CN202387080U - Combined type double-lumen endobronchial tube - Google Patents
Combined type double-lumen endobronchial tube Download PDFInfo
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- CN202387080U CN202387080U CN 201120078559 CN201120078559U CN202387080U CN 202387080 U CN202387080 U CN 202387080U CN 201120078559 CN201120078559 CN 201120078559 CN 201120078559 U CN201120078559 U CN 201120078559U CN 202387080 U CN202387080 U CN 202387080U
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- tube
- type double
- targeting
- lumen endobronchial
- combination type
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Abstract
The utility model discloses a combined double-lumen endobronchial tube which comprises a bronchial tube blocking tube (an inner tube) which is guided by a targeted guide core, and a single-lumen double-balloon double-side hole tracheal tube (an outer tube). According to the combined double-lumen endobronchial tube, double-lung isolation and one-lung ventilation can be selected and used; and the combined double-lumen endobronchial tube can be placed and positioned easily and accurately and can effectively prevent displacement.
Description
Technical field
This utility model relates to a kind of bronchial catheter.Mainly be fit to be applied to thoracic surgery anesthesia etc., the technical method of simple and effective pair of lung isolation and one-lung ventilation can be provided.
Background technology
Two lungs are isolated, and one-lung ventilation can be provided, and help the exposure and the management of the breathing in the art of operating field.At present one-lung ventilation is provided: 1. double lumen endobronchial tube intubate (DLT), 2. bronchial blocker (BB), 3. single chamber bronchial cannula (ET) with three kinds of lung isolation technologies commonly used.ET uses in the thoracic surgery more in early days, but along with the development of preceding two kinds of technology, ET is no longer commonly used.
Still there is different limitation in above-mentioned preceding two kinds of technology.
Double lumen endobronchial tube intubate (DLT) is short although accomplish indwelling catheter time, has following shortcoming:
1) total caliber is thick, and quality is hard relatively, and big to the relative damage of tracheal tissue, zest is strong.
2) postoperative patient often will pull out this conduit and change into single-lumen bronchial tube, and the transposing process not only increases tissue injury if need to continue breathe Supporting Therapy, also possibly other accidents take place because of difficult intubation once more.
3) the catheter position displacement takes place in influence sometimes with operation technique because of position change in the art, skids off bronchus, and then influence the ventilating mode of requirements of operation, makes the difficult increase of operation technique.
4) there is certain technical difficulty the intubate location, and accurately the location still depends on branchofiberoscope.
When 5) cause specific needed the right side to put pipe, anatomical factors often made its limited use.
There is following shortcoming in bronchial blocker (BB):
1) all need need accurately to locate by means of fibre bronchus mirror.
2) accomplish indwelling catheter time and change easy slippage than length and with position.
3) how restricted thoracic surgery anesthesia in right side use.
4) all there is complex manufacturing technology, the problem that cost is high.
The utility model content
This utility model provides a kind of combination type double lumen endobronchial tube, and its selection at two lungs isolation and one-lung ventilation is used all unrestricted.
For solving the problems of the technologies described above, this utility model provides a kind of combination type double lumen endobronchial tube, comprises that targeting leads the bronchus shutoff pipe and the single cavity double sac bilateral hole endotracheal tube of core guiding; The bronchus shutoff pipe that said targeting is led core guiding has the diameter 1mm spring steel wire that is used to process " J " shape targeting to lead core; Said single cavity double sac bilateral hole endotracheal tube length is less than 40cm; Said single cavity double sac bilateral hole endotracheal tube far-end has a ballonet less than the 4cm place, and the ballonet far-end has black Fei Shi side opening, apart from ballonet near-end 3-5cm place air vesicle is arranged.
The beneficial effect of this utility model is: the bronchus shutoff pipe that targeting is led core guiding can blind be looked down arbitrarily adjustment and control and insert sensing; Selection at two lungs isolation and one-lung ventilation is used all unrestricted; It is accurately simple to put the pipe location, and can effectively prevent displacement.
Description of drawings
Below in conjunction with accompanying drawing and embodiment this utility model is done further detailed description.
Fig. 1 is a combination type double lumen endobronchial tube sketch map;
Fig. 2-the 1st, the said targeting of this utility model embodiment is led the core sketch map;
Fig. 2-the 2nd, the side direction of Fig. 2-1 is attempted;
Fig. 2-the 3rd, the view of the another kind of modes of emplacement of Fig. 2-2;
Fig. 3 is the said bronchus shutoff pipe sketch map that has targeting to lead the core guiding of this utility model embodiment;
Fig. 4 is the said single cavity double sac bilateral of a this utility model embodiment hole endotracheal tube sketch map;
Fig. 5 is to use combination type double lumen endobronchial tube sketch map;
Fig. 6 is to use combination type double lumen endobronchial tube sketch map;
Fig. 7 is the said four-way connecting interface of a this utility model embodiment sketch map.
The specific embodiment
The described combination type double lumen endobronchial tube of this utility model mainly contains two parts and forms: have targeting as shown in Figure 3 to lead the bronchus shutoff pipe (interior pipe) of core guiding and single cavity double sac bilateral hole endotracheal tube (outer tube) as shown in Figure 4.
As shown in Figure 3, targeting is led the bronchus shutoff pipe (interior pipe) of core guiding, has spring steel wire about diameter 1mm to process " J " shape targeting and leads core; The soft gim peg of near-end band round handle and taper, the about 3cm warpage of far-end, about 30 degree of angle, or the flex points far-end is curved; The flex points near-end is linear or flexing, and the flexing face is vertical with far-end flexing face, and length and conduit are adaptive.The thinner endotracheal tube of bronchus shutoff Guan Weiyi improvement.Length is greater than 60cm; Far-end has inflates the high appearance low pressure air bag of back diameter greater than 2cm, and air bag distal catheter length is less than 5cm, and terminal sphere is sealed; Air bag distal catheter sidewall ring wall has an amount of aperture in order to the drain aerofluxus.Lead core insert rear tube be rich in rigidity and elastic " J " shape.
As shown in Figure 4, single cavity double sac bilateral hole endotracheal tube (outer tube) is the common single-lumen bronchial tube of an improvement, uses special design for cooperating bronchus shutoff pipe to unite.About catheter length 40cm; There is a ballonet at the about 4cm of far-end place, and the ballonet far-end has black Fei Shi side opening, apart from the about 3-5cm of ballonet near-end place air vesicle is arranged.Between two air bags, tube wall has the oval side opening of about 5 * 15mm under the nearly air vesicle, and side opening downcomer caliber attenuates.Also can conduit plastotype under the side opening under the air vesicle be become " J " shape, the air vesicle lower-side hole is the flexing side dorsad.
As shown in Figure 7, four-way connecting interface, interior pipe posting port have central authorities and connect, taper shutoff (leakproof) gim peg of the about 1-3mm of diameter, and this bolt can seal breathing circuit, but fixing branch trachea shutoff pipe again.
This utility model uses bronchus shutoff pipe and single cavity double sac bilateral hole endotracheal tube through uniting, and isolating with one-lung ventilation for lung provides a kind of pipe location of putting simply accurate, and can effectively prevent the bronchial catheter that is shifted.
As shown in Figure 5; In use, after outer tube of this utility model such as common single-lumen bronchial tube are inserted trachea, far-end flexing side subtend trachea left side wall; Send into to the trachea deep; Make flexing portion far-end and ballonet get into left principal bronchus, at this moment the air vesicle lower-side hole is positioned at main trachea and towards the right side, the air vesicle inflation can be carried out normal pair pulmonary ventilation.Because after flexing portion got into left principal bronchus fully, the angle factor can produce and ride, to insert and can meet slight resistance sense, show that ballonet gets into left principal bronchus fully this moment, this catheter positioning is accomplished.To be connected in special four-way interface and insert the interior pipe that " J " type spring is led core, lead the control characteristic that arbitrarily to lead of core, insert in the outer tube through the outer mouth of pipe of having inserted by targeting.The left pulmonary ventilation of row during the thoracic surgery of right side, is affixed to the outer tube wall right side with interior tube head end and inserts to the deep; When arriving air vesicle following time, interior pipe can get into trachea and may command tube head end towards trachea Right Inboard wall through the outer tube side opening that is positioned at the right side, and tube airbag was positioned outside the side opening in scale marker can be confirmed separately through interior outer catheter; Continuation is sent into to the deep simultaneously, because of inner and outer pipes points to right side and left side respectively, and gets into right and left side bronchus; Furcation rides in trachea carina and obviously is hampered; Also be clear and definite positioning index dot, withdraw from 1-2cm slightly, put the pipe positioning instant and accomplish.Because inner and outer pipes not only forms riding of knuckle respectively on the right side or the left principal bronchus side, helps conduit to fix,, possibly cause knuckle and to turn round the chance of cutting wound and significantly reduce again because furcation and knuckle have certain distance.Interior tube airbag inflation is also pulled back to fix and can be sealed this side opening, and the inflation of outer tube ballonet can be accomplished two lungs isolation, and left pulmonary ventilation is as shown in Figure 6.When the left side capable right lung of thoracic surgery is ventilated; Earlier the outer tube ballonet is inserted left principal bronchus with distal part; Head end is affixed to the outer tube wall left side and sends into interior tube airbag arrival outer tube side opening far-end, outer tube ballonet and the inflation of interior tube airbag in the time of only need interior pipe being inserted; Can accomplish two lungs and isolate, right lung is through the side opening ventilation.
In sum, the Combined application of inner and outer pipes promptly becomes the combination type double lumen endobronchial tube, also can cooperate common single-lumen bronchial tube to unite use, makes bronchus shutoff pipe use all unrestricted in the selection of [isolation and one-lung ventilation.
This utility model is not limited to the embodiment that preceding text are discussed.More than the description of the specific embodiment is intended in order to describe and explain the technical scheme that this utility model relates to.Conspicuous conversion or the alternative protection domain that also should be considered to fall into this utility model based on this utility model enlightenment.The above specific embodiment is used for disclosing the best implementation method of this utility model, so that those of ordinary skill in the art can use numerous embodiments of this utility model and the purpose that multiple alternative reaches this utility model.
Claims (9)
1. a combination type double lumen endobronchial tube is characterized in that, comprises that targeting leads the bronchus shutoff pipe and the single cavity double sac bilateral hole endotracheal tube of core guiding; The bronchus shutoff pipe that said targeting is led core guiding has the diameter 1mm spring steel wire that is used to process " J " shape targeting to lead core;
Said single cavity double sac bilateral hole endotracheal tube length is less than 40cm;
Said single cavity double sac bilateral hole endotracheal tube far-end has a ballonet less than the 4cm place, and the ballonet far-end has black Fei Shi side opening, apart from ballonet near-end 3-5cm place air vesicle is arranged.
2. combination type double lumen endobronchial tube as claimed in claim 1 is characterized in that, said targeting is led core near-end band round handle, and far-end is less than 3cm place warpage, and angle is 30 degree; The flex points near-end is a linear; Length and conduit are adaptive.
3. combination type double lumen endobronchial tube as claimed in claim 1 is characterized in that, said targeting is led core near-end band round handle, and the flex points far-end is curved; The flex points near-end is crooked, and the flexing face is vertical with far-end flexing face, is hyperboloid; Length and conduit are adaptive.
4. combination type double lumen endobronchial tube as claimed in claim 3 is characterized in that, said targeting is led the bronchus shutoff length of tube of core guiding greater than 60cm.
5. combination type double lumen endobronchial tube as claimed in claim 4 is characterized in that, the bronchus shutoff pipe far-end that said targeting is led core guiding has inflation back diameter and holds the low pressure air bag greater than the height of 2cm, and air bag distal catheter length is less than 5cm, terminal spherical sealing.
6. combination type double lumen endobronchial tube as claimed in claim 5 is characterized in that, the bronchus shutoff tube airbag distal catheter sidewall ring wall that said targeting is led the core guiding has an amount of aperture.
7. combination type double lumen endobronchial tube as claimed in claim 6 is characterized in that, between endotracheal tube conduit two air bags of said single cavity double sac bilateral hole, tube wall has the oval side opening of about 5 * 15mm, side opening downcomer variation in diameter under the nearly air vesicle.
8. combination type double lumen endobronchial tube as claimed in claim 6 is characterized in that, conduit becomes " J " shape in air vesicle lower-side hole downcomer plastotype, and the side opening under the air vesicle is the flexing side dorsad.
9. combination type double lumen endobronchial tube as claimed in claim 1 is characterized in that, also comprises the four-way connecting interface, and interior pipe posting port has central authorities and connects, and diameter is greater than the taper shutoff medicated cap of 1mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201120078559 CN202387080U (en) | 2011-03-23 | 2011-03-23 | Combined type double-lumen endobronchial tube |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201120078559 CN202387080U (en) | 2011-03-23 | 2011-03-23 | Combined type double-lumen endobronchial tube |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN202387080U true CN202387080U (en) | 2012-08-22 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201120078559 Expired - Fee Related CN202387080U (en) | 2011-03-23 | 2011-03-23 | Combined type double-lumen endobronchial tube |
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| CN (1) | CN202387080U (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103330985A (en) * | 2013-07-03 | 2013-10-02 | 李伟 | Blocking sleeve tube with double bronchi alternated |
| CN103893885A (en) * | 2014-03-25 | 2014-07-02 | 刘伯臣 | Accurate-positioning double-chamber trachea cannula for anesthesia |
| CN103933649A (en) * | 2014-04-09 | 2014-07-23 | 刘伯臣 | Inflatable type double-cavity trachea cannula for anesthesia |
| CN107261285A (en) * | 2017-07-25 | 2017-10-20 | 上海中医药大学附属曙光医院 | Combined side restraint-type trachea and bronchus conduit |
-
2011
- 2011-03-23 CN CN 201120078559 patent/CN202387080U/en not_active Expired - Fee Related
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103330985A (en) * | 2013-07-03 | 2013-10-02 | 李伟 | Blocking sleeve tube with double bronchi alternated |
| CN103330985B (en) * | 2013-07-03 | 2016-01-20 | 李伟 | Two bronchus replaces shutoff sleeve pipe |
| CN103893885A (en) * | 2014-03-25 | 2014-07-02 | 刘伯臣 | Accurate-positioning double-chamber trachea cannula for anesthesia |
| CN103893885B (en) * | 2014-03-25 | 2015-12-30 | 刘伯臣 | A kind of anesthesia Dual-channel tracheal cannula of accurate positioning |
| CN103933649A (en) * | 2014-04-09 | 2014-07-23 | 刘伯臣 | Inflatable type double-cavity trachea cannula for anesthesia |
| CN103933649B (en) * | 2014-04-09 | 2015-12-30 | 刘伯臣 | A kind of inflated type anesthesia Dual-channel tracheal cannula |
| CN107261285A (en) * | 2017-07-25 | 2017-10-20 | 上海中医药大学附属曙光医院 | Combined side restraint-type trachea and bronchus conduit |
| CN107261285B (en) * | 2017-07-25 | 2023-08-15 | 上海兰甲医疗科技有限公司 | Combined lateral limiting tracheal and bronchial catheter |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20120822 Termination date: 20190323 |