CN202516159U - Four-way fitting for general anesthesia bronchoscopic endotracheal stenting - Google Patents
Four-way fitting for general anesthesia bronchoscopic endotracheal stenting Download PDFInfo
- Publication number
- CN202516159U CN202516159U CN201220137750XU CN201220137750U CN202516159U CN 202516159 U CN202516159 U CN 202516159U CN 201220137750X U CN201220137750X U CN 201220137750XU CN 201220137750 U CN201220137750 U CN 201220137750U CN 202516159 U CN202516159 U CN 202516159U
- Authority
- CN
- China
- Prior art keywords
- endotracheal
- tube
- central axle
- general anesthesia
- communicated
- 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.)
- Expired - Fee Related
Links
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The utility model discloses a four-way fitting for general anesthesia bronchoscopic endotracheal stenting. The four-way fitting for the general anesthesia bronchoscopic endotracheal stenting is in a tubular multi-end shape, and comprises a two-way central axle tube, a side through tube and a slant through tube. Both ends of the two-way central axle tube are communicated with each other, the side through hole perpendicular to the central axle tube is arranged on one side of the central axle tube and communicated with the central axle tube, the slant through tube is arranged on the other side of the central axle tube and communicated with the central axle tube, and an included angle of the slant through tube and the central axle tube is less than 45 degrees. One end of the central axle tube is a bronchoscopy entering connector, the other end of the central axle tube is communicated with an endotracheal tube or a laryngeal mask, a connector of the side through tube perpendicular to the central axle tube is communicated with an anaesthesia machine, and the slant through tube on the other side of the central axle tube is a bronchial stent guide wire and bronchial stent entering connector. The bronchoscopy entering connector and the bronchial stent entering connector are respectively provided with a silicone cap. The four-way fitting for the general anesthesia bronchoscopic endotracheal stenting is mounted at a joint position of the anesthesia machine and the endotracheal tube or a joint position of the anesthesia machine and a laryngeal mask, and surgery, ventilation, anesthesia and field observation can be achieved simultaneously without being affected by one another. The problems in anesthesia are solved, the bronchoscopic endotracheal stenting can be carried out under general anesthesia to enable a patient to be comfortable and have no painful memories, a quiet surgical field is provided to facilitate the surgical procedure, an unobstructed airway and positive pressure oxygen are provided, and surgical safety is improved.
Description
Technical field
This utility model relates to airway management utensil in a kind of medical field general anesthesia, and the endotracheal stent implantation is used four-way connection under especially a kind of general anesthesia bronchoscope.
Background technology
Endotracheal stent is inserted and is used to have serious trachea or main bronchus obstructive disease patient, and mostly pathological changes is in the trachea that occupy-place or tracheomalacia subside and causes ventilation to be obstructed.This disease has a strong impact on the patient respiratory function, and it is urgent to fall ill, and can cause the irreversibility respiratory failure, even dead, and it is the effective treatment method that endotracheal stent is inserted.Endotracheal stent implantation surgery process: at first check pathological changes, confirm diseased region, then by fibre optic bronchoscope; Under bronchoscope instructs, put into the carriage direct seal wire and arrive the stenosis far-end; Lead trachea bracket accurately to place stenosis through the guiding seal wire again, last, definite correct position under the bronchoscope photopic vision; Discharge support, complete operation.Fibre optic bronchoscope and various operation utensil all will pass through patient's nose, pharynx, larynx, glottis entering trachea repeatedly in the operation, and patient is caused serious wound and misery.Nasopharynx larynx glottis and tunica mucosa tracheae surface teleneuron are abundant, and the patient not only feels swelling and pain, nausea and vomiting; Choke to cough and feel suffocated, and the sympathetic nerve stress also can cause patient's hypertension; Increased heart rate; Arteria coronaria vasospasm can cause arrhythmia, heart failure when serious, even cardiac arrest.Simultaneously, the patient can not guarantee effective ventilation in the operation, and when bronchoscope, guiding seal wire and support were put into trachea simultaneously, narrow trachea blocked more originally, only depends on patient's autonomous respiration to be difficult to keep ventilation.
General anesthesia can be removed the misery of operation technique for the patient, and anesthetics can be alleviated operation and stimulate the stress that causes, keeps stable circulation, and anesthesia can guarantee gas exchange in the operation through assisted respiartion and/or positive airway pressure.Conventional general anesthesia process: insert tracheal intubation or laryngeal mask after using GENERAL ANESTHETICS to make the patient realize disappearance, respiratory arrest, carry out gas exchange and keep anesthesia through anesthetic machine connection oxygen and anesthetic gases.General anesthetic also can cause respiration inhibition when maincenter suppresses, need to adopt mechanical respiration for ensureing in the ventilatory effect anesthesia, and general anesthesia must be set up effective vent line, respiration channel promptly must be arranged for giving oxygen between patient and the anesthetic machine, ensures the safety of human life.
But at present the endotracheal stent implantation can not be implemented conventional general anesthesia, and because of anesthesia and operation common air duct, common anesthetic machine commonly used now and the ventilating joint between the patient are two logical, and operation can not undergo surgery during ventilation.So such operation can only be used mucomembranous surface anesthesia at present, this anesthesia has certain effect, but anaesthetic effect imperfection is many times performed the operation and in the patient suffering struggles, implemented very much.The patient can only bear affliction, and the fast hypertension of heart rate, chokes to cough and feel suffocated even arrhythmia, cardiac arrest.The patient who has even the completion operation of can not persevering.Under the topical anesthesia in the endotracheal stent implantation oxygen to supply be through patient's autonomous respiration nasal tube oxygen inhalation, the disperse of oxygen nature obtains oxygen and supplies, at respiratory tract obstruction, effect was bad when cough was felt suffocated, the patient is anoxia very easily.Someone utilizes the high frequency jet ventilator oxygen supply, owing to can cause windage, can not arrive active position, and clinical use is few.
Summary of the invention
This utility model is intended to solve airway management and the problem of implementing general anesthesia in the endotracheal stent implantation; Provide a kind of and can effectively solve endotracheal stent implantation and the four-way connection of anaesthetizing the common air duct problem under the bronchoscope; Can improve doctor's surgical state; The releasing corrective surgery is painful, guarantees that ventilation and oxygen supply, and improve the safety and the success rate of operation.
The technical scheme that this utility model adopted is following:
The endotracheal stent implantation is used four-way connection under this general anesthesia bronchoscope, bull shape in a tubular form, it comprise the central siphon two ends two logical, with central siphon at right angles and the sides that communicate are logical and be less than 45 and tiltedly leading to of communicating with it with the central siphon opposite side.
Said central siphon is the craspedodrome main pipe; Axis main pipe one end is that bronchoscope gets into interface; The other end is connected with endotracheal tube or laryngeal mask; Axis main pipe one side right angle side siphunculus external tapping is connected with anesthetic machine, and opposite side is that bronchial stent guiding seal wire and bronchus inner support get into interface less than 45 ° of oblique siphunculus.
Said central siphon one end bronchoscope interface is provided with the silicon rubber cup covering with opposite side less than oblique siphunculus bronchial stent guiding seal wire of 45 and bronchus inner support entering interface.
Above-mentioned silicon rubber cup has the double-deck medicated cap of connecting band for periphery; There is a round hole at internal layer medicated cap center; Outer medicated cap is a confining bed, and skin is fastened on the internal layer, and internal layer is fastened on said central siphon one end bronchoscope interface or oblique siphunculus bronchial stent guiding seal wire and support and gets on the interface.Outer medicated cap is opened, and bronchoscope or bronchial stent guiding seal wire and bronchus inner support can be through the operations that undergos surgery of internal layer medicated cap center hole entering operative site.The silicon rubber cup material is a rubber-like silica gel, and when the aforesaid operations apparatus passed through internal layer medicated cap center hole, the internal layer medicated cap still can keep air-tight state.
In the optimal technical scheme of endotracheal stent implantation with four-way connection, the oblique siphunculus that said central siphon is communicated with its opposite side is 30 ° of angles under this general anesthesia bronchoscope.
This four-way connection material is the hard medical plastic.
This utility model is installed in anesthetic machine and endotracheal tube or laryngeal mask junction, can reach operation, ventilation, anesthesia, the visual field and observe and carry out simultaneously, is independent of each other; Solve an anesthesia difficult problem, the endotracheal stent implantation can be carried out under general anesthesia, the comfortable no pain of patient is remembered, and quiet surgical field of view is provided, and makes things convenient for operation technique, and unobstructed air flue and malleation oxygen supply are provided, the raising operation safety.
Description of drawings
Fig. 1 is the front view of this utility model;
Fig. 2 is the axonometric chart of this utility model.
The specific embodiment
Further introduce the embodiment of this utility model below in conjunction with accompanying drawing.
Like Fig. 1, shown in 2; The endotracheal stent implantation is with four-way connection bull profile in a tubular form under the general anesthesia bronchoscope; Wherein along axis main pipe two ends two interfaces 1,3 are arranged, interface 1 is for connecting endotracheal tube or laryngeal mask interface, and interface 3 is for inserting bronchoscopic operation technique inlet.Axis main pipe bilateral, a side are the right angle side siphunculus, and its external tapping 2 is connected with anesthetic machine, and opposite side has 30 ° of oblique siphunculus in angle, and its external tapping 4 is bronchial stent guiding seal wire and bronchus inner support entering interface.Also other can make bronchial stent guiding seal wire and the convenient oblique siphunculus less than 45 that gets into and operate of support.
This four-way connection material is the hard medical plastic, interface 1 and interface 2 respectively with endotracheal tube interface or laryngeal mask and standard anesthetic machine interface consistent size; Interface 3 carries out airtight covering with interface 4 for the operation technique inlet is provided with silicon rubber cup 5.
Trachea or main bronchus occupy-place, airway obstruction is planned to implement endotracheal stent implantation patient, the flat operating-table that crouches; Implement general anesthesia, treat that the patient realizes disappearance after, per os inserts endotracheal tube or laryngeal mask; The machine control is breathed and is confirmed that catheter position is correct, after patient's vital signs are steady, connects this four-way connection.Interface 1 connects endotracheal tube or laryngeal mask remote interface, and interface 2 connects the capable mechanical ventilation of anesthetic machine.The patient inserts bronchoscope from interface 3 and begins operation technique; Endotracheal stent guiding seal wire is put into from interface 4 in back, bronchoscopy location; Make a definite diagnosis the back once more and put into the bronchus inner support in narrow middle part, under the bronchoscope photopic vision, discharge the bronchus inner support through the guiding seal wire.All the time guarantee mechanical positive airway pressure in the art, can guarantee that patient's oxygen supplies, abundant oxygen reserve is provided, there are enough oxygen reserves the time-out breathing period in support discharges.Mechanical ventilation is inserted operation with anesthesia to support does not have influence, and the quiet narcotism of patient can make the operative doctor operation more calm.
Claims (7)
1. the endotracheal stent implantation is used four-way connection under the general anesthesia bronchoscope; It is characterized in that: this four-way connection is bull shape in a tubular form, it comprise central siphon two ends two logical, with central siphon at right angles and the sides that are communicated with are logical and be less than 45 and oblique leading to of being communicated with it with the central siphon opposite side.
2. the endotracheal stent implantation is used four-way connection under the general anesthesia bronchoscope according to claim 1; It is characterized in that: said central siphon is the craspedodrome main pipe; Central siphon one end is that bronchoscope gets into interface; The other end is communicated with endotracheal tube or laryngeal mask, and its both sides one side right angle side siphunculus external tapping is communicated with the anesthetic machine interface, and opposite side is that bronchial stent guiding seal wire and support get into interface less than 45 ° of oblique siphunculus external tappings.
3. the endotracheal stent implantation is used four-way connection under the general anesthesia bronchoscope according to claim 2, it is characterized in that: the oblique siphunculus that said central siphon is communicated with its opposite side is 30 ° of angles.
4. use four-way connection according to endotracheal stent implantation under claim 2 or the 3 described general anesthesia bronchoscopies, it is characterized in that: said central siphon one end and bronchoscope interface are provided with the silicon rubber cup covering with another skew back siphunculus bronchial stent guiding seal wire and support entering interface.
5. the endotracheal stent implantation is used four-way connection under the general anesthesia bronchoscope according to claim 4; It is characterized in that: said silicon rubber cup has the double-deck medicated cap of connecting band for periphery; There is a round hole at the internal layer center; Skin is a confining bed, and skin is fastened on the internal layer, and internal layer is fastened on said central siphon one end bronchoscope and gets on interface or oblique siphunculus guiding seal wire and the support entering interface.
6. the endotracheal stent implantation is used four-way connection under the general anesthesia bronchoscope according to claim 5, it is characterized in that: said silicon rubber cup material is a silica gel.
7. the endotracheal stent implantation is used four-way connection under the general anesthesia bronchoscope according to claim 6, it is characterized in that: this four-way connection material is the hard medical plastic.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201220137750XU CN202516159U (en) | 2012-04-05 | 2012-04-05 | Four-way fitting for general anesthesia bronchoscopic endotracheal stenting |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201220137750XU CN202516159U (en) | 2012-04-05 | 2012-04-05 | Four-way fitting for general anesthesia bronchoscopic endotracheal stenting |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN202516159U true CN202516159U (en) | 2012-11-07 |
Family
ID=47099132
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201220137750XU Expired - Fee Related CN202516159U (en) | 2012-04-05 | 2012-04-05 | Four-way fitting for general anesthesia bronchoscopic endotracheal stenting |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN202516159U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107890607A (en) * | 2017-10-18 | 2018-04-10 | 中日友好医院 | A kind of connecting pipeline for being used for tracheae and bronchus PCI |
| CN110152149A (en) * | 2018-02-12 | 2019-08-23 | 杨天明 | Bronchus blocks laryngeal mask |
-
2012
- 2012-04-05 CN CN201220137750XU patent/CN202516159U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107890607A (en) * | 2017-10-18 | 2018-04-10 | 中日友好医院 | A kind of connecting pipeline for being used for tracheae and bronchus PCI |
| CN110152149A (en) * | 2018-02-12 | 2019-08-23 | 杨天明 | Bronchus blocks laryngeal mask |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US4848331A (en) | Apparatus and method for pulmonary ventilation of a patient concurrent with fiberoptic respiratory tract examination and tracheal intubation | |
| CN106029145A (en) | Laryngeal mask | |
| CN201389247Y (en) | Special anaesthetic mask for oral endoscope examination | |
| CN202516159U (en) | Four-way fitting for general anesthesia bronchoscopic endotracheal stenting | |
| CN106880897A (en) | A kind of anesthetic tube | |
| CN202314783U (en) | Laryngeal mask for upper gastrointestinal endoscopy | |
| CN101549184B (en) | Anaesthetic mask special for oral endoscopy | |
| CN203183449U (en) | Multichannel joint | |
| CN202777407U (en) | Esophagus and throat dual chamber closing ventilation conduit | |
| CN206518752U (en) | A kind of pipe guide of Transnasal vent | |
| CN203436651U (en) | Oropharyngeal airway capable of blocking esophagus and guiding trachea cannula | |
| CN208574108U (en) | A kind of depth oxygen supply type nasopharyngeal airway | |
| GB2446577A (en) | Airway access valve | |
| CN215135195U (en) | Air duct capable of introducing oxygen | |
| CN219290363U (en) | Dedicated novel oropharynx air vent of oral cavity anesthesia | |
| CN216629363U (en) | Novel adjustable visual trachea cannula is with supplementary seal wire | |
| CN206167584U (en) | Fiberoptic bronchoscope examines novel three way connection of ventilating | |
| CN218515986U (en) | Improved tracheostomy tube assembly | |
| CN2857966Y (en) | Throat cover with single cavity | |
| CN202459707U (en) | Disposable multifunctional tracheostomy tube | |
| CN215083790U (en) | Breathe and intervene first aid and use pipe of ventilating | |
| CN202777361U (en) | Improved trachea cannula | |
| CN205612836U (en) | Dual intubate is for oxygen device | |
| CN215083743U (en) | Nasopharynx pipe of ventilating with supplementary monitoring pipe | |
| CN218685622U (en) | Breathe and intervene first aid and use pipe of ventilating |
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: 20121107 Termination date: 20140405 |