the periphery peripheral and/or described lower contact of lower interface has the structure of being convenient to grip), this structure of being convenient to grip helps apace combined joint to be separated with second apparatus.
The described structure of being convenient to grip comprises ridge design, protrusion or groove etc.
In an embodiment of the present utility model, described first apparatus is the bronchus occlusion catheter, and described second apparatus is a tracheal intubation.
The top connection of described combined joint is connected with respirator or other operating theater instruments directly or indirectly, and described other operating theater instruments for example are fibre bronchus mirror.
This utility model provides a kind of bronchus shutoff sleeve pipe with combinations thereof formula joint on the other hand, it comprises bronchus occlusion catheter, tracheal intubation and described combined joint, described bronchus occlusion catheter passes described tracheal intubation, and described combined joint removably is connected with described bronchus occlusion catheter and described tracheal intubation.
Described bronchus occlusion catheter comprises elongated occlusion catheter, an end of described occlusion catheter is connected on a soft three way cock's the end, wherein end in this soft three way cock's the other two ends is connected with the tegillum medicated cap, the other end is connected with the first inflation tubule, and the end of the described first inflation tubule has the first indication sacculus; Another end of described occlusion catheter has the bronchial little sacculus of shutoff, thereby described first inflating catheter is communicated with and can inflates it with described bead capsule.
Described tracheal intubation comprises pipe shaft, the second indication sacculus, the second inflation tubule and is positioned near terminal big sacculus, thereby the described second inflation tubule is communicated with and can inflates it with described big sacculus.
Described elongated occlusion catheter passes side connector, side interface, the lower interface (when combined joint comprised lower contact, occlusion catheter also passed this lower contact) of combined joint successively and enters described tracheal intubation, and passes from the end of described tracheal intubation.Described side connector can be connected occlusion catheter with described side interface hermetically, one end of described lower interface and described tracheal intubation be tightly connected (when combined joint comprised lower contact, this lower contact can be tightly connected an end of described lower interface and described tracheal intubation).Described top connection is connected with respirator or other operating theater instruments directly or indirectly, and described other operating theater instruments for example are fibre bronchus mirror.The internal diameter of described side interface, lower interface, lower contact and tracheal intubation is all significantly greater than the external diameter of occlusion catheter, thereby makes occlusion catheter can successfully pass these parts.
Further, described combined joint also can comprise second side interface with block, when needs of patients is inhaled expectorant, opens block and can inhale the expectorant operation to the patient by this second side interface, and need not to take off respirator, make the patient can when using respirator, inhale expectorant.This second side interface also can be used for inserting other operating theater instruments apparatuses to inhale expectorant, inspection, take a sample or to treat, and described other operating theater instruments for example are fibre bronchus mirror.
Bronchus shutoff sleeve pipe with combined joint of the present utility model, its operating process is: the lower contact of combined joint and an end of tracheal intubation are tightly connected, guiding by combined joint is inserted the target bronchus smoothly with the bronchus occlusion catheter, then, seal patient's bronchus and the gap between the occlusion catheter to the little inflated of bronchus occlusion catheter.Use side connector that the bronchus occlusion catheter is fixed on the side interface hermetically then.Follow again, to the big inflated of tracheal intubation, sealing patient's trachea and the gap between the tracheal intubation.After operation, need not the secondary intubate, only need pull up combined joint and bronchus occlusion catheter (when combined joint comprises lower contact, also can pull up the first half and bronchus occlusion catheter that combined joint does not contain lower contact, promptly stay tracheal intubation with lower contact), can immediately tracheal intubation directly or indirectly be connected and go up respirator to carry out postoperative care.
The operation of the two lung Sequestrations described in this utility model comprises: esophageal carcinoma operation (annual about 100,000 examples of China), aneurysm of thoracic aorta operation, full lung or the two isolated operations of lung of lobectomy of lungs operation, bronchiectasis operation, unilateral lung lavation operation, lung transplant, bronchus (trachea lower end) resection operation, thoracoscopic operation and other needs etc.
Description of drawings
Fig. 1 shows the combined joint according to an embodiment of this utility model;
Fig. 2 shows the bronchus shutoff sleeve pipe with combined joint according to an embodiment of this utility model;
Fig. 3 shows the combined joint with second side interface.
The specific embodiment
Referring to Fig. 1, combined joint 1 of the present utility model is roughly the Y type, comprise interface 1-1, lower interface 1-6, side interface 1-5, described side interface 1-5 comprises sealing block 1-3 and the sealing cap 1-4 of the detachable side interface 1-5 that is tightly connected, and described lower interface 1-6 comprises the lower contact 1-2 of the detachable lower interface 1-6 that is tightly connected.Described sealing cap 1-4 has the inner chamber that holds sealing block 1-3, and with described side interface 1-5 by being threaded.Described sealing block 1-3 and sealing cap 1-4 have through hole, and the slightly larger in diameter of this through hole makes sealing block 1-3 and sealing cap 1-4 and occlusion catheter be tightly connected in the external diameter of occlusion catheter.The periphery of described lower contact 1-2 has the protrusion 1-7 of being convenient to grip.
Bronchus shutoff sleeve pipe (seeing accompanying drawing 2) with combined joint of the present utility model comprises combined joint 1, bronchus occlusion catheter 2 and tracheal intubation 3.Described bronchus occlusion catheter 2 passes described tracheal intubation 3, and described combined joint 1 removably is tightly connected with described bronchus occlusion catheter 2 and described tracheal intubation 3.
Described bronchus occlusion catheter 2 comprises elongated occlusion catheter 2-4, the end of described occlusion catheter 2-4 is connected on the end of a soft three way cock 2-2, wherein end in the other two ends of this soft three way cock 2-2 is connected with tegillum medicated cap 2-1, the other end is connected with the first inflation tubule 2-5, and the end of described inflation tubule 2-5 has the first indication sacculus 2-3; Another end of described occlusion catheter has the bronchial bead capsule of the shutoff of being used for 2-6, thereby the described first inflation tubule 2-5 is communicated with and can inflates it with described bead capsule 2-6.
Described tracheal intubation 3 comprises pipe shaft 3-1, the second indication sacculus 3-2, the second inflation tubule 3-3 and is positioned near the big sacculus 3-4 of terminal 3-6 of pipe shaft 3-1, thereby the described second inflation tubule 3-3 is communicated with and can inflates it with described big sacculus 3-4.
Described elongated occlusion catheter 2-4 passes sealing cap 1-4, the sealing block 1-3 of combined joint 1 and side interface 1-5 successively and enters in the combined joint 1, and pass lower interface 1-6, lower contact 1-2 successively and pass combined joint 1, occlusion catheter 2-4 pierces among the pipe shaft 3-1 of described tracheal intubation 3 then, and passes (Fig. 2) from the terminal 3-6 of tracheal intubation 3.In operation technique, with the end (3-5) of the lower contact 1-2 of combined joint 1 and tracheal intubation 3 be tightly connected (Fig. 2), guiding by combined joint 1 is inserted the target bronchus smoothly with bronchus occlusion catheter 2, then, seal patient's bronchus and the gap between the occlusion catheter 2-4 to the bead capsule 2-6 inflation of bronchus occlusion catheter 2.Use sealing block 1-3 and sealing cap 1-4 that bronchus occlusion catheter 2 is fixed on side interface 1-5 hermetically then and go up (Fig. 2).Follow again, to the big sacculus 3-4 inflation of tracheal intubation 3, sealing patient's trachea and the gap between the tracheal intubation 3.After operation, need not the secondary intubate, only need pull up the first half and the bronchus occlusion catheter 2 that combined joint 1 does not contain lower contact 1-2, expose the lower contact 1-2 of combined joint, lower contact 1-2 is connected respirator immediately to carry out postoperative care.
Referring to Fig. 3, described combined joint 1 also can comprise second a side interface 1-8 with block, when needs of patients is inhaled expectorant, opens block and can inhale the expectorant operation to the patient by this second side interface, and need not to take off respirator, make the patient can when using respirator, inhale expectorant.

Claims (10)

1. a combined joint (1), it comprises interface (1-1), lower interface (1-6), side interface (1-5); First apparatus enters described combined joint and is passed by described lower interface (1-6) from described side interface (1-5); Described side interface (1-5) comprises side connector, and this side connector can make first apparatus and the described side interface that pass described combined joint be tightly connected removably; Described lower interface (1-6) can be tightly connected with second apparatus directly or indirectly removably.
2. combined joint according to claim 1, wherein said lower interface (1-6) is tightly connected removably by the lower contact (1-2) and second apparatus.
3. combined joint according to claim 1 and 2, be tightly connected wherein said dismountable comprise be threaded, flange connects, to folder connections, cutting ferrule connection, clamp connection or self sealss connection.
4. combined joint according to claim 1 and 2, wherein said side connector is to have certain elastic sealing block by what silica gel, rubber or plastics were made, has through hole in the sealing piece, the diameter of this through hole is equal to or slightly less than the external diameter of described first apparatus, thereby described sealing block can be tightly connected described first apparatus and described side interface.
5. combined joint according to claim 1 and 2, the end periphery of the periphery of wherein said lower interface (1-6) and/or described second apparatus that links to each other with described lower interface (1-6) has the structure of being convenient to grip, and this structure of being convenient to grip helps apace combined joint to be separated with second apparatus.
6. combined joint according to claim 1 and 2, wherein said first apparatus are bronchus occlusion catheter (2), and described second apparatus is tracheal intubation (3).
7. bronchus shutoff sleeve pipe with combined joint, described combined joint is as claim 1-6 as described in each, wherein said first apparatus is bronchus occlusion catheter (2), described second apparatus is tracheal intubation (3), described bronchus occlusion catheter (2) passes described tracheal intubation (3), and described combined joint (1) is tightly connected removably with described bronchus occlusion catheter (2) and described tracheal intubation (3).
8. bronchus shutoff sleeve pipe according to claim 7, wherein said bronchus occlusion catheter (2) comprises elongated occlusion catheter (2-4), an end of described occlusion catheter (2-4) is connected on a soft three way cock's (2-2) the end, wherein end in this soft three way cock's (2-2) the other two ends is connected with little block (2-1), the other end is connected with the first inflation tubule (2-5), and the end of described inflation tubule (2-5) has the first indication sacculus (2-3); Another end of described occlusion catheter has the bronchial little sacculus of shutoff (2-6), described first the inflation tubule (2-5) with described little sacculus (2-6) thus be communicated with and can inflate it.
9. according to claim 7 or 8 described bronchus shutoff sleeve pipes, wherein said tracheal intubation (3) comprises pipe shaft (3-1), the second indication sacculus (3-2), the second inflation tubule (3-3) and is positioned near terminal big sacculus (3-4), described second inflate tubule (3-3) with described big sacculus (3-4) thus be communicated with and can inflate it.
10. bronchus shutoff sleeve pipe according to claim 8, wherein said elongated occlusion catheter (2-4) passes side connector, side interface (1-5), lower interface (1-6) and the lower contact (1-2) of combined joint successively and enters described tracheal intubation (3), and passes from the end (3-6) of described tracheal intubation; Wherein said top connection (1-1) is connected with respirator or other operating theater instruments directly or indirectly, and described other operating theater instruments are used to inhale expectorant, inspection, take a sample or treat; The internal diameter of described side interface, lower interface, lower contact and tracheal intubation is all significantly greater than the external diameter of occlusion catheter, thereby makes occlusion catheter can successfully pass these parts.
CN2009202168675U 2009-09-23 2009-09-23 Combined connector and bronchus sealing sleeve with the same Expired - Fee Related CN201558392U (en)

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Application Number Priority Date Filing Date Title
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CN201558392U true CN201558392U (en) 2010-08-25

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102019020B (en) * 2009-09-23 2012-11-14 邵贤斌 Combined type joint and bronchus blocking sleeve with same
CN104383630A (en) * 2014-11-26 2015-03-04 林红 Bronchial occluder with double bags
CN111714744A (en) * 2020-07-13 2020-09-29 无锡康莱医疗科技有限公司 Non-inflatable cuff and endotracheal intubation

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102019020B (en) * 2009-09-23 2012-11-14 邵贤斌 Combined type joint and bronchus blocking sleeve with same
CN104383630A (en) * 2014-11-26 2015-03-04 林红 Bronchial occluder with double bags
CN111714744A (en) * 2020-07-13 2020-09-29 无锡康莱医疗科技有限公司 Non-inflatable cuff and endotracheal intubation

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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: 20100825

Termination date: 20110923