CN202682499U - Bronchial catheter - Google Patents

Bronchial catheter Download PDF

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Publication number
CN202682499U
CN202682499U CN 201220185799 CN201220185799U CN202682499U CN 202682499 U CN202682499 U CN 202682499U CN 201220185799 CN201220185799 CN 201220185799 CN 201220185799 U CN201220185799 U CN 201220185799U CN 202682499 U CN202682499 U CN 202682499U
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Prior art keywords
tube chamber
bronchial
catheter
conduit
imageing sensor
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CN 201220185799
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Chinese (zh)
Inventor
埃利亚斯·达海尔
马蒂亚斯·贝内迪克特舒
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Ambu AS
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ET VISION Ltd
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Abstract

Disclosed is a bronchial catheter. The bronchial catheter comprises at least two catheter cavities with different lengths, and the catheter cavities are selectively connected with a patient at at least two positions relative to carina of trachea. The bronchial catheter comprises a first catheter cavity, a second catheter cavity, a special image sensor catheter cavity and at least one special cleaning catheter cavity, the first catheter cavity comprises an opening distant end which is close to endotracheal carina and connected with a first inflatable cuff, the second catheter cavity comprises an opening distant end which extends to penetrate through the carina distally and is connected with a second inflatable cuff in one of a left bronchial branch and a right bronchial branch, the special image sensor catheter cavity exceeds the first catheter cavity in length, comprises an image sensor and an illumination source which are close to the distant end of the first catheter cavity and provides images of tracheal branch points of carina of trachea and openings of the left bronchial branch and the right bronchial branch, the special cleaning catheter cavity is parallel to the special image sensor catheter cavity along the length of the bronchial catheter, a washing nozzle is formed at a position of the distant end of the cleaning catheter cavity, and the washing nozzle which is located at the distant end of the cleaning catheter cavity faces to the image sensor catheter cavity.

Description

Bronchial catheter
Technical field
This utility model relates to the gas circuit conduit, and relates in particular to a kind of bronchial catheter with integrated image sensor and light source.
Background technology
Air tube (for example bronchial catheter, endotracheal tube, tracheostomy tube) is used for making experimenter's respiratory system or at least a portion ventilation of pulmonary.Can in many ways this air tube be inserted in aperture or the cavity (such as oral cavity or nasal cavity) by noninvasive method.Replacedly, can this conduit be introduced in the body by Wicresoft's external undercut, this Wicresoft's external undercut forms for conduit and inserts the port that passes the trachea in the tracheotomy for example.
This air tube can be arranged to double lumen tube or single lumen catheter, be convenient to optionally make the part ventilation of respiratory system.For example, no matter bronchial catheter is double lumen tube or single lumen catheter, all can be used for the one-lung ventilation operation or is used for the left or right bronchial selectivity lung ventilation of one-lung ventilation operation process.
In order to carry out one-lung ventilation operation without complication (complication), must monitor closely before beginning operation or will confirm that at least air tube is placed on a left side or right bronchus and endotracheal position.Can utilize various technology to confirm the placement of conduit, for example gas analyzer for CO2, auscultation, bronchoscope and X ray.
Yet these operations want spended time, technology and skill to carry out, and it is infeasible therefore placing for the continuous monitoring conduit.Especially when in the operation process during mobile experimenter, the position of conduit may change, and causes the conduit of potential danger to be placed, and the experimenter is suffocated or causes patient ventilating improper, for example, can not make the appropriate part ventilation of respiratory system.
The method of utilizing bronchoscope to examine is current for golden standard, but does not have a technology that the continuous monitoring of knuckle (carina) is provided in the mentioned affirmation technology or correct catheter positioning is provided.In addition, the deficiency of bronchoscopic design and sensitivity aspect makes its cleaning process complicated, and usually makes process inefficient and cost high, and this may cause the cross infection between the experimenter.
So that bronchial catheter can check that bronchial catheter still can not satisfy the demands with respect to the position of trachea carina and implantation in continuous and seamless unoccupied place, and be very useful.
The utility model content
This utility model is by providing a kind of bronchial catheter with integrated image sensor and corresponding light source to overcome the deficiency of background technology.
Preferred embodiment of the present utility model provides a kind of air tube and a kind of bronchial catheter, being designed to by trachea oral cavity or nasal cavity is inserted in the pulmonary, with maintenance airway patency (patency) and/or conveying anesthetis, inhalant or other medical gases, and guarantee ventilation.
Most preferably, bronchial catheter of the present utility model can be made by medical grade material, for example includes but not limited to plastics known in the art, rubber, polymer or silicone rubber or similar material.
Whether most preferably, bronchial catheter of the present utility model provides continuous monitoring to trachea carina (hereinafter to be referred as " TC "), allow user, doctor, nurse or care-giver to examine bronchial catheter and correctly place.
Most preferably, bronchial catheter comprises integrated image sensor, alternatively and be preferably the form of CCD or CMOS photographing unit, be arranged for and make knuckle visual, to confirm the correct placement of conduit in trachea and bronchus, guarantee the suitable ventilation in the operation process, for example include but not limited to single lung ventilation.
Most preferably, whether integral photographic machine and light source are correctly placed bronchial catheter and are examined continuously.Placement is examined and is allowed the care-giver to have an opportunity to detect any dangerous situation continuously, and for example cuff displacement provides time enough that this situation is made a response in case of necessity.In addition, can be observed and to bring any other accident in the blood of risk and secretions accumulation or the surgical procedures to patient.
Preferred embodiment of the present utility model provides a kind of bronchial catheter with integrated image sensor (for example including but not limited to CCD or CMOS photographing unit) and corresponding light source (for example including but not limited to light emitting diode (" LED ")), makes simultaneously the unobstructed optimization of tube chamber by enough air-flow performances of conduit.Most preferably, imageing sensor and corresponding light source are arranged in the special-purpose tube chamber along bronchial catheter.Most preferably, imageing sensor further is provided with washer jet, to guarantee the open visual field away from imageing sensor.Most preferably, the length of special image sensor tube chamber is arranged to be parallel to the length in trachea chamber, and wherein the trachea chamber has identical length basically with the imageing sensor tube chamber.Alternatively, the length of special image sensor tube chamber can be according to the length setting of bronchial lumen.
Alternatively, bronchial catheter can be provided with two special image sensor tube chambers.Alternatively, the first special image sensor tube chamber is according to the length setting in trachea chamber, and the second special image sensor tube chamber is according to the length setting of bronchial lumen.
Preferred embodiment of the present utility model provides a kind of bronchial catheter with integrated image sensor and light source, in the haplopia open country knuckle, left bronchus, right bronchus, bronchial cuff and bronchus bifurcation (bifurcation) is provided continuously and without the visual field and the illumination of covering.
Optional embodiment of the present utility model provides and uses at least one or a plurality of bronchial cuff.Alternatively, can using at least, two or more bronchial cuffs provide abundant sealing as bronchus.
Alternatively, bronchial cuff can be arranged to difformity, better cooperates bronchus, for example includes but not limited to sphere, ellipse, spiral type, hourglass shape, trapezoidal or analogous shape.
Alternatively, different bronchial cuffs is configured according to anatomy and placement location and is shaped, for example based on the anatomy that is used for left bronchus and places and be used for the cuff configuration that right bronchus places.
In the application's context, the term bronchial catheter can with tracheal bronchus, double lumen tube, double lumen endobronchial tube, double-lumen catheter in any one Alternate, be referred to as be used to making the experimenter pass through pipe and/or the conduit of the part ventilation of two pulmonarys, a pulmonary or one or two pulmonary.
A kind of bronchial catheter comprises the tube chamber that optionally is associated with patient at least two positions with respect to trachea carina of at least two different lengths, and described conduit comprises:
A. the first tube chamber has the open distal end that is associated with the first inflatable cuff near endotracheal knuckle;
B. the second tube chamber has the open distal end that distally extends through described knuckle and be associated with the second inflatable cuff in one of left bronchus branch and right bronchial tree;
C. special image sensor tube chamber, cross over the length of described the first tube chamber, described special image sensor tube chamber comprises near the imageing sensor of the far-end setting of described the first tube chamber and light source and is configured to provide the opening of the tracheorrhaphy crunode of described trachea carina, described left bronchus branch and the image of the opening of described right bronchial tree; And
D. tube chamber is cleaned at least one special use, length and described special image sensor tube chamber along described bronchial catheter be arranged in parallel, and wherein, described cleaning tube chamber is configured to form washer jet at far-end, wherein, described washer jet at the far-end of described cleaning tube chamber towards described imageing sensor tube chamber.
Alternatively, washer jet is provided with the diameter of 0.1mm to 2mm.
Alternatively, washer jet is provided with the diameter of 0.6mm.
Alternatively, the cleaning tube chamber is provided with two or more washer jets at the either side of imageing sensor.
Alternatively, described two or more washer jets cooperatively interact.
Alternatively, the cleaning tube chamber is arranged to aspirate or wash the visual field of described imageing sensor.
Alternatively, special image sensor tube chamber is arranged in the wall of conduit around the front portion or rear portion between the first tube chamber and the second tube chamber.
Alternatively, the second tube chamber comprises the second imageing sensor of the image that right bronchus or left bronchus are provided.
Alternatively, imageing sensor can be ccd image sensor or cmos image sensor.
Alternatively, the first tube chamber further comprises near the far-end of described the first tube chamber and the light source that arranges near described imageing sensor.
Alternatively, described light source is selected from the group that is comprised of LED, optical fiber, waveguide, light guide and combination in any thereof.
Alternatively, imageing sensor can be arranged in the designated lane in the wall that embeds the first tube chamber.
Most preferably, imageing sensor can be associated with auxiliary device, and the near-end that auxiliary device for example includes but not limited to be arranged on conduit by single special connector (for example including but not limited to USB connector) is most preferably around display and the power supply of the first tube chamber.
Alternatively, endotracheal tube inserts applicable to carry out Noninvasive by oral cavity or nasal cavity.
Alternatively, endotracheal tube is applicable to inserting by outside port or otch.
Alternatively, endotracheal tube is applicable to inserting by surgical operation or other invasive surgicals.
Unless otherwise defined, all technology used herein have the identical implication of usually understanding with this utility model those of ordinary skill in the field with scientific terminology.Material provided herein, method and example only are exemplary being not limited to.
Description of drawings
Below only the mode by example describes this utility model with reference to the accompanying drawings.Now, at length specifically with reference to accompanying drawing, what emphasize is, shown details only are for for example and be used for the purpose of exemplary discussion preferred embodiment of the present utility model, propose these details and be to think the most useful and be more readily understood the explanation of principle of the present utility model and concept aspect in order to provide.For this reason, not than illustrating in greater detail CONSTRUCTED SPECIFICATION of the present utility model for basic comprehension this utility model is required, description and accompanying drawing are together so that can how to implement several form of the present utility model to those skilled in the art be apparent.
In the accompanying drawing:
Figure 1A-Figure 1B shows the schematic diagram according to the exemplary bronchial catheter of the optional embodiment of this utility model; Figure 1A shows right intrabronchial bronchial catheter; Figure 1B shows the bronchial catheter in the left bronchus;
Fig. 2 shows the schematic cross sectional views such as the trachea carina seen from bronchial catheter according to the optional embodiment of this utility model;
Fig. 3 shows the perspective view according to the exemplary bronchial catheter of the optional embodiment of this utility model;
Fig. 4 A shows the perspective view according to the exemplary bronchial catheter of the optional embodiment of this utility model;
Fig. 4 B shows the enlarged drawing according to the notch exit point for the imageing sensor adapter of the present utility model;
Fig. 5 shows the perspective view according to the exemplary bronchial catheter of the optional embodiment of this utility model;
Fig. 6 shows the perspective view according to the exemplary bronchial catheter of the optional embodiment of this utility model, shows the sweep of conduit;
Fig. 7 A-Fig. 7 F shows the different enlarged drawings according to the far-end of the bronchial catheter of the optional embodiment of this utility model;
Fig. 8 A-Fig. 8 B shows about the cutaway view according to the different piece of the bronchial catheter of the optional embodiment of this utility model; And
Fig. 9 shows has the enlarged drawing that is arranged at according to the imageing sensor of the integrated optical source of the dedicated pipe intracavity section in the wall of the bronchial catheter of the optional embodiment of this utility model.
The specific embodiment
With reference to accompanying drawing and subsidiary explanation, can understand better principle of the present utility model and operation.That hereinafter lists is used for representing to have object or the target of similar functions, meaning, effect below with reference to label in whole accompanying drawing.
Figure BDA0000157849560000071
Figure BDA0000157849560000081
Figure BDA0000157849560000091
Figure 1A shows the schematic diagram according to the exemplary bronchial catheter 100 of the optional embodiment of this utility model that is placed in the right bronchus (BR).Figure 1B shows the schematic diagram of the bronchial catheter 100 in the left bronchus (BL).
Bronchial catheter 100 is the double lumen tube that comprises the first trachea chamber 110 and the second bronchial lumen 120.Most preferably, center line next door 108 is defined as trachea chamber 110 and bronchial lumen 120 with independent tube chamber.Trachea chamber 110 most preferably ends in the trachea, and bronchial lumen 120 ends in the bronchus (left or right).Wherein, trachea chamber 110 is configured to have different length with bronchial lumen 120, and wherein bronchial lumen 120 extends beyond and/or away from trachea chamber 110.
Each tube chamber comprises respectively inflatable cuff, tracheal tampon 112 and bronchial cuff 122.Conduit 100 is placed to so that trachea chamber 110 is placed on trachea by the cuff 112 that near-end is positioned at the trachea carina top.Most preferably, trachea carina can be visual continuously by imageing sensor and light source 150.Alternatively, imageing sensor and light source 150 can be integrated in the trachea chamber 110 around its far-end 114.Alternatively and most preferably, imageing sensor and light source 150 can be integrated in the designated lane or peripheral tube chamber 150L in the wall in trachea chamber 110.Most preferably, imageing sensor 150 provides analyses and observe Figure 101, as shown in Figure 2.
Most preferably, imageing sensor and light source 150 are arranged to the form of at least one or a plurality of light emitting diode (LED) 150I and imageing sensor 150c (for example including but not limited to CCD or CMOS), (Fig. 9) view 101 that bronchial state is shown, Fig. 2 are provided.
Fig. 2 shows the schematic cross sectional views of the trachea carina of seeing from bronchial catheter 100, provided by imageing sensor and light source 150, allow in the haplopia wild (single field) of view 101, to see bronchial unobstructed, the trachea carina in unobstructed, the right side of the bronchial cuff 122 that is arranged on left bronchus BL in, left bronchus, bronchus bifurcation.Alternatively, when conduit 100 is provided with right bronchus BR shown in Figure 1A, can provide the similar view with imageing sensor 150.
Fig. 3 shows bronchus double lumen tube system 50, but comprises that bronchial catheter 100 and uniting conduit 100 use and/or be convenient to the optional various auxiliary device of conduit 100 uses.
Alternatively, described auxiliary device for example can include but not limited to stylet 10, Y adapter 12, air balance medicated cap 14 and bronchial catheter connector assembly 20, perhaps is convenient to the use of conduit 100 and the attachment device that adopts, as known in the art.
Most preferably, use stylet 10 so that the placement of conduit 100, as known in the art with accept.
Y adapter 12 most preferably is connected to single ventilation source simultaneously with two tube chambers of double lumen tube 100.
Bronchial catheter connector assembly 20 is connected to separately trachea chamber 110 and bronchial lumen 120.Connector assembly 20 comprises near-end 22, far-end 28 and corresponding trachea chamber adapter section 24 and bronchial lumen adapter section 26.
Most preferably, conduit 100 is centered on the trachea chamber 110 of each tube chamber to near-end 22 at near-end 102 places and bronchial lumen 120 is connected to auxiliary device and/or conduit 100 is associated with auxiliary device, and this auxiliary device for example includes but not limited to the ventilation source.
Most preferably, far-end 24 engages with conduit 100 and/or otherwise is associated.
Fig. 3 further provides the perspective view of the preferred double lumen endobronchial tube 100 of the bronchial lumen 120 that comprises the trachea chamber 110 with trachea chamber far-end 114 and have bronchial lumen far-end 124.
Conduit 100 further comprises tracheal tampon 112, illustrates with swelling state, is arranged for conduit 100 is placed securely and/or is anchored in the trachea, makes simultaneously pulmonary pass through 110 ventilations of trachea chamber.
Conduit 100 further comprises bronchial cuff 122, illustrates with expansion and/or inflated condition, is arranged for conduit 100 is placed securely and/or is anchored in the bronchus (left or right).Most preferably, cuff 122 is optionally controlled the ventilation of its (left or right) gill artery (bronchial arch) of placing.For example, can stop a left side or right bronchial ventilation fully, in order to allow to perform the operation in corresponding pulmonary (for example right side pulmonary), allow simultaneously another pulmonary (for example left side pulmonary) by 110 ventilations of trachea chamber.
Most preferably, tracheal tampon 112 can be by 118 inflations of tracheal tampon adapter and/or venting.
Most preferably, bronchial cuff 122 can be by 128 inflations of bronchial cuff adapter and/or venting.
Most preferably, syringe adapter 130 provides around the access point of the special-purpose tube chamber of each endotracheal tube 110 and bronchial catheter 120, is preferably used for centering on trachea far-end 114 and/or bronchial lumen far-end 124 delivering medicaments, pumping liquid.
Fig. 4 A provides another perspective view of bronchial catheter 100, shows imageing sensor adapter 158.Most preferably, imageing sensor adapter 158 is arranged to the form of USB connector, provides image and power supply for being arranged near the imageing sensor 150 in the special-purpose tube chamber of far-end 114.Alternatively and preferably, imageing sensor and light source 150 can be endowed function when being connected to display and power supply (not shown) by adapter 158.
Fig. 4 B provides the enlarged drawing that the imageing sensor notch 152 that arranges around the near-end of imageing sensor tube chamber 150L is shown, for imageing sensor wire 154 provides stomion, most preferably, for imageing sensor and light source 150 provide image transmitting and power supply.
Another perspective view of the conduit 100 that provides from the one side of view is provided Fig. 5, shows trachea chamber 110 and bronchial lumen 120 separating at the far-end 104 of conduit 100.
Fig. 6 provides another explanatory view of conduit 100, shows the perspective view of the conduit 100 of removing bronchial cuff 122 and tracheal tampon 112.Fig. 6 shows the sweep of middle part 106 and the setting of far-end 104 places, wherein defines middle bent part 106a and distal bent and divides 104a.Sweep 104a and 106a are arranged so that conduit 100 meets the anatomy of air flue.
Most preferably, middle bent part 106a is arranged for ease of conduit 100 by in oral cavity and pharyngeal access and the introducing trachea.Most preferably, sweep 106a has about 100 degree to the angle of about 160 degree.
Most preferably, distal bent is divided 104a to be arranged for ease of far-end 104 accesses and is introduced one of left or right bronchus.Alternatively and preferably, distal bent divides 104a can be exclusively used in independently left or right bronchial catheter.Alternatively, distal bent divide can be configured to about 25 the degree to about 70 the degree.Alternatively and be preferably about 35 the degree, as shown in the figure.
Alternatively, the length of conduit 100 can have about 200mm to the length of about 550mm.Alternatively and preferably, the length of conduit 100 can be selected according to the anatomy of user.
Alternatively, bronchial catheter 100 can have different size, length, diameter known in the art and that accept.Alternatively, conduit 100 can be provided with about 26Fr to the capacity specifications of about 44Fr.For example, the overall diameter of conduit 100 can arrange according to different capacity specifications and/or size (for example including but not limited to 28Fr, 32Fr, 35Fr, 37Fr, 39Fr and 41Fr), in the application's context, unit " Fr " instructs the capacity specifications of the pipe 100 employing French of unit, and is the same with the Essential Terms of this area.Replacedly, the capacity specifications of conduit 100 or/or size can adopt SI units millimeter " mm " to arrange.The overall diameter that can have about 9.3mm, 10.7mm, 11.7mm, 13mm and 13.7mm according to conduit 100 of the present utility model.
Alternatively and preferably, the length of conduit 100 and diameter (being also referred to as capacity specifications) can be relative to each other.
Fig. 7 A shows the enlarged drawing of the far-end 104 of the conduit 100 shown in Fig. 6, and enlarged drawing is provided.Fig. 7 A further shows the enlarged drawing of sweep 104a, shows the gradually expansion (flaring) of far-end 104 sidepiece of 120 from the trachea chamber towards bronchial lumen.
Fig. 7 A-Fig. 7 E shows the various enlarged drawings for the far-end 104 of sweep 104a, shows the gradually expansion of far-end 104 sidepiece of 120 from the trachea chamber towards bronchial lumen and dwindles gradually.
Fig. 7 D-Fig. 7 E provides the enlarged drawing of the far-end of the imageing sensor tube chamber 150L that most preferably is provided for cleaning imageing sensor and washer jet 156.Alternatively and preferably, washer jet 156 is provided with diameter and is approximately 0.1mm to the about opening of 2mm.Alternatively and preferably, washer jet 156 can have the diameter of about 0.6mm.
Imageing sensor 150 most preferably is arranged among the special-purpose tube chamber 150L that crosses over conduit 100 length.Most preferably, tube chamber 150 is arranged between trachea chamber 110 and the bronchial lumen 120.
Most preferably, the far-end of tube chamber 150L is so that knuckle and bronchial cuff 122 are visual, for example as shown in Figure 2.
Most preferably, the diameter of imageing sensor tube chamber 150L is along the variable-length of conduit 100.Most preferably, imageing sensor tube chamber 150L is minimum at near-end 102 places, and maximum at far-end 104 places.Alternatively and preferably, at near-end 102 places, sensor tube chamber 105L is configured to have elliptic cross-section.Alternatively and preferably, at far-end, sensor tube chamber 105L is configured to have circular cross-section.
Most preferably, be special-purpose cleaning tube chamber 160 on imageing sensor tube chamber 150L next door, this cleaning tube chamber has the far-end that limits washer jet 156, as shown in the figure, is provided for cleaning imageing sensor 150 around its far-end.Alternatively and preferably, washer jet 156 has sweep and/or angle, so as guiding cleanout fluid, liquid, gas or similar streaming flow towards and/or away from integrated image sensor 150, imageing sensor 150c more preferably.For example, cleaning tube chamber 160 can be used for washing and mucus or the similar biological obturator front from integrated image sensor 150 being cleaned out by the far-end that passes through to its formation washer jet 156 from the near-end of lumen 160 with streaming flow (for example liquid or gas).Alternatively, cleaning tube chamber 160 can be used for making getting a clear view of integrated image sensor 150 by utilize suction to guarantee to clean in front, the visual field.
Fig. 7 F shows around the enlarged drawing of tube chamber 150L far-end towards the washer jet 156 of imageing sensor 150 guiding.Alternatively and preferably, washer jet 156 is arranged so that it is provided for the open visual field that integrated image sensor 150 is kept trachea carinas.
Alternatively and preferably, the far-end of cleaning tube chamber 160 can be crooked, so that this far-end towards the far-end of imageing sensor tube chamber 150L, wherein is provided for forming alternatively one or more at least and preferably towards the washer jet 156 of imageing sensor 150, for example shown in Fig. 7 E.
Alternatively, conduit 100 can be provided with at least two or more cleaning tube chambers 160.Alternatively, the first cleaning tube chamber can be arranged for the biological obturator of flushing, and the second cleaning tube chamber can be arranged for biological obturator is fallen from far-end 114 suctions.Alternatively, a plurality of cleaning tube chambers 160 can be arranged on the opposite side of integrated image sensor 150.Alternatively, a plurality of cleaning tube chambers 160 can be configured to cooperatively interact, and for example the first tube chamber washes biological obturator towards the second cleaning tube chamber, and obturator is pulled away by suction in the second cleaning tube chamber.Alternatively, two or more cleaning tube chambers can use ordinatedly at least, to aspirate or to wash the obturator away from integrated image sensor 150, wherein most preferably guarantee the open visual field.Alternatively, a plurality of cleaning tube chambers can have different diameters and/or size.
Fig. 8 A shows conduit 100 about the cutaway view of its near-end 102, and this conduit has trachea chamber 110 and the bronchial lumen 120 that is limited on 108 either sides of center line next door.Most preferably, conduit 100 comprises the inside of the wall that is arranged on conduit 100 and/or interior a plurality of peripheral tube chamber.Most preferably, a plurality of peripheral tube chambers can be around the periphery setting of conduit 100, and around trachea chamber 110 and/or bronchial lumen 120 length of basically crossing over conduit 100.Alternatively and preferably, peripheral tube chamber is such as including but not limited to suction lumen, sleeve bag gas-filling tube chamber, electronics tube chamber, imageing sensor tube chamber, cleaning tube chamber, injection tube chamber etc.
Most preferably, conduit 100 comprises the special-purpose tube chamber 150L that is arranged for imageing sensor and integrated lighting source 150.Most preferably, tube chamber 150L is arranged for the imageing sensor 150 (Fig. 7 E-Fig. 7 F) that holds its far-end and holds the imageing sensor wire that the length along tube chamber 150L of wire 154 forms for example arranges, also be provided with and be arranged near the imageing sensor notch 152 of tube chamber 150L near-end, allow imageing sensor wire 154 and adapter 158 to be arranged on conduit 100 outsides.
Alternatively and preferably, tube chamber 150L is arranged on the front portion of conduit 100 around the centre of the section of conduit 100.Most preferably, tube chamber 150L is arranged on the front portion in next door 108.Alternatively, tube chamber 150L can be arranged on the rear portion of conduit 108, is arranged on the rear portion in next door 108.
Most preferably, be along the length setting of conduit 100 and the special-purpose tube chamber that most preferably be arranged in parallel with tube chamber 150L in tube chamber 150L both sides.Alternatively and preferably, at least one or a plurality of tube chamber are arranged to special-purpose cleaning tube chamber 160.Alternatively, two flank tube chamber 150L can be special-purpose cleaning tube chambers 160.
Most preferably, catheter wall further comprises tube chamber 112L and the 122L that corresponds respectively to trachea chamber 110 and bronchial lumen 120.Alternatively and preferably, tube chamber 112L and 122L are arranged to be respectively applied to cuff 112 and 122 inflations and/or venting.
Fig. 8 B shows the image identical with the image of Fig. 8 A, yet shows near the section the trachea chamber far-end 114 of conduit 100.Most preferably, at trachea chamber far-end 114 places, imageing sensor tube chamber 150L is provided with the tube chamber that has larger radius than the tube chamber that is arranged on near-end 102 places (shown in Fig. 8 A).Most preferably, conduit 100 can enlarge around far-end 104 and tube chamber 150L, to hold integrated image sensor 150.Alternatively, 1.5mm to 5mm is widened and/or enlarged to the imageing sensor tube chamber 150 that centers on the outer surface of conduit 100 from the far-end 114 in trachea chamber 110.
Alternatively, the special-purpose tube chamber 150L of imageing sensor is provided with the outlet notch that the notch 150n that arranges with 22.5mm apart from the near-end 102 of conduit 100 and diameter are approximately 1.5mm.
Fig. 9 shows the amplification bottom view of integrated image sensor 150 in the special electronic tube chamber 150L in the wall that is arranged at bronchial catheter 100, show the imageing sensor 150c that is arranged to alternatively and preferably the forms such as CCD or CMOS, and the light source 150I that most preferably is arranged at least one and a plurality of (most preferably at least two or more) LED form, as shown in the figure.
Although the bronchial catheter with reference to left bronchus has carried out preliminary elaboration to this utility model, be appreciated that this utility model is not limited to the bronchial catheter of left bronchus, wherein creative and novelty aspect contains right bronchial bronchial catheter equally.
Although for a limited number of embodiment this utility model is illustrated, is appreciated that and carries out multiple variation, modification and other application to this utility model.

Claims (11)

1. bronchial catheter, comprise at least two different lengths with respect to trachea carina at the tube chamber that at least two positions optionally are associated with patient, it is characterized in that, described conduit comprises:
A. the first tube chamber has the open distal end that is associated with the first inflatable cuff near described endotracheal knuckle;
B. the second tube chamber has the open distal end that distally extends through described knuckle and be associated with the second inflatable cuff in one of left bronchus branch and right bronchial tree;
C. special image sensor tube chamber, cross over the length of described the first tube chamber, described special image sensor tube chamber comprises near the imageing sensor of the far-end setting of described the first tube chamber and light source and is configured to provide the opening of the tracheorrhaphy crunode of described trachea carina, described left bronchus branch and the image of the opening of described right bronchial tree; And
D. tube chamber is cleaned at least one special use, length and described special image sensor tube chamber along described bronchial catheter be arranged in parallel, and wherein, described cleaning tube chamber is configured to form washer jet at far-end, wherein, described washer jet at the far-end of described cleaning tube chamber towards described imageing sensor tube chamber.
2. conduit according to claim 1 is characterized in that, described washer jet is provided with the diameter of 0.1mm to 2mm.
3. conduit according to claim 2 is characterized in that, described washer jet is provided with the diameter of 0.6mm.
4. conduit according to claim 1 is characterized in that, described cleaning tube chamber is provided with two or more washer jets at the either side of described imageing sensor.
5. conduit according to claim 4 is characterized in that, described two or more washer jets cooperatively interact.
6. conduit according to claim 1 is characterized in that, described cleaning tube chamber is arranged to aspirate or wash the visual field of described imageing sensor.
7. conduit according to claim 1 is characterized in that, described special image sensor tube chamber is arranged in the wall of described conduit around the front portion or rear portion between described the first tube chamber and described the second tube chamber.
8. bronchial catheter according to claim 1 is characterized in that, described the second tube chamber comprises the second imageing sensor of the image that right bronchus or left bronchus are provided.
9. bronchial catheter according to claim 1 is characterized in that, described imageing sensor is ccd image sensor or cmos image sensor.
10. bronchial catheter according to claim 1 is characterized in that, described the first tube chamber further comprises the light source near the far-end of described the first tube chamber and close described imageing sensor setting.
11. bronchial catheter according to claim 9 is characterized in that, described light source is selected from the group that is comprised of LED, optical fiber, waveguide, light guide and combination in any thereof.
CN 201220185799 2012-04-26 2012-04-26 Bronchial catheter Ceased CN202682499U (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103520819A (en) * 2013-11-04 2014-01-22 刘伯臣 Tendril-advancing type trachea cannula for medical anesthesia
CN105797252A (en) * 2016-05-27 2016-07-27 熊振天 Dual-cavity tracheal catheter positioning method and device, dual-cavity tracheal catheter
CN109011074A (en) * 2018-07-10 2018-12-18 吴旭宸 The invisible tracheal catheter that double suction draws under a kind of novel glottis
CN109068995A (en) * 2016-02-26 2018-12-21 新宁研究院 Image probe with rotatable core
CN109152902A (en) * 2016-05-09 2019-01-04 Art医疗有限公司 Intelligent ETT ventilation attachment and application method
CN109350818A (en) * 2018-10-23 2019-02-19 广州圣犹达生物科技有限公司 A kind of visual Dual-channel tracheal cannula
CN109621137A (en) * 2018-12-27 2019-04-16 广州源临医疗器械有限公司 A kind of double-cavity bronchial cannula

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103520819A (en) * 2013-11-04 2014-01-22 刘伯臣 Tendril-advancing type trachea cannula for medical anesthesia
CN109068995A (en) * 2016-02-26 2018-12-21 新宁研究院 Image probe with rotatable core
CN109152902A (en) * 2016-05-09 2019-01-04 Art医疗有限公司 Intelligent ETT ventilation attachment and application method
US10874812B2 (en) 2016-05-09 2020-12-29 Art Healthcare Ltd. Smart ETT ventilation attachment and method of use
US11247012B2 (en) 2016-05-09 2022-02-15 ART MEDICAL Ltd. Smart ETT ventilation attachment and method of use
CN109152902B (en) * 2016-05-09 2022-03-04 Art医疗有限公司 Intelligent ETT ventilation accessory and use method
US11529483B2 (en) 2016-05-09 2022-12-20 ART MEDICAL Ltd. Smart ETT ventilation attachment and method of use
CN105797252A (en) * 2016-05-27 2016-07-27 熊振天 Dual-cavity tracheal catheter positioning method and device, dual-cavity tracheal catheter
CN109011074A (en) * 2018-07-10 2018-12-18 吴旭宸 The invisible tracheal catheter that double suction draws under a kind of novel glottis
CN109350818A (en) * 2018-10-23 2019-02-19 广州圣犹达生物科技有限公司 A kind of visual Dual-channel tracheal cannula
CN109621137A (en) * 2018-12-27 2019-04-16 广州源临医疗器械有限公司 A kind of double-cavity bronchial cannula

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