CN212090461U - Multi-air-bag double-cavity bronchial catheter - Google Patents
Multi-air-bag double-cavity bronchial catheter Download PDFInfo
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- CN212090461U CN212090461U CN202020051298.XU CN202020051298U CN212090461U CN 212090461 U CN212090461 U CN 212090461U CN 202020051298 U CN202020051298 U CN 202020051298U CN 212090461 U CN212090461 U CN 212090461U
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Abstract
The utility model belongs to the technical field of medical instrument, concretely relates to many gasbags two-chamber endotracheal tube, it has solved the easy problem of being lacerated of main tributary trachea cover bag in the use of two-chamber endotracheal tube. The utility model comprises a left air inlet pipe, a right air inlet pipe, three main branch tracheal cuffs and a bronchial cuff; the upper sections of the left air inlet pipe and the right air inlet pipe are separated from each other, the outer wall of the lower section of the left air inlet pipe and the right air inlet pipe are adhered together, and oblique notches are formed in the bottom ends of the lower sections of the left air inlet pipe and the right air inlet pipe; the three main tracheal cuffs are sequentially sleeved on the lower sections of the left air inlet pipe and the right air inlet pipe from top to bottom; the three main branch tracheal cuffs are respectively communicated with a first inflation valve through a first conduit; the bronchus cuff is sleeved on the right air inlet pipe and is communicated with a second inflation valve through a second conduit. The utility model discloses the risk that greatly reduced main tributary trachea cover bag was scratched improves operation efficiency, reduces the operation risk, reduces patient's medical expense.
Description
Technical Field
The utility model belongs to the technical field of medical instrument, concretely relates to many gasbags two-chamber endotracheal tube.
Background
The single lung ventilation is very important for thoracotomy or thoracoscopic surgery assisted by a television, because the single lung ventilation makes the operation side lung collapse so as to be convenient for exposing the operation field, and the two side lungs are isolated, thereby avoiding the operation side lung secretion or blood from polluting the healthy side lung. Double-lumen tubes (DLTs) are mainly used for unilung ventilation.
When the catheter is inserted into the glottis, particularly when a difficult airway is encountered, repeated intubation is often needed, the situation that the main tracheal cuff of the catheter is easily torn by the teeth of a patient occurs in the process that the catheter goes in and out from the oral cavity, and the catheter is directly scrapped. In addition, due to the particularity of the posture of the thoracic surgery, once the cuff rupture is found after the start of the surgery, it is very difficult to replace the catheter, which causes great troubles to the surgery. Furthermore, the double lumen bronchial tubes are expensive and replacing a new tube increases the medical costs for the patient.
China's utility model patent 201621096608X discloses that the gasbag is prevented hanging broken easy location type right side two-chamber endotracheal tube, this kind of two-chamber endotracheal tube includes two-chamber pipe, two-chamber pipe's lower pot head is equipped with main cuff, main cuff's length is 25 millimeters ~ 30 millimeters, main cuff's both ends tip turns over to main cuff middle bag internal turn-ups respectively, main cuff both ends bond section's length is 5 millimeters, the lower pot head of two-chamber pipe hypomere is equipped with main tributary trachea cuff, main tributary trachea cuff's left side, the right side both sides set up for the slope, the length left side of utricule is 10 millimeters in the middle of the main tributary trachea cuff, the right side is 5 millimeters. This two-chamber bronchial tube is at the in-process that uses, changes the location and can effectually reduce the condition that the utricule is hung up by sharp objects such as tooth or laryngoscope lens in the middle of the main cuff, and the left length of utricule is greater than the length on right side in the middle of the main cuff, can prevent that the gasbag from blockking up right lung upper lobe opening can effectually guarantee again that bronchial tube slippage in the art. However, the glottis-to-carina and bronchial opening distances often have large variations and uncertainties due to the physiological state of the patient, height, age, gender and individual development effects. The risk of the main cuff being scraped by the teeth is not well avoided by controlling the length.
SUMMERY OF THE UTILITY MODEL
The utility model aims to solve the problem that the main branch tracheal cuff is easy to be scratched in the using process of the double-chamber bronchial catheter, and provides a multi-balloon double-chamber bronchial catheter.
The utility model discloses a following technical scheme realizes: a multi-air-bag double-cavity bronchial catheter comprises a left air inlet pipe, a right air inlet pipe, three main branch tracheal cuffs and a bronchial cuff;
the left air inlet pipe and the right air inlet pipe respectively comprise an upper section and a lower section, the upper sections of the left air inlet pipe and the right air inlet pipe are separated from each other, the outer walls of the lower sections of the left air inlet pipe and the right air inlet pipe are adhered together, the lower section of the left air inlet pipe is shorter than the lower section of the right air inlet pipe, and oblique notches are formed in the bottom ends of the lower sections of the left air inlet pipe and the right air inlet;
the three main tracheal cuffs are sequentially sleeved on the lower sections of the left air inlet pipe and the right air inlet pipe from top to bottom, and the upper end and the lower end of the inner side of each main tracheal cuff are respectively bonded on the outer walls of the left air inlet pipe and the right air inlet pipe; the three main branch trachea cuffs are respectively communicated with a first inflation valve used for the corresponding main branch trachea cuffs through first ducts connected with the three main branch trachea cuffs, the first inflation valve is positioned on one side of the top end of the lower section of the left air inlet pipe, and one part of each first duct, which is adjacent to the main branch trachea cuff, is bonded on the outer wall of the left air inlet pipe;
the bronchial cuff is sleeved on the right air inlet pipe, the upper end and the lower end of the inner side of the bronchial cuff are respectively bonded with the outer wall of the right air inlet pipe, the bronchial cuff is lower than the oblique incision of the left air inlet pipe and higher than the oblique incision of the right air inlet pipe, the bronchial cuff is communicated with a second inflation valve through a second conduit, the second inflation valve is located on one side of the top end of the lower section of the right air inlet pipe, and one part, adjacent to the bronchial cuff, of the second conduit is bonded on the outer wall of the right air inlet pipe.
Furthermore, the length of the main tracheal cuff is 10mm, and the bonding length of the two ends of the main tracheal cuff and the left air inlet pipe is 2mm respectively.
Furthermore, the left air inlet pipe, the right air inlet pipe, the first conduit and the second conduit are flexible hoses.
Furthermore, the right air inlet pipe is longer than one section of the left air inlet pipe and is bent.
The utility model discloses compare prior art's beneficial effect:
the single main gasbag of two-chamber bronchial tube intubate in-process is scraped the probability of breaking and is about 10%, and every increases a main gasbag and can make this risk reduce to original 10%, the utility model discloses a 3 less main tributary trachea cover bag can make this risk reduce to 0.1%, and greatly reduced two-chamber bronchial tube improves the operation efficiency at the in-process main tributary trachea cover bag that uses the risk of being lacerated, reduces the operation risk, reduces patient's medical cost.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic diagram of an exemplary application of the present invention;
in the figure: 1-left air inlet pipe, 2-right air inlet pipe, 3-main bronchus cuff, 4-bronchus cuff, 5-first inflation valve, 6-first conduit, 7-second conduit, 8-second inflation valve, 9-main bronchus, 10-right bronchus, 11-left bronchus.
Detailed Description
The embodiments of the present invention will be further explained with reference to the accompanying drawings:
referring to fig. 1, the utility model provides a multi-balloon double-lumen bronchial catheter, which comprises a left air inlet tube 1, a right air inlet tube 2, three main branch tracheal cuffs 3 and a bronchial cuff 4;
the left air inlet pipe 1 and the right air inlet pipe 2 respectively comprise an upper section and a lower section, the upper sections of the left air inlet pipe 1 and the right air inlet pipe 2 are separated from each other, the outer walls of the lower sections of the left air inlet pipe 1 and the right air inlet pipe 2 are adhered together, the lower section of the left air inlet pipe 1 is shorter than the lower section of the right air inlet pipe 2, and oblique notches are formed in the bottom ends of the lower sections of the left air inlet pipe 1 and the right air inlet pipe;
the three main tracheal cuffs 3 are sequentially sleeved on the lower sections of the left air inlet pipe 1 and the right air inlet pipe 2 from top to bottom, and the upper end and the lower end of the inner side of each main tracheal cuff 3 are respectively bonded on the outer walls of the left air inlet pipe 1 and the right air inlet pipe 2; the three main branch trachea cuffs 3 are respectively communicated with a first inflation valve 5 which is used in a corresponding way through a first conduit 6 which is connected with each main branch trachea cuff 3, the first inflation valve 5 is positioned on one side of the top end of the lower section of the left air inlet pipe 1, and one part of the first conduit 6, which is adjacent to the main branch trachea cuff 3, is bonded on the outer wall of the left air inlet pipe 1;
the utility model discloses a trachea cannula, including right intake pipe 2, bronchus cuff 4, the slant incision of bronchus cuff 4 inboard is higher than the slant incision of right intake pipe 2, bronchus cuff 4 has second inflation valve 8 through second pipe 7 intercommunication, second inflation valve 8 is located one side on 2 hypomere tops of right intake pipe, the partly bonding in the outer wall of right intake pipe 2 of the adjacent bronchus cuff 4 of second pipe 7.
The length of the main tracheal cuff 3 is 10mm, and the bonding length of the two ends of the main tracheal cuff 3 and the left air inlet pipe 1 is 2mm respectively.
The left air inlet pipe 1, the right air inlet pipe 2, the first conduit 6 and the second conduit 7 are all flexible hoses.
The right air inlet pipe 2 is longer than one section of the left air inlet pipe 1 and is arranged in a bending mode.
The top ends of the upper sections of the left air inlet pipe 1 and the right air inlet pipe 2 are communicated with the air tank through Y-shaped joints.
The utility model discloses an application example, as shown in FIG. 2:
1. firstly, the double-cavity bronchial catheter is guided by an auxiliary tool to enter a main bronchus 9 and a bronchus of a patient along the oral cavity and the throat, so that the main bronchus cuff 3 is arranged in the main bronchus 9 of the patient; the bronchus cuff 4 is arranged in the right bronchus 10 of the patient, and the oblique incision of the right air inlet pipe 2 directly supplies oxygen to the upper lobe opening of the right lung and the middle and lower lobes of the right lung; the oblique incision of the left air inlet pipe 1 just faces the opening of the left bronchus 11;
2. then, inflating the corresponding main bronchus cuff 3 through one of the first inflation valves to enable the main bronchus cuff 3 to be tightly attached to the inner wall of a main bronchus 9 of a patient, inflating the bronchus cuff 4 through the second inflation valve to enable the bronchus cuff 4 to be tightly attached to the inner wall of a right bronchus 10 of the patient, communicating the top ends of the upper sections of the left air inlet pipe 1 and the right air inlet pipe 2 with the air tank through a Y-shaped joint, and ventilating and supplying oxygen to the patient from the top ends of the left air inlet pipe 1 and the right air inlet;
3. the operation is started.
The single main gasbag of two-chamber bronchial tube intubate in-process is scraped the probability of breaking and is about 10%, and every increases a main gasbag and can make this risk reduce to original 10%, the utility model discloses a 3 less main tributary trachea cover bag can make this risk reduce to 0.1%, and greatly reduced two-chamber bronchial tube improves the operation efficiency at the in-process main tributary trachea cover bag that uses the risk of being lacerated, reduces the operation risk, reduces patient's medical cost.
Claims (4)
1. A multi-balloon double-cavity bronchial catheter is characterized in that: comprises a left air inlet pipe (1), a right air inlet pipe (2), three main bronchus cuffs (3) and a bronchus cuff (4);
the left air inlet pipe (1) and the right air inlet pipe (2) respectively comprise an upper section and a lower section, the upper sections of the left air inlet pipe (1) and the right air inlet pipe (2) are separated from each other, the outer walls of the lower sections of the left air inlet pipe (1) and the right air inlet pipe (2) are adhered together, the lower section of the left air inlet pipe (1) is shorter than the lower section of the right air inlet pipe (2), and oblique notches are formed in the bottom ends of the lower sections of the left air inlet pipe (1) and the right air inlet pipe (2);
the three main tracheal cuffs (3) are sequentially sleeved on the lower sections of the left air inlet pipe (1) and the right air inlet pipe (2) from top to bottom, and the upper end and the lower end of the inner side of each main tracheal cuff (3) are respectively bonded on the outer walls of the left air inlet pipe (1) and the right air inlet pipe (2); the three main branch tracheal cuffs (3) are respectively communicated with a first inflation valve (5) which is used in pairs through a first conduit (6) which is connected with the three main branch tracheal cuffs, the first inflation valve (5) is positioned on one side of the top end of the lower section of the left air inlet pipe (1), and one part of the first conduit (6) which is adjacent to the main branch tracheal cuff (3) is bonded on the outer wall of the left air inlet pipe (1);
on right intake pipe (2) is located to bronchus cover bag (4), the upper and lower both ends of bronchus cover bag (4) inboard bond with the outer wall of right intake pipe (2) respectively, bronchus cover bag (4) are less than the slant incision of left intake pipe (1) and are higher than the slant incision of right intake pipe (2), bronchus cover bag (4) have second inflation valve (8) through second pipe (7) intercommunication, second inflation valve (8) are located one side on right intake pipe (2) hypomere top, the partly bonding in the outer wall of right intake pipe (2) of neighbouring bronchus cover bag (4) of second pipe (7).
2. The multi-balloon dual lumen bronchial catheter of claim 1, wherein: the length of the main tracheal cuff (3) is 10mm, and the bonding length of the two ends of the main tracheal cuff (3) and the left air inlet pipe (1) is 2mm respectively.
3. A multi-balloon dual lumen bronchial catheter as in claim 1 or 2, wherein: the left air inlet pipe (1), the right air inlet pipe (2), the first conduit (6) and the second conduit (7) are all flexible hoses.
4. The multi-balloon dual lumen bronchial catheter of claim 3, wherein: the right air inlet pipe (2) is longer than one section of the left air inlet pipe (1) and is arranged in a bending mode.
Priority Applications (1)
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CN202020051298.XU CN212090461U (en) | 2020-01-10 | 2020-01-10 | Multi-air-bag double-cavity bronchial catheter |
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CN202020051298.XU CN212090461U (en) | 2020-01-10 | 2020-01-10 | Multi-air-bag double-cavity bronchial catheter |
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