CN204181987U - A kind of single chamber four bag bronchial catheter - Google Patents

A kind of single chamber four bag bronchial catheter Download PDF

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Publication number
CN204181987U
CN204181987U CN201420513673.2U CN201420513673U CN204181987U CN 204181987 U CN204181987 U CN 204181987U CN 201420513673 U CN201420513673 U CN 201420513673U CN 204181987 U CN204181987 U CN 204181987U
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CN
China
Prior art keywords
tube
air bag
occluded segment
side opening
lung
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Expired - Fee Related
Application number
CN201420513673.2U
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Chinese (zh)
Inventor
颜元清
马武华
张志权
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First Affiliated Hospital of Guangzhou University of Chinese Medicine
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First Affiliated Hospital of Guangzhou University of Chinese Medicine
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Priority to CN201420513673.2U priority Critical patent/CN204181987U/en
Application granted granted Critical
Publication of CN204181987U publication Critical patent/CN204181987U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of single chamber four bag bronchial catheter, comprise single-lumen bronchial tube, single-lumen bronchial tube comprises occluded segment and straight length, be respectively equipped with inside and outside the occluded segment of single-lumen bronchial tube and be provided with air bag and the outer air bag of occluded segment in occluded segment, occluded segment and straight length junction have side opening, side opening closed airbag is provided with in side opening, tracheal balloon is provided with outside the main leg of single-lumen bronchial tube, this single chamber four bag bronchial catheter is by air bag in occluded segment, the outer air bag of occluded segment, side opening closed airbag and tracheal balloon four air bag inflation/deflations are to realize the isolation controlling two lung, blocking and ventilation, no matter be left or right side Lung operation, can only insert upper lung extended distance knuckle side far away, can change and single two pulmonary ventilation conversion by left and right one-lung ventilation at any time in art, and do not need double lumen tube just can realize, avoid complication and the shortcoming of double lumen tube, also at utmost avoid lung opening and block complete and one-lung ventilation failure problem.

Description

A kind of single chamber four bag bronchial catheter
Technical field
This utility model relates to technical field of medical instruments, particularly a kind of medical bronchial catheter for lung isolation and one-lung ventilation.
Background technology
During for patient's open chest surgery, need to allow the lung of operation side temporarily stop ventilation, the carrying out of convenient operation, the device realizing the pulmonary ventilation of lung delimitation order at present clinically mainly contains double lumen endobronchial tube inner catheter (DLTs), single lumen endobronchial tube, single-lumen bronchial tube in conjunction with bronchial occlusive device, and pipe (as Univent conduit) etc. combined by endotracheal tube bronchus shutoff pipe.
But adopting double lumen endobronchial tube inner catheter to carry out lung isolation often has following shortcoming or complication: 1, double-lumen catheter external diameter is comparatively thick, usually can be damaged to respiratory tract during row intubate; 2, two lung separation location is more difficult, and especially right upper lung main bronchus opening part easily gets clogged; 3, catheter diameter is meticulous, easy gas duct high pressure in art; 4, alternative model is less, clinical in certain restriction.
In addition, all single-lumen bronchial tubes are in conjunction with bronchus shutoff pipe, pipe combined by endotracheal tube bronchus shutoff pipe, single lumen endobronchial tube (comprising single chamber three bag bronchial catheter) is all only suitable for shutoff Ipsilateral lung, once the upper lung opening of Ipsilateral lung (can according to preoperative breast sheet to the skew of Ipsilateral lung close to knuckle or knuckle, air flue CT sheet or fiberoptic bronchoscopy can be predicted), Ipsilateral by shutoff complete thus cause one-lung ventilation failure (most for right lung shutoff incomplete, reason right main bronchus is " straight, short, slightly ", right upper lung opening easily close to knuckle even higher than knuckle level), this kind of situation will have to use double lumen endobronchial tube.In order to avoid right upper lung isolation is incomplete, double lumen endobronchial tube great majority are all taked to insert left side double lumen tube, even if it is also like this to do left pulmonary operation.So far also do not occur not only without double lumen endobronchial tube but also can to solve pulmonary branches tracheostomy on Ipsilateral (mainly right side) lung can carry out two lung isolation very well and be good for lung one-lung ventilation airway devices close to knuckle.
Utility model content
Technical problem to be solved in the utility model is to provide single chamber four bag bronchial catheter that a kind of structure is simple, the suitability is wide.
For solving the problems of the technologies described above adopted technical scheme: a kind of single chamber four bag bronchial catheter, comprise single-lumen bronchial tube, described single-lumen bronchial tube comprises the occluded segment that leading portion is arcuation and the straight length connected with occluded segment, air bag and the outer air bag of occluded segment in occluded segment is respectively equipped with inside and outside the occluded segment of described single-lumen bronchial tube, described occluded segment and straight length junction have side opening, side opening closed airbag is provided with in described side opening, tracheal balloon is provided with outside the main leg of described single-lumen bronchial tube, air bag in described occluded segment, the outer air bag of occluded segment, side opening closed airbag and tracheal balloon are connected to gas tube separately, each described gas tube stretches out from end through single-lumen bronchial tube and is connected with charge valve, in described single-lumen bronchial tube, be also provided with one end extend to the second drainage tube that the first drainage tube of occluded segment front end and one end extend to side opening place, the other end of described first drainage tube and the second drainage tube stretches out from single-lumen bronchial tube end and is connected with block.
Further, in described side opening closed airbag and occluded segment, air bag is all for being coordinated the round shape air bag formed by two semicircular shape air bag, and described in two, semicircle shape air bag is connected with same gas tube respectively by a Y tube.
Further, described semicircle shape air bag adopts plastic cement material to make.
Beneficial effect: this single chamber four bag bronchial catheter passes through air bag in occluded segment, outer air bag, side opening closed airbag and tracheal balloon four the air bag inflation/deflations of occluded segment to realize controlling isolation, the blocking of two lung and to ventilate, when single-lumen bronchial tube inserts tracheal strips, wherein the gentle tube airbag inflation of the outer air bag of occluded segment is fixed single-lumen bronchial tube, if catheter proximal end Lung operation, then in occluded segment, airbag aeration is closed, and carries out another side lung (usually right side) one-lung ventilation by side opening; If side opening institute is to Lung operation, then side opening closed airbag inflation carry out side opening close, and air bag deflation realizes strong lung (normally left side) ventilation in occluded segment, no matter this single chamber four bag bronchial catheter is left or right side Lung operation, can only insert upper lung extended distance knuckle side far away, can change and single two pulmonary ventilation conversion by left and right one-lung ventilation at any time in art, and do not need double lumen tube just can realize, avoid complication and the shortcoming of double lumen tube, also at utmost avoid lung opening and block complete and one-lung ventilation failure problem.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, this utility model is described further;
Fig. 1 is the structural representation of this utility model embodiment;
Fig. 2 is the schematic diagram of round shape air bag deflation state in this utility model embodiment;
Fig. 3 is the schematic diagram of round shape inflated condition in this utility model embodiment.
Detailed description of the invention
Referring to figs. 1 through Fig. 3, a kind of single chamber four of this utility model bag bronchial catheter, comprise single-lumen bronchial tube 1, single-lumen bronchial tube 1 comprises the occluded segment 11 that leading portion is arcuation and the straight length 12 connected with occluded segment 11, air bag 3 and the outer air bag 4 of occluded segment in occluded segment is respectively equipped with inside and outside the occluded segment 11 of single-lumen bronchial tube 1, occluded segment 11 and straight length 12 junction have side opening 13, side opening closed airbag 5 is provided with in side opening 13, tracheal balloon 6 is provided with outside the main leg 12 of single-lumen bronchial tube 1, air bag 3 in occluded segment, the outer air bag 4 of occluded segment, side opening closed airbag 5 and tracheal balloon 6 are connected to gas tube 7 separately, each gas tube 7 stretches out from end through single-lumen bronchial tube 1 and is connected with charge valve, in single-lumen bronchial tube 1, be also provided with one end extend to the second drainage tube 9 that the first drainage tube 8 of occluded segment 11 front end and one end extend to side opening 13 place, the other end of the first drainage tube 8 and the second drainage tube 9 stretches out from single-lumen bronchial tube end and is connected with block.
In the present embodiment, the overall length 32-35cm of single-lumen bronchial tube 1, on the tube wall of single-lumen bronchial tube 1, mark has graduation mark, be convenient to the degree of depth determining intubate, wherein, in occluded segment, air bag 3 and side opening closed airbag 5 are round shape air bag, when air bag in occluded segment 3 is inflated, in occluded segment, air bag 3 expands and blocks the front end inner chamber of single-lumen bronchial tube 1, and when side opening closed airbag 5 is inflated, then side opening closed airbag 5 expands and blocks the side opening 13 of single-lumen bronchial tube 1, particularly, in side opening closed airbag 5 and occluded segment, air bag 3 is all for being coordinated the round shape air bag formed by two semicircular shape air bag, two halves round shape air bag is connected with same gas tube 7 respectively by a Y tube, when being inflated by gas tube 7, two halves round shape air bag simultaneously inflation and then block single-lumen bronchial tube 1 inner chamber or the side opening on it 13, in occluded segment, air bag 3 and side opening closed airbag 5 all adopt the good plastic cement material of resilience to make.
The using method of this single chamber four bag bronchial catheter is as follows: estimate two distance going up pulmonary branches tracheostomy and knuckle by rabat, air flue CT, fiberoptic bronchoscopy.Single-lumen bronchial tube 1, by connecting corrugated tubing extension tube and anesthetic machine after glottis, is opened extension tube block, is put into branchofiberoscope.Single-lumen bronchial tube 1 is guided to enter upper lung extended distance knuckle side far away (being generally left side) with branchofiberoscope, rollback branchofiberoscope is to side opening place, adjustment single-lumen bronchial tube 1 degree of depth makes its side opening 13 be positioned at about 1cm above knuckle, just to another side lung (being generally right lung).Tracheal balloon 6 inflates fixing single-lumen bronchial tube 1 with the outer air bag 4 of occluded segment.If catheter proximal end Lung operation, then in occluded segment, closed single-lumen bronchial tube 1 inner chamber is carried out in air bag 3 inflation, carries out another side lung (usually right side) one-lung ventilation by side opening 13; If side opening institute is to Lung operation, then side opening closed airbag 5 inflation is carried out side opening 13 and is closed, and air bag 3 venting realizes strong lung (normally left side) ventilation in occluded segment, no matter this single chamber four bag bronchial catheter is left or right side Lung operation, can only insert upper lung extended distance knuckle side far away, can change and single two pulmonary ventilation conversion by left and right one-lung ventilation at any time in art, and do not need double lumen tube just can realize, avoid complication and the shortcoming of double lumen tube, also at utmost avoid lung opening and block complete and one-lung ventilation failure problem.
By reference to the accompanying drawings embodiment of the present utility model is explained in detail above, but this utility model is not limited to above-mentioned embodiment, in the ken that described technical field those of ordinary skill possesses, various change can also be made under the prerequisite not departing from this utility model aim.

Claims (3)

1. single chamber four bag bronchial catheter, it is characterized in that: comprise single-lumen bronchial tube, described single-lumen bronchial tube comprises the occluded segment that leading portion is arcuation and the straight length connected with occluded segment, air bag and the outer air bag of occluded segment in occluded segment is respectively equipped with inside and outside the occluded segment of described single-lumen bronchial tube, described occluded segment and straight length junction have side opening, side opening closed airbag is provided with in described side opening, tracheal balloon is provided with outside the main leg of described single-lumen bronchial tube, air bag in described occluded segment, the outer air bag of occluded segment, side opening closed airbag and tracheal balloon are connected to gas tube separately, each described gas tube stretches out from end through single-lumen bronchial tube and is connected with charge valve, in described single-lumen bronchial tube, be also provided with one end extend to the second drainage tube that the first drainage tube of occluded segment front end and one end extend to side opening place, the other end of described first drainage tube and the second drainage tube stretches out from single-lumen bronchial tube end and is connected with block.
2. single chamber four according to claim 1 bag bronchial catheter, it is characterized in that: in described side opening closed airbag and occluded segment, air bag is all for being coordinated the round shape air bag formed by two semicircular shape air bag, and described in two, semicircle shape air bag is connected with same gas tube respectively by a Y tube.
3. single chamber four according to claim 2 bag bronchial catheter, is characterized in that: described semicircle shape air bag adopts plastic cement material to make.
CN201420513673.2U 2014-09-05 2014-09-05 A kind of single chamber four bag bronchial catheter Expired - Fee Related CN204181987U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420513673.2U CN204181987U (en) 2014-09-05 2014-09-05 A kind of single chamber four bag bronchial catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420513673.2U CN204181987U (en) 2014-09-05 2014-09-05 A kind of single chamber four bag bronchial catheter

Publications (1)

Publication Number Publication Date
CN204181987U true CN204181987U (en) 2015-03-04

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106110462A (en) * 2016-07-23 2016-11-16 曾居华 Single cavity double sac bronchial cannula
CN106964047A (en) * 2017-05-02 2017-07-21 廖信芳 A kind of single-lumen bronchial tube of single, double lung switching ventilation

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106110462A (en) * 2016-07-23 2016-11-16 曾居华 Single cavity double sac bronchial cannula
CN106110462B (en) * 2016-07-23 2018-04-13 曾居华 Single cavity double sac bronchial cannula
CN106964047A (en) * 2017-05-02 2017-07-21 廖信芳 A kind of single-lumen bronchial tube of single, double lung switching ventilation

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20150304

Termination date: 20150905

EXPY Termination of patent right or utility model