CN210673962U - Anesthesia breathing pipeline for assisting painless bronchoscope - Google Patents

Anesthesia breathing pipeline for assisting painless bronchoscope Download PDF

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Publication number
CN210673962U
CN210673962U CN201920810983.3U CN201920810983U CN210673962U CN 210673962 U CN210673962 U CN 210673962U CN 201920810983 U CN201920810983 U CN 201920810983U CN 210673962 U CN210673962 U CN 210673962U
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bronchoscope
interface
connecting pipe
assisting
painless
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CN201920810983.3U
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刘佳育
张力
生红梅
张明娜
张伟
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TIANJIN CHEST HOSPITAL
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TIANJIN CHEST HOSPITAL
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Abstract

The utility model discloses an anesthesia breathing pipeline for assisting a painless bronchoscope, which comprises a transverse connecting pipe and a vertical spiral telescopic pipe; the left end of the connecting pipe is connected with a laryngeal mask or a trachea cannula interface in a rotary sealing manner, and the right end of the connecting pipe is provided with a bronchoscope interface; the end part of the bronchoscope interface is provided with a latex cover matched with the inner diameter of the bronchoscope interface; the middle part of the latex cover is provided with a Y-shaped cutting seam, and the joint of the Y-shaped cutting seam is the circle center and is provided with an opening. The device is introduced into the bronchoscope, so that the air leakage at the joint of the Y-shaped lancing is ensured, the aperture at the joint of the Y-shaped lancing is reduced, the passing aperture of the bronchoscope is controlled to the minimum extent, the smoothness of operation is not influenced, the air leakage is reduced better, the tidal volume is ensured, and the possibility of hypoxemia is reduced to the maximum extent; the safety is high, the bronchoscope with different purposes can be replaced at any time when the bronchoscope is operated conveniently, and air leakage at the end of the bronchoscope can be reduced. The double-tool-hole channel is convenient for interventional therapy in an air passage in clinical operation, and multiple tools can be used for interventional therapy operation at the same time.

Description

Anesthesia breathing pipeline for assisting painless bronchoscope
Technical Field
The utility model belongs to the technical field of medical auxiliary instrument technique and specifically relates to a supplementary painless bronchoscope is with anesthesia breathing line is related to.
Background
The painless bronchoscope is more and more widely used in clinic, plays more and more important role in clinical diagnosis and treatment of respiratory system diseases, and has wider and wider application range along with the improvement of the structure and the function of the painless bronchoscope and the deep research on the adaptation disease of the painless bronchoscope.
Some patients with painless bronchoscopes need to be matched with simple respirators or positive pressure ventilation due to poor lung function, complicated bronchoscope operation, long operation time, high bleeding risk and the like, however, the anesthetic breathing pipelines in the prior art have the following defects and shortcomings: first, although the conventional anesthetic breathing tube has an operation port, the conventional anesthetic breathing tube is generally provided with a narrow tube such as a sputum suction tube, and the operation port cannot ventilate a bronchoscope. Secondly, the operation port of the respiratory tube with partial anesthesia is made of silica gel, and the cut part can smoothly pass through a bronchoscope, but the elastic retraction of the silica gel causes large air leakage, insufficient tidal volume and higher oxygen inhalation concentration of a patient during ventilation, sometimes pure oxygen needs to be inhaled to maintain the oxygen partial pressure above 80mmHg and sometimes above 60mmHg, but for disease diagnosis, satisfactory specimens are obtained, the operation time is prolonged, the patient can be continuously in a low oxygen state, and respiratory acidosis occurs. In order to ensure the operation safety, bronchoscopes with different specifications such as operating scopes, fluoroscopes and ultrasonic scopes need to be applied sometimes, so that the air leakage of the operation end of the anesthesia pipeline is further increased.
The prior patent technology is as follows: name, an extension tube for connecting to a laryngeal mask; grant announcement number, CN 208492918U. The following disadvantages exist: the connecting port is provided with a cap, the middle part of the cap is provided with a plug hole and a cross joint slot, and the plug hole is sealed by a sealing plug; when the aperture of the splicing hole is required to be changed, the four parts of the cross-shaped cutting seam are separated, the separation is more, the uncontrollable property of resilience is increased, and the air leakage is increased; the sealing plug and the plug hole cooperation, because the block is whole to be the elastic material, when the plug hole is closed to the postoperative, exert oneself unevenly, when the plug hole is inserted to the sealing plug off-centre, lead to one side edge portion atress on the plug hole to be greater than the opposite side, one side deflection is greater than the opposite side, gap department gas leakage to increase the air leakage volume unintentionally, increase oxygen consumption, the tidal volume weakens.
SUMMERY OF THE UTILITY MODEL
In order to overcome the technical defects, the utility model aims to provide a flexible use and strong versatility; the joint cutting position is ensured to be air-tight, and air leakage cannot be increased; the aperture of the joint of the Y-shaped kerf is reduced, the passing aperture of the bronchoscope is controlled to the minimum limit, the air leakage can be reduced better, the tidal volume is ensured, the possibility of hypoxemia is reduced to the maximum limit, and the consumption of oxygen is reduced; the safety is high, the bronchoscope with different purposes can be conveniently replaced at any time during operation, and the air leakage at the end of the bronchoscope can be reduced; the double-tool channel can be used for simultaneously carrying out interventional therapy operation on the air passage and is used for an anesthesia breathing pipeline for the auxiliary painless bronchoscope.
In order to achieve the above purpose, the utility model discloses a following technical scheme realizes:
the technical scheme is that the anesthesia breathing pipeline for assisting the painless bronchoscope comprises a transverse connecting pipe and a vertical spiral telescopic pipe; the left end of the connecting pipe is rotatably and hermetically connected with a laryngeal mask or a trachea cannula interface, and the right end of the connecting pipe is provided with a bronchoscope interface; the middle part of the connecting pipe is connected with a spiral extension pipe, and the far end of the spiral extension pipe is provided with a ventilation interface; the end part of the bronchoscope interface is provided with a latex cover matched with the inner diameter of the bronchoscope interface; the end part of the bronchoscope interface is provided with a plastic cover which is matched with the outer diameter of the bronchoscope interface and is sealed; the middle part of the latex cover is provided with a Y-shaped cutting seam, and a hole with the diameter of 7mm is formed by taking a joint of the Y-shaped cutting seam as a circle center; the length of each incision in the Y-shaped incision is 2 mm.
Preferably, each of the Y-slits is indexed by 120 °. The inner ring of the plastic cover is sleeved with a sealing ring. The connecting pipe and the spiral extension pipe are connected to form a T-shaped structure with an obtuse included angle. The left end of the connecting pipe and the laryngeal mask or the trachea cannula interface are buckled and rotated inside and outside through a concave-convex structure, and a silica gel sealing ring is arranged in the concave structure.
As optimization, an additional hole is arranged on the pipe body at the right end of the connecting pipe; the additional hole is closed by a silica gel cover; and a second tool hole is formed in the middle of the silica gel cover and is sealed by a silica gel plug. The multi-tool simultaneous operation is convenient for interventional therapy in the air passage in clinical operation.
Compared with the prior art, the beneficial effects of the utility model are that: the device has simple structure and more reasonable design, and when the bronchoscope is introduced, the air leakage at the joint of the bronchoscope is ensured, and the air leakage cannot be increased; the aperture of the joint of the Y-shaped kerf is reduced, the passing aperture of the bronchoscope is controlled to the minimum limit, the operation smoothness is not influenced, the air leakage can be reduced better, the tidal volume is ensured, the possibility of hypoxemia is reduced to the maximum limit, and the consumption of supplied oxygen is reduced; the safety is high, the bronchoscope with different purposes can be replaced at any time when the bronchoscope is operated conveniently, and air leakage at the end of the bronchoscope can be reduced. When the bronchoscope is used as a breathing pipeline, the plastic cover end cover is adopted for sealing, and the sealing performance is better at the bronchoscope interface end. The double-tool-hole channel is convenient for interventional therapy in an air passage in clinical operation, and multiple tools can be used for interventional therapy operation at the same time.
Drawings
The invention will now be described, by way of example, with reference to the accompanying drawings, in which:
fig. 1 is a schematic view of the structure of the present invention.
Fig. 2 is a partial structural view of a portion a in fig. 1.
Fig. 3 is a schematic diagram of the structure of the latex cover on the bronchoscope interface.
Fig. 4 is a partial sectional structural view of a portion B in fig. 1.
The labels in the figure are: the device comprises a connecting pipe 1, a spiral extension pipe 2, a laryngeal mask interface 3, a bronchoscope interface 4, an air vent interface 5, a latex cover 6, a plastic cover 7, a Y-shaped cutting seam 8, a hole 9 and an additional hole 10.
Detailed Description
The present invention will be described in detail with reference to the accompanying drawings.
In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the present invention is further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Embodiment 1, as shown in fig. 1 to 4, the present invention is an anesthetic breathing tube for an assisted painless bronchoscope, the anesthetic breathing tube comprising a horizontal connecting tube 1 and a vertical spiral extension tube 2; the left end of the connecting pipe 1 is rotatably and hermetically connected with a laryngeal mask or a trachea cannula interface 3, and the right end is provided with a bronchoscope interface 4; the middle part of the connecting pipe 1 is connected with a spiral extension pipe 2, and the far end of the spiral extension pipe 2 is provided with a ventilation interface 5; the end part of the bronchoscope interface 4 is provided with a latex cover 6 matched with the inner diameter of the bronchoscope interface; the end part of the bronchoscope interface 4 is provided with a plastic cover 7 which is matched with the outer diameter of the bronchoscope interface and is sealed; the middle part of the latex cover 6 is provided with a Y-shaped cutting seam 8, and a hole 9 with the diameter of 7mm is opened by taking the node of the Y-shaped cutting seam 8 as the center of a circle; the length of each slit in the Y-shaped slits 8 is 2 mm. The inner ring of the plastic cover 7 is sleeved with a sealing ring. Each of the Y-slits 8 is indexed 120 °. The connecting pipe 1 and the spiral extension pipe 2 are connected to form a T-shaped structure with an obtuse included angle. The left end of the connecting pipe 1 and the laryngeal mask or the trachea cannula interface 3 are buckled and rotated inside and outside through a concave-convex structure, and a silica gel sealing ring is arranged in the concave structure.
The main body of the anesthesia breathing pipeline is of a T-like structure and is made of polyvinyl chloride, latex or silica gel material; the left end of the connecting pipe 1 is a laryngeal mask interface or a trachea cannula interface, the length is 35mm, and the inner diameter of the interface is 15 mm; the bronchoscope interface 4 at the right end of the connecting tube 1 is 10mm long. The spiral extension tube 2 is 100mm long before being unfolded and 1600mm long after being unfolded, and is suitable for being connected with a simple respirator and a positive pressure ventilation Y-shaped tube.
Under the normal condition, the plastic cover 7 is hermetically buckled with the bronchoscope interface 4, a breathing machine or a positive pressure ventilation pipe is connected to the ventilation interface 5 at the far end of the spiral extension pipe 2, and oxygen is introduced to ensure normal oxygen inhalation of a patient through a laryngeal mask interface or a trachea cannula interface at the left end of the connecting pipe 1.
When the bronchoscopes with different specifications such as an operating mirror, a fluoroscope and an ultrasonic scope are required to be introduced to drain and suck sputum of a patient, the plastic cover 7 on the bronchoscope interface 4 is opened, oxygen continues to be introduced into the spiral extension tube 2 through the breathing machine or the positive pressure ventilation tube, the bronchoscopes pass through the holes 9 in the middle of the latex cover 6, and corresponding operation is completed on the patient. When the diameter of the hole 9 needs to be changed, the Y-shaped cutting seam on the latex cover 6 divides three parts in the middle of the latex cover 6 into sectors, meanwhile, the length of each cutting seam is 2mm, the separation point when the length of the cutting seam and the hole aperture are changed is shortened, the annular resilience of the hole 9 is improved, and in the process of operation, the cutting seam is ensured to be air-tight, and air leakage cannot be increased; a hole 9 with the diameter of 7mm is formed by taking the node of the Y-shaped cutting seam 8 as the center of a circle, the passing hole diameter of the bronchoscope is arranged at the minimum limit, and the smooth degree of operation is not influenced; therefore, the minimum air leakage can be better ensured, an inner-outer double-layer oxygen blocking channel is formed, and the external leakage of oxygen is reduced to the maximum extent. When not needing the bronchoscope operation, can be with plastic lid 7 manual lock on bronchoscope interface terminal surface, close the clearing hole of bronchoscope, make the device use as breathing circuit, plastic lid 7 has guaranteed not to leak gaseously when using as breathing circuit.
The connecting pipe 1 and the spiral extension pipe 2 are connected to form a T-shaped structure with an included angle of an obtuse angle, and after the left end of the connecting pipe 1 is connected with a laryngeal mask interface or a trachea cannula interface, the bolt extension pipe 2 can be stretched and inclined outwards to be far away from the connecting pipe 1, so that the connection is more convenient to operate. Relative rotation is realized through the inside and outside lock of concave-convex structure to connecting pipe 1 left end and laryngeal mask or trachea cannula interface 3, be equipped with the silica gel sealing washer in the concave structure, laryngeal mask or trachea cannula interface 3 is around connecting pipe 1 left end circumferential direction, insert fixed back at laryngeal mask or trachea, but the adjustable rotation of connecting pipe 1 side circumferential angle, the flexibility and the commonality of increase operation, the silica gel sealing washer in the groove of concave structure, guarantee the sealing of connecting pipe 1 left end and laryngeal mask or trachea cannula interface 3 junction, the leakage of oxygen has been avoided.
The device has simple structure and more reasonable design, and when the bronchoscope is introduced, the air leakage at the joint of the bronchoscope is ensured, and the air leakage cannot be increased; the aperture of the joint of the Y-shaped joint is reduced, the passing aperture of the bronchoscope is controlled to the minimum limit, the air leakage can be reduced better, the tidal volume is ensured, the smooth degree of operation is not influenced, the possibility of hypoxemia is reduced to the maximum limit, and the consumption of supplied oxygen is reduced; the safety is high, the bronchoscope with different purposes can be replaced at any time when the bronchoscope is operated conveniently, and air leakage at the end of the bronchoscope can be reduced. When the bronchoscope is used as a breathing pipeline, the plastic cover end cover is adopted for sealing, and the sealing performance is better at the bronchoscope interface end.
In the embodiment 2, an additional hole 10 is formed in the pipe body at the right end of the connecting pipe 1; the additional hole 10 is closed by a silicone cover; and a second tool hole is formed in the middle of the silica gel cover and is sealed by a silica gel plug. The additional hole 10 is sealed by a silica gel cover, and the silica gel cover is different from the used material of the connecting pipe 1; when the second instrument is introduced to needs, the silica gel stopper is manually opened, the second instrument penetrates from the second instrument hole in the middle of the silica gel cover, the silica gel material of the silica gel cover is soft, the blocking of the second instrument during the penetrating is reduced, the smooth degree of operation is ensured, and the scratch on the surface of the instrument is effectively prevented. The second tool hole is convenient for simultaneous operation of multiple tools during interventional therapy in the air passage in clinical operation. When the second tool does not need to be introduced, the second tool hole is sealed and closed through the silica gel plug, so that air leakage is avoided, and the tidal volume is guaranteed. The opening diameter of the additional hole 10 is typically 5mm and the opening diameter of the second tool hole is typically 2 mm.
The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims (6)

1. The utility model provides an auxiliary painless bronchoscope is with anesthesia breathing circuit which characterized in that: the anesthesia breathing tube comprises a transverse connecting tube (1) and a vertical spiral extension tube (2); the left end of the connecting pipe (1) is rotatably and hermetically connected with a laryngeal mask or a trachea cannula interface (3), and the right end is provided with a bronchoscope interface (4); the middle part of the connecting pipe (1) is connected with a spiral telescopic pipe (2), and the far end of the spiral telescopic pipe (2) is provided with a ventilation interface (5); the end part of the bronchoscope interface (4) is provided with a latex cover (6) matched with the inner diameter of the bronchoscope interface; the end part of the bronchoscope interface (4) is provided with a plastic cover (7) which is matched with the outer diameter of the bronchoscope interface and is sealed;
the middle part of the latex cover (6) is provided with a Y-shaped cutting seam (8), and a hole (9) with the diameter of 7mm is formed by taking the node of the Y-shaped cutting seam (8) as the center of a circle; the length of each cutting slit in the Y-shaped cutting slit (8) is 2 mm.
2. The anesthetic breathing circuit for assisting a painless bronchoscope according to claim 1, characterized in that: the graduation of each cutting slit in the Y-shaped cutting slit (8) is 120 degrees.
3. The anesthetic breathing circuit for assisting a painless bronchoscope according to claim 1, characterized in that: the inner ring of the plastic cover (7) is sleeved with a sealing ring.
4. The anesthetic breathing circuit for assisting a painless bronchoscope according to claim 1, characterized in that: the connecting pipe (1) and the spiral extension pipe (2) are connected to form a T-shaped structure with an obtuse included angle.
5. The anesthetic breathing circuit for assisting a painless bronchoscope according to claim 1, characterized in that: the left end of the connecting pipe (1) and the laryngeal mask or the trachea cannula interface (3) are buckled and rotated inside and outside through a concave-convex structure, and a silica gel sealing ring is arranged in the concave structure.
6. The anesthetic breathing circuit for assisting a painless bronchoscope according to claim 1, characterized in that: an additional hole (10) is formed in the tube body at the right end of the connecting tube (1); the additional hole (10) is closed by a silica gel cover; and a second tool hole is formed in the middle of the silica gel cover and is sealed by a silica gel plug.
CN201920810983.3U 2019-05-31 2019-05-31 Anesthesia breathing pipeline for assisting painless bronchoscope Active CN210673962U (en)

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CN201920810983.3U CN210673962U (en) 2019-05-31 2019-05-31 Anesthesia breathing pipeline for assisting painless bronchoscope

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112945340A (en) * 2021-02-05 2021-06-11 上海建工四建集团有限公司 Connecting piece for air pipe air leakage test and application method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112945340A (en) * 2021-02-05 2021-06-11 上海建工四建集团有限公司 Connecting piece for air pipe air leakage test and application method thereof

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