CN206007748U - Many gasbag-type Dual-channel tracheal cannulas - Google Patents

Many gasbag-type Dual-channel tracheal cannulas Download PDF

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Publication number
CN206007748U
CN206007748U CN201620484231.9U CN201620484231U CN206007748U CN 206007748 U CN206007748 U CN 206007748U CN 201620484231 U CN201620484231 U CN 201620484231U CN 206007748 U CN206007748 U CN 206007748U
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air bag
blocking air
lung
conduit
blocking
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杜智勇
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Third Military Medical University TMMU
Second Affiliated Hospital of TMMU
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Second Affiliated Hospital of TMMU
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Abstract

The utility model application belongs to technical field of medical instruments, specifically disclose a kind of many gasbag-type Dual-channel tracheal cannulas, including the conduit of arc, the inlet end of the conduit is provided with the connector being connected with lung ventilator, the outlet side of conduit is straight hole and side opening, the inlet end of the conduit is sequentially provided with outside blocking air bag, air flue blocking air bag, lobe of the lung blocking air bag and through hole blocking air bag to outlet side, and the outside blocking air bag, air flue blocking air bag, lobe of the lung blocking air bag and through hole blocking air bag are correspondingly provided with gas tube and charge valve respectively;Conduit between the outside blocking air bag and air flue blocking air bag is provided with perforate.Compared with prior art, this trachea cannula is simple using process operation, and individually ventilation and two lobes of the lung are ventilated simultaneously to give left lung and right lung leaf, and handoff procedure is convenient and swift.

Description

Many gasbag-type Dual-channel tracheal cannulas
Technical field
The utility model belongs to technical field of medical instruments, more particularly to a kind of many gasbag-type Dual-channel tracheal cannulas.
Background technology
Trachea cannula refers to that the endotracheal tube special by inserts tracheal strips through glottis, and this technology can be logical for air flue Freely, ventilation oxygen-supplying, respiratory tract attract and prevent suction etc. by mistake from providing optimum condition.Doctor when pulmonary surgery is done to patient, in order to Meet to the lobe of the lung ventilate and isolation needs, it will usually endotracheal intubation is carried out to patient, with ensure patient safety and for perform the operation It is successfully established felicity condition.
In pulmonary surgery, it usually needs individually ventilated to the left and right lobe of the lung of patient or while ventilation, such case Lower doctor is typically chosen and carries out endotracheal intubation using Dual-channel tracheal cannula to patient.If from common single-chamber trachea cannula, When so needing to ventilate to the lobe of the lung of opposite side during operation is carried out, it is necessary to patient again intubation, to damage to patient Very big, can also affect quality and the efficiency that performs the operation.In addition trachea cannula is disposable product, involves great expense, in pulmonary surgery Used in common single-chamber trachea cannula can cause the waste of resource.
Current Dual-channel tracheal cannula generally includes an outer catheter, and the tube wall of outer catheter is provided with an opening, outer catheter Two piece arms are inside provided with, and the lower end mouth of pipe of an arm is directed at the opening, the lower end mouth of pipe alignment outer catheter of another arm The lower end mouth of pipe.During specifically used, outer catheter inserted tracheal strips and is extended downwardly so that left of the opening alignment Tracheae or right bronchus, the lower end mouth of pipe are stretched in the bronchus away from opening.
In actual intubation, due to cannot accurately judge the position of outer catheter insertion, outer catheter generally can be all caused The lower end mouth of pipe and opening are together entered in the bronchus of the same side, cannot be directed at the bronchus of opposite side so as to cause to be open, i.e., To the bronchial airways of opposite side, and then the safety of operation cannot be affected to carry out, when serious, go back the life of entail dangers to patient.Separately Outward, existing Dual-channel tracheal cannula operating process trouble, easily error, sometimes need multiple intubation plug in conduit Good, efficiency is low, also results in and miss optimal opportunity of operation when serious;Existing Dual-channel tracheal cannula is using process simultaneously In, respectively the function ventilated by left lung, right lung leaf, double lobes of the lung is difficult to switch at any time.
Utility model content
The purpose of this utility model is to provide a kind of many gasbag-type Dual-channel tracheal cannulas, to solve to do lung's hand to patient During art, existing Dual-channel tracheal cannula carries out the problem that ventilation can not be changed at any time respectively to left lung, right lung leaf, double lobes of the lung.
In order to achieve the above object, base case of the present utility model is:Many gasbag-type Dual-channel tracheal cannulas, including arc Conduit, the inlet end of the conduit is provided with the connector being connected with lung ventilator, and the outlet side of conduit is straight hole and side opening, described The inlet end of conduit is sequentially provided with outside blocking air bag, air flue blocking air bag, lobe of the lung blocking air bag and through hole blocking to outlet side Air bag, the outside blocking air bag, air flue blocking air bag, lobe of the lung blocking air bag and through hole blocking air bag are correspondingly provided with inflation respectively Pipe and charge valve;Conduit between the outside blocking air bag and air flue blocking air bag is provided with perforate.
The operation principle of this base case is:Before pulmonary surgery being carried out to patient, can use common trachea cannula Gimmick, does endotracheal intubation to patient;When carrying out endotracheal intubation, need to patient's left lung or right lung leaf without the need for consideration Perform an operation, can be by the through hole end of this trachea cannula insertion left side bronchus.Carrying out, in surgical procedure, if desired giving to patient Left lung is individually ventilated, and can open the outside blocking air bag of this trachea cannula, air flue blocking air bag and lobe of the lung blocking air bag, through hole Blocking air bag is closed;Now, tapping is sealed by outside blocking air bag and air flue blocking air bag with reference to airway walls effect, in the lobe of the lung Under the restriction of blocking air bag, the gas being passed through by air pipe connector end enters left lung from through hole.In surgical procedure if desired When ventilated to two lobes of the lung simultaneously, it is not required to change trachea cannula, can be by the lobe of the lung of two-chamber tracheae blocking air bag and outside blocking gas Capsule is opened, and air flue blocking air bag and through hole blocking air bag are closed;Now, the gas being passed through by air pipe connector end, a part Right lung is entered from tapping, another part enters left lung from through hole, so as to realize to the left and right lobe of the lung while ventilating.
When if desired individually ventilating to right lung in surgical procedure, without trachea cannula is changed, only need to be by the two-chamber tracheae Through hole blocking air bag, lobe of the lung blocking air bag and outside blocking air bag open, air flue blocking air bag is closed;Now, through hole blocking Through hole is sealed by air bag, and the lobe of the lung blocks air bag and seals left lung bronchus, the gas being passed through by air pipe connector end, from Tapping enters right lung, realizes individually ventilating to right lung.When endotracheal intubation is carried out, by the through hole end insertion patient's of conduit In the bronchus of right side, four air bags of control open and close situation, can equally realize individually ventilating to the left and right lobe of the lung and double lobes of the lung The function of ventilating simultaneously.
The beneficial effect of this base case is:Outside blocking air bag can completely cut off extraneous air and enter patient along tracheae outer wall In vivo, it is ensured that in patient's surgical procedure, affect in patient body patient because extraneous air is not entered.Air flue is blocked up After plug airbag aeration, outside blocking air bag and air flue block gasbag ektexine laminating air flue, and the conduit of perforate section is sealed, simple fast Speed is effectively controlled the aeration status of tapping.Lobe of the lung blocking air bag can prevent the gas for entering the side lobe of the lung from flowing out, and realize Certain side lobe of the lung ventilation is preferably individually given;Also ensure that gas is only entered in the lobe of the lung by conduit, prevents other gases from entering simultaneously Enter.Through hole blocks air bag, in patient's surgical procedure, when needs are not individually to through hole in side The lobe of the lung ventilation, through hole blocking air bag can combine the lobe of the lung blocking air bag effect, do not give the through hole place lobe of the lung ventilation.Entering to patient During row pulmonary surgery, perforate can achieve individually to through hole not side lobe of the lung ventilation, and realize the both sides lobe of the lung while Ventilation, need not change trachea cannula, control realization operating process also simple and fast.
Four air bags combine through hole and perforate is acted on, and during pulmonary surgery is carried out to patient, realize respectively to left lung Individually ventilation and two lobes of the lung are ventilated simultaneously for leaf and right lung leaf;Which is convenient to operation, greatly reduce tracheae in surgical procedure Impact, the practicality height for bringing is changed, is more that of avoiding and trachea cannula is substituted in surgical procedure, reduce changing tracheae The pain brought to patient by intubation, reduces replacing trachea cannula and is damaged to patient is brought, be also that whole surgical procedure is saved Time;Many gasbag-type Dual-channel tracheal cannulas are to have done simply to change in the technology of the common trachea cannula of script simultaneously Enter, compare existing bicavate trachea cannula and greatly reduce manufacturing cost and simplify manufacturing process;And in operation, gas Occur unavoidably needing to insert left lung when cannula, and other are because reason is inserted into the situation of right lung, when this thing happens, Intubation is carried out without conduit is extracted again again, has greatly lacked the pain of patient.This trachea cannula is by single-chamber tracheae Intubation is transformed, and can be used as single-chamber trachea cannula when necessary;When using as single-chamber trachea cannula, can achieve The repertoire of single-chamber trachea cannula, therefore the scope of application of this trachea cannula is very wide.Compared with prior art, this tracheae is inserted Pipe is simple using process operation, and individually ventilation and two lobes of the lung are ventilated simultaneously to give left lung and right lung leaf, and handoff procedure is convenient Fast.
Scheme two:Based on scheme preferably, the through hole blocking air bag is arranged at inner surface of trachea, and is located at through hole. Through hole blocking air bag is used for controlling the ventilation of through hole, and through hole blocking air bag is arranged at inner surface of trachea, through hole blocking air bag open and Close, just very easily achieve the ventilation to through hole;Through hole blocking air bag is arranged at through hole, tracheae pipe diameter compared with Little, through hole blocking air bag be arranged on tracheae tubular body extremely difficult, and through hole be in catheter end head so that manufacture this Trachea cannula is more easy.
Scheme three:Used as the preferred of scheme two, the outside blocking air bag is separated by 0.5-5cm with air flue blocking air bag.Outward Conduit between portion's blocking air bag and air flue blocking air bag is provided with perforate, between outside blocking air bag and air flue blocking air bag There must be the distance of perforate;In using this endotracheal intubation, need to block up with air flue by opening outside blocking air bag simultaneously Plug air bag carrys out seal and opening with reference to air flue effect, it is considered to the airway length of patient, and outside blocking air bag blocks air bag with air flue Distance should not be too far;Human body actual conditions are attached to, outside blocking air bag blocks the spacing distance of air bag in 0.5-5cm with air flue More suitable.
Scheme four:Based on scheme, scheme and, three any one of scheme preferred, be correspondingly provided with one on each charge valve Color is planted, all charge valve colors are different.All charge valve colors are different.Fast and effectively can distinguish corresponding to each charge valve Air bag, so as to preferably control the filling of air bag, deflation situation.
Scheme five:Based on scheme, scheme two, three any one of scheme preferred, the exposed parts of all gas tubes are long Short differ.So that the position of charge valve is different, the air bag corresponding to each charge valve can be fast and effectively distinguished, so as to more preferable Control the filling of air bag, deflation situation.
Scheme six:As the preferred of scheme five, outside blocking air bag, air flue blocking air bag, lobe of the lung blocking air bag and through hole The exposed parts of the gas tube corresponding to blocking air bag are shortened successively.As outside blocking air bag, air flue blocking air bag, the lobe of the lung are blocked up The part of the combination of gas tube and conduit corresponding to plug air bag and through hole blocking air bag increases successively, therefore by its exposed parts It is set to shorten successively, one is so that the length difference of every gas tube, only in big, is easy to manufacture;Two are, correspond to air bag Situation, convenient resolution and memory.
Description of the drawings
Fig. 1 is the structural representation of many gasbag-type Dual-channel tracheal cannula embodiments 1 of the utility model;
Fig. 2 is the direction view of A-A in Fig. 1.
Specific embodiment
The utility model is described in further detail below by specific embodiment:
Reference in Figure of description includes:Conduit 10, through hole 11, perforate 12, connector 13, outside blocking air bag 21st, air flue blocking air bag 22, lobe of the lung blocking air bag 23, through hole blocking air bag 24, gas tube 31, charge valve 32.
Embodiment 1
As shown in figure 1, many gasbag-type Dual-channel tracheal cannulas, including the conduit 10 of arc, be ensure conduit 10 softness and Prevent 10 wall of conduit from causing patient's inner bronchial wall to damage, conduit 10 is made up of the material of polyvinyl chloride;The air inlet of conduit 10 End is provided with the connector 13 being connected with lung ventilator, and connector 13 is connected with 10 integral type of conduit, and the outlet side of conduit 10 is through hole 11.The inlet end of conduit 10 is sequentially provided with outside blocking air bag 21, air flue blocking air bag 22, lobe of the lung blocking air bag 23 to outlet side Air bag is blocked with through hole 11;Four air bags are fitted with 10 wall of conduit, and outside blocking air bag 21, air flue blocks air bag 22 and the lobe of the lung Blocking air bag 23 is annular in shape, is fitted on the outer wall of conduit 10 by glue in its ring;The blocking air bag of through hole 11 and is led in spherical Inwall laminating at 10 through hole 11 of pipe.Outside blocking air bag 21 near 10 connector of conduit, 13 one end, air flue blocking air bag 22 with Outside blocking air bag 21 is separated by 2cm settings.
Four air bags are connected with four sealings of gas tube 31 respectively, and four gas tubes 31 are sealed with four charge valves 32 respectively Connection;As shown in Fig. 2 four gas tubes 31 are inlayed respectively with 10 wall of conduit, and it is evenly distributed on the circumference of 10 wall of conduit. Perforate 12 is offered on conduit 10 between outside blocking air bag 21 and air flue blocking air bag 22, perforate 12 can achieve individually to give Through hole 11 not the ventilation of the side lobe of the lung, and realize the both sides lobe of the lung and ventilate simultaneously, trachea cannula, control realization behaviour need not be changed Make process also simple and fast.The outside of four charge valves 32 is respectively different colours.
When being embodied as, before pulmonary surgery being carried out to patient, can use the gimmick of common trachea cannula, do gas to patient Cannula art;When carrying out endotracheal intubation, either perform an operation to patient's left lung or right lung leaf, can be by this trachea cannula 11 end of through hole insertion left side bronchus.Carrying out in surgical procedure to patient, if desired individually ventilating to left lung, can be by filling Just outside blocking air bag 21, the air flue blocking air bag 22 of this trachea cannula and lobe of the lung blocking air bag 23 are full of air valve 32 respectively Gas, the blocking air bag of through hole 11 is without the need for inflation;Now, the outer wall laminating air flue of outside blocking air bag 21 and air flue blocking air bag 22 12 sections of conduit sealing of perforate, the lobe of the lung are blocked air bag 23 and will seal the bronchus in left side, now open lung ventilator, oxygen by wall Left lung is entered from through hole 11 by tracheae.
When if desired ventilated to two lobes of the lung simultaneously in surgical procedure, it is not required to change trachea cannula, the two-chamber tracheae can be kept Lobe of the lung blocking air bag 23 and outside blocking air bag 21 open, bleed off the gas in air flue blocking air bag 22, through hole 11 blocks gas Capsule is still without the need for ventilation;Now, lung ventilator is opened, and by tracheae, a part enters right lung from 10 perforate 12 of conduit to oxygen, another Part enters left lung from 10 through hole 11 of conduit, so as to realize to the left and right lobe of the lung while ventilating.
When if desired individually ventilating to right lung in surgical procedure, without trachea cannula is changed, continue to keep the two-chamber gas The lobe of the lung blocking air bag 23 and outside blocking air bag 21 of pipe is inflated, and air flue blocking air bag 22 is non-aerating, gives gas by charge valve 32 Through hole 11 blocks airbag aeration;Now, the blocking of through hole 11 air bag will be sealed at through hole 11, and the lobe of the lung blocks air bag 23 by left lung Tracheae is sealed, and oxygen is realized individually ventilating to right lung by entering right lung at tracheae perforate 12.
During the whole use of this trachea cannula, the color of charge valve 32 can be checked, be determined corresponding to charge valve 32 Air bag, more convenient convenient.
Before pulmonary surgery is carried out to patient, when carrying out endotracheal intubation to patient, as conduit 10 is polyvinyl chloride material Matter, with certain flexibility, occur the left lung for needing conduit 10 is inserted patient unavoidably, and be inserted into the feelings of patient's right lung Condition;If there is this situation, intubation, four airbag aerations of control and deflation situation is carried out without conduit 10 is extracted again again, Can equally realize individually ventilating to the left and right lobe of the lung and double lobes of the lung are while the function of ventilation, has greatly lacked the pain of patient.
Embodiment 2
Difference from Example 1 is that four charge valves 32 are distinguished by color respectively in embodiment 1.And this reality Apply in example, the exposed parts of all gas tubes 31 are different in size.Outside blocking air bag 21, air flue blocking air bag 22, lobe of the lung blocking The exposed parts of the gas tube corresponding to air bag 23 and through hole blocking air bag 24 are shortened successively.
When being embodied as, as different from Example 1, when controlling four airbag aerations and deflating, can be according to gas tube Judging, which air bag corresponding to each charge valve 32 is to the length of 31 exposed parts.Very effective preventing makes Unclear due to differentiating to charge valve 32 with during, and there is the situation of operational error.
Above-described is only embodiment of the present utility model, the known general knowledge here such as concrete structure and characteristic in scheme Excessive description is not made.It should be pointed out that for a person skilled in the art, in the premise without departing from the utility model structure Under, some deformations and improvement can also be made, these also should be considered as protection domain of the present utility model, and these are all without impact Effect and practical applicability that the utility model is implemented.This application claims protection domain should be with the content of its claim It is defined, specific embodiment in specification etc. records the content that can be used for explaining claim.

Claims (6)

1. gasbag-type Dual-channel tracheal cannula more than, including the conduit of arc, the inlet end of the conduit is provided with and is connected with lung ventilator Connector, the outlet side of conduit is through hole, it is characterised in that the inlet end of the conduit to outlet side is sequentially provided with outside blocking Air bag, air flue blocking air bag, lobe of the lung blocking air bag and through hole blocking air bag, the outside blocking air bag, air flue blocking air bag, lung Leaf blocking air bag and through hole blocking air bag are correspondingly provided with gas tube and charge valve respectively;The outside blocking air bag and air flue blocking Conduit between air bag is provided with perforate.
2. many gasbag-type Dual-channel tracheal cannulas as claimed in claim 1, the through hole blocking air bag are arranged at inner surface of trachea, and It is located at through hole.
3. many gasbag-type Dual-channel tracheal cannulas as claimed in claim 2, the outside blocking air bag and air flue blocking air bag phase Every 0.5-5cm.
4. many gasbag-type Dual-channel tracheal cannulas as described in any one of claim 1-3, it is characterised in that right on each charge valve A kind of color should be provided with, all charge valve colors are different.
5. many gasbag-type Dual-channel tracheal cannulas as described in any one of claim 1-3, it is characterised in that all gas tubes outer Dew part is different in size.
6. many gasbag-type Dual-channel tracheal cannulas as claimed in claim 5, it is characterised in that outside blocking air bag, air flue blocking The exposed parts of the gas tube corresponding to air bag, lobe of the lung blocking air bag and through hole blocking air bag are shortened successively.
CN201620484231.9U 2016-05-25 2016-05-25 Many gasbag-type Dual-channel tracheal cannulas Active CN206007748U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107233647A (en) * 2017-06-07 2017-10-10 中山市普利斯微创介入医械有限公司 A kind of tracheal catheter
CN111494771A (en) * 2020-05-27 2020-08-07 广州炎宏燊医疗科技有限公司 Bronchial cannula with suction function and exhaust bag

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107233647A (en) * 2017-06-07 2017-10-10 中山市普利斯微创介入医械有限公司 A kind of tracheal catheter
CN111494771A (en) * 2020-05-27 2020-08-07 广州炎宏燊医疗科技有限公司 Bronchial cannula with suction function and exhaust bag

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