CN208405663U - A kind of left side dual cavity bronchus vessel having index device - Google Patents
A kind of left side dual cavity bronchus vessel having index device Download PDFInfo
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- CN208405663U CN208405663U CN201721811125.8U CN201721811125U CN208405663U CN 208405663 U CN208405663 U CN 208405663U CN 201721811125 U CN201721811125 U CN 201721811125U CN 208405663 U CN208405663 U CN 208405663U
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- index device
- screwed pipe
- conduit
- wall
- dual cavity
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Abstract
The utility model relates to a kind of left side dual cavity bronchus vessels for having index device, including catheter body, index device；The white cuff that the catheter body includes conduit outer wall, is located on the conduit outer wall is equipped with left side conduit, right side conduit in the conduit outer wall parallel, and the left side distal end of catheter is longer than the right side conduit, and the left side distal end of catheter is equipped with blue cuff；The index device is located on the left side conduit, and the index device is located at the blue cuff proximal end 5mm-10mm.Left side dual cavity bronchus vessel described in the utility model can realize the positioning of blue cuff by index device；Further, distance of the driven screwed pipe relative to blue cuff can also be adjusted, and then adjusts the position of the blue cuff when driven screwed pipe is aligned carina of trachea.
Description
Technical field
The utility model relates to the field of medical instrument technology, and in particular to a kind of left side two-chamber branch gas for having index device
Pipe conduit.
Background technique
Currently, dual cavity bronchus vessel is clinically mainly used for the operation for needing to carry out lung isolation, be mainly used for heart,
Thoracic cavity, vertical diaphragm, blood vessel, operation on esophagus patient are in order to implementing one-lung ventilation.To bronchopleural fistula, empsyxis and Whole lung lavage
Such operation, it is also used to avoid strong pollution of the side lung by opposite side lung.
The position of confirmation left side dual cavity bronchus vessel is mainly positioned using branchofiberoscope at present, Ying Xiantong
It crosses tracheae inner cavity merging branchofiberoscope to enter in left bronchus with the bronchial lumen for confirming dual cavity bronchus vessel, and really
The bronchial cuff for recognizing blue is located at below carina of trachea, in left principal bronchus, then, utilizes fiber from left side bronchus inner cavity
Bronchoscope is open if lower lobe on left lung can be clearly visible to distally checking, is basically completed positioning.
Position of the blue cuff under carina of trachea is all often probably to estimate, this there is no the standard of a quantization
It is improper that the positioning non-precisely changed can lead to dual cavity bronchus vessel position, causes gas to fall into when positive airway pressure in art and closes, or leads
The part of ventilation side or sagging side lung is caused to wither, and the art side collapse of lung is bad, causes hypoxemia, another complication is single
The pressure pneumothorax of ventilation side or volume two lung occurs during pulmonary ventilation.
Utility model content
In order to solve the technical problems in background technology, the utility model provides a kind of left side for having index device
Dual cavity bronchus vessel can realize the positioning of blue cuff by index device；Further, it can also adjust described driven
Distance of the screwed pipe relative to blue cuff, and then adjust the position of the blue cuff when driven screwed pipe is aligned carina of trachea.
The technical scheme adopted by the utility model to solve the technical problem is as follows:
A kind of left side dual cavity bronchus vessel having index device, including catheter body, index device；
The white cuff that the catheter body includes conduit outer wall, is located on the conduit outer wall, in the conduit outer wall
It is equipped with left side conduit, right side conduit parallel, the left side distal end of catheter is longer than the right side conduit, and the left side distal end of catheter is set
There is blue cuff；
The index device is located on the left side conduit, and the index device is located at the blue cuff proximal end 5mm-
At 10mm.
As one embodiment, the index device is annular graticule made of fluorescent material.
As another embodiment, the left side conduit is located to expand at the blue cuff proximal end 5mm-10mm and form
Annulus is expanded, it is described to expand annulus proximal end, be distally separately formed fixed groove；
The index device includes:
Annular groove, be located at it is described expand on annulus outer wall, the annular groove circumferential side wall, which is equipped with, expands circle along described
The axially extending limit sliding chutes of ring；
Driven screwed pipe is slidably set on the annular groove, and the driven screwed pipe inner wall is equipped with and limit sliding chutes
Mating limit inserted block；
Active screwed pipe, is screwed onto the driven screwed pipe outer circumferential walls, and the active screwed pipe outer wall is circumferentially evenly equipped with anti-skidding recessed
Slot.
Further, the index device further includes being set in the annular overlay film expanded on the outside of annulus, the annular
Overlay film and fixed groove corresponding position are equipped with anticreep band.
Further, the driven screwed pipe is coated with fluorescence coating, and the active screwed pipe, annular overlay film are transparent material system
At.
Further, the driven screwed pipe axial length is less than the half of the axial length of the annular groove.
The utility model has the beneficial effects that
According to the record (such as Miller anesthesiology the 8th edition) of existing medical information, the left side dual cavity bronchus vessel
The ideal position of blue cuff should be located in left principal bronchus, under carina of trachea at about 5mm.
Left side dual cavity bronchus vessel described in the utility model can realize the positioning of blue cuff by index device:
Firstly, being placed in left side dual cavity bronchus vessel described in the utility model after patient's anesthesia induction.
Then, will branchofiberoscope merging right side conduit in, by branchofiberoscope observe confirmation left side conduit into
Enter in left principal bronchus.
Then, branchofiberoscope is placed in the conduit of left side, adjustment position is assisted by branchofiberoscope observation,
Make index device position face carina of trachea, the blue cuff described at this time reaches ideal position: being located in left principal bronchus, tracheae
Under grand ridge at about 5mm.
Finally, branchofiberoscope is continued merging left side distal end of catheter, lower lobe opening on the distal end of catheter of observation left side
Position can be clearly apparent the opening of upper left leaf and bronchus lobaris inferior sinister, avoid that left side conduit is made to enter bronchus lobaris inferior sinister simultaneously
Block bronchus lobaris superior sinister.
Further, for the dual cavity bronchus vessel of left side, the driven screwed pipe can also be adjusted described in Fig. 2-4
Relative to the distance of blue cuff, and then adjusts the blue cuff when driven screwed pipe is aligned carina of trachea and enter in left principal bronchus
Depth location:
Rotating the active screwed pipe drives the driven screwed pipe to slide along the limit sliding chutes, and then adjusts the driven spiral shell
The position of pipe, adjustment blue cuff when the driven screwed pipe is aligned with the carina of trachea enter in left principal bronchus
Depth location, to adapt to the patient of all ages and classes, different building shape.
Further, frictional force of the antiskid groove to increase the active screwed pipe outer circumferential walls, facilitates and uses hand
Reverse the active screwed pipe；The annular overlay film to active screwed pipe, driven screwed pipe described in sealing protection, avoid tissue fluid into
Enter；Preferably, the annular overlay film is made of soft parent material, and the active screwed pipe can be reversed by pinching the annular overlay film
It turns an angle, the annular overlay film resets after loosing one's grip, to continue to reverse active screwed pipe.
Detailed description of the invention
The present invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is a kind of structural schematic diagram (the face patient face side of embodiment of the left side dual cavity bronchus vessel
To).
Fig. 2 is a kind of structural schematic diagram (the face patient face side of embodiment of the left side dual cavity bronchus vessel
To).
Fig. 3 is a kind of cross-sectional view of embodiment of the index device in left side dual cavity bronchus vessel described in Fig. 2.
Fig. 4 is a kind of cross-sectional view of embodiment of Section A-A in Fig. 3.
In figure:
1. catheter body, 11. conduit outer walls, 12. white cuffs, 13. left side conduits, 13a. expand annulus, 13b. is fixed
Groove, 14. right side conduits, 15. blue cuffs；
2. index device, 21. annular grooves, 21a. limit sliding chutes, 22. driven screwed pipes, 22a. limit inserted block, 23. actively
Screwed pipe, 23a. antiskid groove, 24. annular overlay films, 24a. anticreep band；
A. left principal bronchus；
B. right principal bronchus；
C. carina of trachea.
Specific embodiment
The utility model is described in further detail below in conjunction with attached drawing.
A kind of left side dual cavity bronchus vessel having index device, including catheter body 1, index device 2；
The catheter body 1 includes conduit outer wall 11, the white cuff 12 being located on the conduit outer wall 11, the conduit
Left side conduit 13, right side conduit 14 are equipped in outer wall 11 parallel, 13 distal end of left side conduit is longer than the right side conduit 14, institute
It states left side 13 distal end of conduit and is equipped with blue cuff 15；
The index device 2 is located on the left side conduit 13, and the index device 2 is located at 15 proximal end of the blue cuff
At 5mm-10mm.
As one embodiment, the index device 2 is annular graticule made of fluorescent material.
As another embodiment, the left side conduit 13 is located at 15 proximal end 5mm-10mm of the blue cuff and enlarges into
Type, which has, expands annulus 13a, described to expand the proximal end annulus 13a, be distally separately formed fixed groove 13b；
The index device 2 includes:
Annular groove 21, be located at it is described expand on annulus 13a outer wall, 21 circumferential side wall of annular groove is equipped with along described
Expand the axially extending limit sliding chutes 21a of annulus 13a；
Driven screwed pipe 22 is slidably set on the annular groove 21, and driven 22 inner wall of screwed pipe is equipped with and limit
Position sliding slot 21a mating limit inserted block 22a；
Active screwed pipe 23, is screwed onto 22 outer circumferential walls of driven screwed pipe, and 23 outer wall of active screwed pipe is circumferentially evenly equipped with
Antiskid groove 23a.
Further, the index device 2 further includes being set in the annular overlay film 24 expanded on the outside of annulus 13a, institute
It states annular overlay film 24 and is equipped with anticreep band 24a with the corresponding position fixed groove 13b.
Further, the driven screwed pipe 22 is coated with fluorescence coating, and the active screwed pipe 23, annular overlay film 24 are transparent material
Material is made.
Further, 22 axial length of driven screwed pipe is less than the half of the axial length of the annular groove 21.
Specifically used method:
According to the record (such as Miller anesthesiology the 8th edition) of existing medical information, the left side dual cavity bronchus vessel
The ideal position of blue cuff 15 should be located in left principal bronchus a, under carina of trachea c at about 5mm.
Left side dual cavity bronchus vessel described in the utility model can realize determining for blue cuff 15 by index device 2
Position:
Firstly, being placed in left side dual cavity bronchus vessel described in the utility model after patient's anesthesia induction.
Then, branchofiberoscope is placed in the conduit 14 of right side, confirmation left side conduit is observed by branchofiberoscope
13 enter in left principal bronchus a.
Then, branchofiberoscope is placed in the conduit 13 of left side, adjustment position is assisted by branchofiberoscope observation
It sets, makes 2 position face carina of trachea c of index device, the blue cuff described at this time reaches ideal position: being located at left principal bronchus a
It is interior, under carina of trachea c at about 5mm.
Finally, branchofiberoscope is continued 13 distal end of merging left side conduit, left side conduit 13 distally upper lower lobe is observed
Aperture position can be clearly apparent the opening of upper left leaf and bronchus lobaris inferior sinister, avoid that left side conduit 13 is made to enter lower-left leaf branch
Tracheae simultaneously blocks bronchus lobaris superior sinister.
Further, for the dual cavity bronchus vessel of left side, the driven screwed pipe can also be adjusted described in Fig. 2-4
22 distance relative to blue cuff 15, and then adjust the blue cuff 15 when driven screwed pipe 22 is aligned carina of trachea c and enter a left side
Depth location in main bronchus a:
Rotating the active screwed pipe 23 drives the driven screwed pipe 22 to slide along the limit sliding chutes 21a, and then adjusts institute
State the position of driven screwed pipe 22, adjustment when the driven screwed pipe 22 is aligned with the carina of trachea c the blue cuff 15 into
Enter the depth location in left principal bronchus a, to adapt to the patient of all ages and classes, different building shape.
Further, frictional force of the antiskid groove 23a to increase by 23 outer circumferential walls of active screwed pipe, it is convenient
The active screwed pipe 23 is reversed with hand；The annular overlay film 24 is kept away to active screwed pipe 23, driven screwed pipe 22 described in sealing protection
Exempt from tissue fluid entrance；Preferably, the annular overlay film 24 is made of soft parent material, and pinching the annular overlay film 24 can turn round
Turn the active screwed pipe 23 to turn an angle, the annular overlay film 24 resets after loosing one's grip, to continue to reverse active screwed pipe
23。
The technical scope of this item utility model is not limited to the contents of the specification, it is necessary to according to claim model
It encloses to determine its technical scope.
Claims (6)
1. a kind of left side dual cavity bronchus vessel for having index device, it is characterised in that: filled including catheter body (1), graticule
Set (2)；
The catheter body (1) includes conduit outer wall (11), the white cuff (12) being located on the conduit outer wall (11), described
Left side conduit (13), right side conduit (14) are equipped in conduit outer wall (11) parallel, the left side conduit (13) is distally longer than described
Right side conduit (14), the left side conduit (13) are distally equipped with blue cuff (15)；
The index device (2) is located on the left side conduit (13), and the index device (2) is located at the blue cuff (15)
At the 5mm-10mm of proximal end.
2. a kind of left side dual cavity bronchus vessel for having index device according to claim 1, it is characterised in that: described
Index device (2) is annular graticule made of fluorescent material.
3. a kind of left side dual cavity bronchus vessel for having index device according to claim 1, it is characterised in that:
The left side conduit (13), which is located to expand to form at described blue cuff (15) proximal end 5mm-10mm, expands annulus
(13a), it is described to expand the proximal end annulus (13a), be distally separately formed fixed groove (13b)；
The index device (2) includes:
Annular groove (21), be located at it is described expand on annulus (13a) outer wall, annular groove (21) circumferential side wall is equipped with along institute
It states and expands the axially extending limit sliding chutes (21a) of annulus (13a)；
Driven screwed pipe (22), is slidably set on the annular groove (21), driven screwed pipe (22) inner wall be equipped with
The mating limit inserted block (22a) of limit sliding chutes (21a)；
Active screwed pipe (23), is screwed onto driven screwed pipe (22) outer circumferential walls, and active screwed pipe (23) outer wall is circumferentially uniformly distributed
There is antiskid groove (23a).
4. a kind of left side dual cavity bronchus vessel for having index device according to claim 3, it is characterised in that: described
Index device (2) further includes being set in the annular overlay film (24) expanded on the outside of annulus (13a), the annular overlay film (24) with
The fixed groove corresponding position (13b) is equipped with anticreep band (24a).
5. a kind of left side dual cavity bronchus vessel for having index device according to claim 4, it is characterised in that: described
Driven screwed pipe (22) is coated with fluorescence coating, and the active screwed pipe (23), annular overlay film (24) are made of transparent material.
6. a kind of left side dual cavity bronchus vessel for having index device according to claim 5, it is characterised in that: described
Driven screwed pipe (22) axial length is less than the half of the axial length of the annular groove (21).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721811125.8U CN208405663U (en) | 2017-12-22 | 2017-12-22 | A kind of left side dual cavity bronchus vessel having index device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721811125.8U CN208405663U (en) | 2017-12-22 | 2017-12-22 | A kind of left side dual cavity bronchus vessel having index device |
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| Publication Number | Publication Date |
|---|---|
| CN208405663U true CN208405663U (en) | 2019-01-22 |
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ID=65120325
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| Application Number | Title | Priority Date | Filing Date |
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| CN201721811125.8U Active CN208405663U (en) | 2017-12-22 | 2017-12-22 | A kind of left side dual cavity bronchus vessel having index device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108144174A (en) * | 2017-12-22 | 2018-06-12 | 江哲梅 | A kind of left side dual cavity bronchus vessel |
-
2017
- 2017-12-22 CN CN201721811125.8U patent/CN208405663U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108144174A (en) * | 2017-12-22 | 2018-06-12 | 江哲梅 | A kind of left side dual cavity bronchus vessel |
| CN108144174B (en) * | 2017-12-22 | 2020-08-04 | 滨州职业学院 | Left side two-chamber bronchial tube |
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