CN206492098U - A kind of adjustable Airway dilation sacculus of airway diameter - Google Patents

A kind of adjustable Airway dilation sacculus of airway diameter Download PDF

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Publication number
CN206492098U
CN206492098U CN201621331458.6U CN201621331458U CN206492098U CN 206492098 U CN206492098 U CN 206492098U CN 201621331458 U CN201621331458 U CN 201621331458U CN 206492098 U CN206492098 U CN 206492098U
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CN
China
Prior art keywords
single lumen
lumen cannula
outer single
airway
utricule
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Expired - Fee Related
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CN201621331458.6U
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Chinese (zh)
Inventor
叶贤伟
林洁如
赵丽
余红
姚红梅
张湘燕
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Guizhou Provincial Peoples Hospital
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Guizhou Provincial Peoples Hospital
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Priority to CN201621331458.6U priority Critical patent/CN206492098U/en
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Abstract

The utility model is related to a kind of adjustable Airway dilation sacculus of airway diameter, including outer single lumen cannula, interior single lumen cannula, and interior single lumen cannula is set in outer single lumen cannula, and cavity is formed between interior single lumen cannula and outer single lumen cannula;Seal wire is provided with interior single lumen cannula.The head end of outer single lumen cannula is used to extend into patient's body, and the end of outer single lumen cannula is provided with handle;Filling joint is provided with by handle;Filling joint is connected with cavity;Outer single lumen cannula is set to telescopic utricule away from handle one end, and telescopic mechanism is provided between utricule and interior single lumen cannula;Telescopic mechanism is fusiform elastic construction;Telescopic mechanism is used to control utricule to realize Telescopic.The utility model effectively increases pipe diameter by telescopic mechanism, in the case where ensureing airway pressure, the extension local balloon expandable time, increases the therapeutic effect of balloon expandable.

Description

A kind of adjustable Airway dilation sacculus of airway diameter
Technical field
The utility model is related to medicine equipment, in particular to a kind of adjustable Airway dilation sacculus of airway diameter.
Background technology
Trachea-bronchial epithelial cell narrow reason is more common in air flue lesion (such as:Benign or malignant tumour, inflammation in trachea-bronchial epithelial cell Property granuloma and air flue in foreign matter etc.), narrow distal end can be caused to ventilate limited, severe patient can cause significantly to have difficulty in breathing, very To that may suffocate, urgent respiratory tract PCI is now usually needed.Air flue is needed to use to expand through bronchoscope balloon dilatation Sacculus is expanded to narrow positions, expands narrow positions effective ventilation diameter, it is considered to be it is a kind of it is easy, quick, effective, The method of the reconstruction air flue caliber of safety.
Conventional Airway dilation sacculus, external diameter is less than 2.8mm when non-aerating, can treat duct by soft airway wall and enter Go out, more convenient, it can also be used to narrow positions is expanded under Rigid bronchoscope, the narrow positions that is particularly suitable for use in is narrow and small to be suffered from Person.But because middle without ventilation tube chamber, the sacculus of gas injection (or water) can block the ventilation at expanded position completely, so operation During need patient to feel suffocated, it usually needs repeated multiple times operation, influence control effect and extended treatment time, or even part are suffered from Person, which is difficult to coordinate, to complete.The danger of asphyxia is easily especially brought to patient during centre type airway constriction in the treatment.Also have Short run effect can, but act on it is not lasting.
The country also has to research and develop to this:Such as Han Xinwei utility models dare to " the ventable formula under hard bronchoscope Tracheae balloon expandable sheath ", this sheath pipe diameter is thicker, there is the tube chamber of ventilation, and near-end has side opening, can be ventilated during expansion.But Need to operate under general anesthesia, only hard bronchoscope." a kind of airway that Micro Tech(Nanjing) Co., Ltd develops The adjustable Airway dilation sacculus of diameter ", expands the internal diameter of conventional dilating sacculus airway tube to more than 4mm, and be described as hard Operated under airway wall.2 kinds of sacculus of the above are difficult to by less airway constriction position and individually indwelling can not carried out in internal Long period expansion (need to together with hard bronchoscope end operation).And there is complex operation, it is necessary to general anesthesia and coordinate Using Rigid bronchoscope, the potential complication risk of patient is added, and the technical merit and hospital's hardware to medical worker are set Standby to propose not high present of higher requirement, especially Rigid bronchoscope equipment popularity rate, hospital uses the difficulty of this equipment It is larger.
The defect of above-mentioned balloon expandable device significantly limit application of the balloon expanding technology in treatment of airway constriction.
Utility model content
Technical problem to be solved in the utility model, which is to provide one kind, to realize that airway is straight according to the actual requirements The adjustable Airway dilation sacculus in footpath.
The technical scheme that the utility model solves above-mentioned technical problem is as follows:
A kind of adjustable Airway dilation sacculus of airway diameter, including open-ended outer single lumen cannula, interior single lumen catheter Road;The interior single lumen cannula is arranged in the outer single lumen cannula, shape between the interior single lumen cannula and the outer single lumen cannula Into cavity;Seal wire is provided with the interior single lumen cannula.
The outer single lumen cannula head end is used to extend into patient's body, and the head end of the outer single lumen cannula is provided with flexible pipe Head;The outer single lumen cannula end is connected with handle;Filling joint is provided with the outside of the handle;It is described filling joint with it is described Cavity is connected;The outer single lumen cannula is set to telescopic spindle utricule, the utricule point away from described handle one end Every the outer single lumen cannula leading portion and the outer single lumen cannula back segment close to the handle that the outer single lumen cannula is the remote handle.
Telescopic mechanism is provided between the utricule and the interior single lumen cannula;The telescopic mechanism is fusiform Elastic construction;The outer single lumen cannula leading portion inwall is provided with for blocking the telescopic mechanism close to described utricule one end Outer single-chamber limiting section;It is also associated with the interior single lumen cannula spacing for the interior single-chamber of the spacing telescopic mechanism other end Portion.
This design can be realized to the telescopic mechanism by the relative position relation of outer single lumen cannula, interior single lumen cannula And the regulation of the utricule.Under the external force effect along the outer single lumen cannula axial direction, the telescopic mechanism is described outer Single lumen cannula is compressed axially and adjacent circumferential expansion;When cancelling external force, the telescopic mechanism restores to the original state.
Further, the adjustable Airway dilation sacculus of airway diameter also includes telescoping mechanism control device, described to stretch Contracting mechanism controls device is the cavity of one end open, and the telescoping mechanism control device openend inwall is provided with screw thread;
The outer single lumen cannula end is provided with outer single lumen cannula screw thread, the outer single lumen cannula screw thread and the telescopic machine Structure control device is threadedly coupled.
According to above-mentioned technical scheme, you can realization realizes external single lumen cannula, interior list by telescoping mechanism control device The regulation of the relative position relation in lumen road.
Further, the adjustable Airway dilation sacculus of airway diameter, in addition to tight beam bar, described tight beam bar one end The telescoping mechanism control device inwall connection, the tight beam bar other end is connected with the outer single lumen cannula leading portion.By institute State the globality that tight beam ensure that the telescoping mechanism control device and the outer single lumen cannula.
Yet further, the outer single lumen cannula leading portion, the outer single lumen cannula back segment are respectively provided with close to utricule section There are several passages.The passage is ellipse.The effect of ventilation water flowing is further lifted by passage.
Following effect can be reached by using the utility model:1) bronchoscope can be passed through under local/painless anesthesia Service aisle complete operation, patient comfort is good, it is to avoid extra to patient's increase because of general anesthesia, using Rigid bronchoscope Complication risk.2) using telescopic mechanism built in novel sacculus, effectively increase pipe diameter, ensure airway pressure In the case of, the extension local balloon expandable time, increase the therapeutic effect of balloon expandable;And expansion effect is realized by screw device Controllability, and be linearly adjustable effect.3) balloon distal, near-end have side wall passage, are not hindered during expansion air flue Die stream, little is influenceed on aerodynamics, the ventilatory function of patient is not influenceed.
Brief description of the drawings
Fig. 1 is the utility model overall structure diagram;
Fig. 2 is the structure enlarged diagram of utricule;
In accompanying drawing, the list of parts representated by each label is as follows:
Seal wire 1;Utricule 2;Telescopic mechanism 3;Outer single lumen cannula 4;Outer single lumen cannula leading portion 41;Outer single lumen cannula back segment 42;Outer single lumen cannula screw thread 43;Interior single lumen cannula 5;Interior single lumen cannula 5;Tight beam bar 6;Telescoping mechanism control device 7;Handle 8; Inflation/topping up joint 9;Flexible pipe first 10;Passage 11.
Embodiment
Principle of the present utility model and feature are described below in conjunction with accompanying drawing, example is served only for explaining this practicality It is new, it is not intended to limit scope of the present utility model.
As shown in figure 1, a kind of adjustable Airway dilation sacculus of airway diameter, including open-ended outer single lumen cannula 4th, interior single lumen cannula 5;Interior single lumen cannula 5 is set in outer single lumen cannula 4, is formed between interior single lumen cannula 5 and outer single lumen cannula 4 Cavity;Seal wire 1 is provided with interior single lumen cannula 5.
The outer head end of single lumen cannula 4 is used to extend into patient's body, and the head end of outer single lumen cannula 4 is provided with flexible pipe first 10, Flexible pipe first 10 is the blunt type of circle to reduce the stimulation to patient;The outer end of single lumen cannula 4 is connected with handle 8;The outside of handle 8 is provided with Fill joint 9;Filling joint 9 is connected with cavity;Filling joint 9 is female Luer.
As shown in Fig. 2 outer single lumen cannula 4 is set to telescopic spindle utricule 2 away from the one end of handle 8, utricule 2 separates Outer single lumen cannula 4 is away from the outer single lumen cannula leading portion 41 for being handle 8 and the outer single lumen cannula back segment 42 close to handle 8.
Telescopic mechanism 3 is provided between utricule 2 and interior single lumen cannula 5;Telescopic mechanism 3 is fusiform elasticity knot Structure;Telescopic mechanism 3 is in compression, and length shortens and diameter becomes a width of 4mm, length during stretching, and diameter narrows are 2.5mm, the external diameter of interior single lumen cannula 5 is slightly less than the minimum diameter of telescopic mechanism 3;The outer inwall of single lumen cannula leading portion 41 is close to utricule 2 one end are provided with the outer single-chamber limiting section 44 for blocking telescopic mechanism 3;It is also associated with interior single lumen cannula 5 for spacing The interior single-chamber limiting section 51 of the other end of telescopic mechanism 3.Outer single lumen cannula 4 directly be less than 3mm, be so easy to cause entirely fill Put and may further enter into electric bronchoscope service aisle, do not influence by less airway constriction position and the ventilation work(of patient Energy.Patient can complete associated treatment in the state of abundant local anaesthesia, it is to avoid using general anesthesia and use hard bronchoscope Potential complication afterwards.The device is simple to operate, and the technical merit and hospital's hardware device to medical worker are less demanding.
By using the utility model to trachea-bronchial epithelial cell narrow treatment, effect substantially, and does not interfere with patient ventilation Function, is a kind of effective, easy, safe, minimally invasive interventional therapy device.
The adjustable Airway dilation sacculus of airway diameter also includes telescoping mechanism control device 7, telescoping mechanism control dress 7 cavitys for being one end open are put, the openend inwall of telescoping mechanism control device 7 is provided with screw thread.
The outer end of single lumen cannula 4 is provided with outer single lumen cannula screw thread 43, and outer single lumen cannula screw thread 43 is controlled with telescoping mechanism Device 7 is threadedly coupled.The control of the diameter in certain continuum to telescopic mechanism 3 is may be implemented in this way, from And flexibly control the diameter of utricule 2.
The adjustable Airway dilation sacculus of airway diameter also includes tight beam bar 6, the tight one end telescoping mechanism control dress of beam bar 6 The connection of 7 inwalls is put, the tight other end of beam bar 6 is connected with outer single lumen cannula leading portion 41.
Outer single lumen cannula leading portion 41, outer single lumen cannula back segment 42 are provided with several passages 11 for 2 sections close to utricule, i.e., A sections as shown in Figure 1, B sections, wherein A sections of long 2cm or so, B sections of long 3cm or so;Passage 11 is ellipse.
The utility model can use following steps when being used into human body:
Step 1: the outer single lumen cannula 4 is under external force effect vertically, make the telescopic mechanism 3 described outer Single lumen cannula 4 is compressed axially and adjacent circumferential expansion.
Step 2: after patient's local anaesthesia/general anesthesia is abundant, described device is overall along electric bronchoscope/hard branch Airway wall service aisle, into trachea-bronchial epithelial cell narrow positions.
Step 3: the sacculus 2 is sent into behind bronchiostenosis position, external force is cancelled, recovers the telescopic mechanism 3 Original state.
Step 4: according to patient's narrow positions situation, first repeatedly being rushed into sacculus 2 by the filling joint 9 with rifle pump Entering air/physiological saline of not isodose expands it, until sacculus 2 is difficult to twitch position, while observing expansion position whether there is Bleeding;For mucosal bleeding person, 1 is administered locally to:10,000 1~2ml of adrenaline, 4 DEG C of physiological saline or fibrin ferment 250U, go out Blood multipotency stops.
Step 5: inject the pressure of gas or water into sacculus 2 from rifle pump, select 1~2 atmospheric pressure, from low to high according to It is secondary incremental.Inflation for the first time or filling time are 1min, and inflation or filling time are 2~4min every time afterwards.It is determined that without obvious After bleeding and phenomenon of feeling suffocated, pressurize dilating sacculus 2 repeatedly.Inflation-expansion-pumping cycle is repeated 3~6 times.
Step 6: after operation terminates, repeat step one, extractor is overall.
Preferred embodiment of the present utility model is these are only, it is all in the utility model not to limit the utility model Spirit and principle within, any modification, equivalent substitution and improvements made etc. should be included in protection model of the present utility model Within enclosing.

Claims (5)

1. a kind of adjustable Airway dilation sacculus of airway diameter, including open-ended outer single lumen cannula (4), interior single lumen catheter Road (5);The interior single lumen cannula (5) is arranged in the outer single lumen cannula (4), the interior single lumen cannula (5) and the outer list Lumen road forms cavity between (4);Seal wire (1) is provided with the interior single lumen cannula (5), it is characterised in that:
The head end of the outer single lumen cannula (4) is provided with flexible pipe head (10), for extending into patient's body;The outer single lumen catheter Road (4) is connected with handle (8) close to the position of end;Filling joint (9) is provided with the outside of the handle (8);The filling connects Head (9) is connected with the cavity;
The outer single lumen cannula (4) is set to telescopic spindle utricule (2), the utricule (2) point close to the position of head end Every the outer single lumen cannula leading portion (41) that the outer single lumen cannula (4) is the remote handle (8) and close to the outer of the handle (8) Single lumen cannula back segment (42);
Telescopic mechanism (3) is provided between the utricule (2) and the interior single lumen cannula (5);The telescopic mechanism (3) is Fusiform elastic construction;Outer single lumen cannula leading portion (41) inwall is provided with for limiting close to the utricule (2) one end The outer single-chamber limiting section (44) that the telescopic mechanism (3) is slided to outer single lumen cannula (4) head end;The interior single lumen cannula (5) the correspondence utricule (2) is additionally provided with for spacing described scalable with outer single lumen cannula back segment (42) junction on The interior single-chamber limiting section (51) of mechanism (3) other end;
Under the external force effect along outer single lumen cannula (4) axial direction, the telescopic mechanism (3) is in the outer single lumen cannula (4) be compressed axially and adjacent circumferential expansion;When cancelling external force, the telescopic mechanism (3) restores to the original state.
2. the adjustable Airway dilation sacculus of airway diameter according to claim 1, it is characterised in that:Also include flexible Mechanism controls device (7), the telescoping mechanism control device (7) is the cavity of one end open, the telescoping mechanism control device (7) openend inwall is provided with screw thread;
Outer single lumen cannula (4) end is provided with outer single lumen cannula screw thread (43), the outer single lumen cannula screw thread (43) and institute State the threaded connection of telescoping mechanism control device (7) openend.
3. the adjustable Airway dilation sacculus of airway diameter according to claim 2, it is characterised in that:Also include tight beam Bar (6), described in described tight beam bar (6) one end telescoping mechanism control device (7) inwall connect, tight beam bar (6) other end according to It is secondary to be connected through the outer single lumen cannula back segment (42), the utricule (2) with the outer single lumen cannula leading portion (41).
4. the adjustable Airway dilation sacculus of airway diameter according to claim 1 or 2 or 3, it is characterised in that:It is described Outer single lumen cannula leading portion (41), the outer single lumen cannula back segment (42) are provided with several ventilations close to the utricule (2) section Hole (11).
5. the adjustable Airway dilation sacculus of airway diameter according to claim 4, it is characterised in that:The passage (11) it is ellipse.
CN201621331458.6U 2016-12-06 2016-12-06 A kind of adjustable Airway dilation sacculus of airway diameter Expired - Fee Related CN206492098U (en)

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CN201621331458.6U CN206492098U (en) 2016-12-06 2016-12-06 A kind of adjustable Airway dilation sacculus of airway diameter

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Application Number Priority Date Filing Date Title
CN201621331458.6U CN206492098U (en) 2016-12-06 2016-12-06 A kind of adjustable Airway dilation sacculus of airway diameter

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106540369A (en) * 2016-12-06 2017-03-29 贵州省人民医院 A kind of adjustable Airway dilation sacculus of airway diameter

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106540369A (en) * 2016-12-06 2017-03-29 贵州省人民医院 A kind of adjustable Airway dilation sacculus of airway diameter

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20170915

Termination date: 20211206