CN212854296U - Visible right double-cavity bronchial cannula - Google Patents
Visible right double-cavity bronchial cannula Download PDFInfo
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- CN212854296U CN212854296U CN202020703111.XU CN202020703111U CN212854296U CN 212854296 U CN212854296 U CN 212854296U CN 202020703111 U CN202020703111 U CN 202020703111U CN 212854296 U CN212854296 U CN 212854296U
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- cannula
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- 210000003437 trachea Anatomy 0.000 claims abstract description 54
- 210000004072 lung Anatomy 0.000 claims abstract description 31
- 210000000621 bronchi Anatomy 0.000 claims abstract description 24
- 230000000007 visual effect Effects 0.000 claims abstract description 5
- 238000004140 cleaning Methods 0.000 claims description 12
- 238000009423 ventilation Methods 0.000 claims description 12
- 230000008054 signal transmission Effects 0.000 claims description 6
- 238000000576 coating method Methods 0.000 claims description 3
- 230000002209 hydrophobic effect Effects 0.000 claims description 3
- 238000002347 injection Methods 0.000 claims description 3
- 239000007924 injection Substances 0.000 claims description 3
- 238000005498 polishing Methods 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 3
- 239000011248 coating agent Substances 0.000 claims description 2
- 238000002627 tracheal intubation Methods 0.000 abstract description 8
- 238000012544 monitoring process Methods 0.000 description 4
- 206010002091 Anaesthesia Diseases 0.000 description 3
- 230000037005 anaesthesia Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000002955 isolation Methods 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 230000029058 respiratory gaseous exchange Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000007123 Pulmonary Atelectasis Diseases 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 238000006213 oxygenation reaction Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
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Abstract
The utility model relates to a visual right double-cavity bronchial cannula, which comprises a main trachea, wherein a left side bronchial tube and a right side bronchial tube are formed inside the main trachea; the front section of the right bronchial cannula is arranged at the front end of the right bronchial cannula, and a second oblique opening is formed at the front end of the front section of the right bronchial cannula; the left side bronchus intubation rear section and the right side bronchus intubation rear section are respectively arranged at the rear ends of the left side bronchus pipeline and the right side bronchus pipeline; the first cuff and the second cuff are respectively arranged outside the front sections of the main trachea and the right bronchial cannula; the utility model discloses a second sleeve bag adopts S type cover bag, and second slant opening can not shelter from the right lung upper lobe opening of side under the sufficient state of second sleeve bag as right side main tributary trachea blow vent, for the unobstructed space that provides of right lung upper lobe open-ended, and the lower lobe air flue is unobstructed in also can corresponding assurance right lung, guarantees right side main tributary trachea blow vent and right lung upper lobe open-ended accurate counterpoint, overcomes the problem of location difficulty among the prior art.
Description
Technical Field
The utility model relates to a two-chamber trachea cannula especially relates to a visual right side two-chamber trachea cannula.
Background
The medical department needs lung isolation ventilation (single lung ventilation) during thoracic surgery anesthesia, and the lung isolation ventilation is usually realized by using a double-cavity bronchial cannula. When the left lung is ventilated in a single lung, a right double-cavity bronchial cannula needs to be inserted, the front end of the right double-cavity bronchial cannula is generally provided with three openings, namely a left main bronchus vent, a right upper lung lobe vent and a right middle lower lung lobe vent, when the right double-cavity bronchial cannula is inserted, the positions of the right upper lung lobe vent side holes and the right upper lung lobe bronchial openings are difficult to accurately position due to more anatomical variation and large individual difference of the right upper lung lobe bronchus openings, and the upper right lung lobe openings can also be poorly aligned due to the reasons of traction trachea of surgical operation, change of body positions of patients and the like; the factors can cause the upper lobe of the right lung to be poor in ventilation, so that the left lung collapses, the right lung is poor in oxygenation of the whole body when being ventilated, the blood oxygen saturation is reduced, and the ventilation resistance is increased; therefore, the anesthesia and respiration management difficulty is increased (the bronchofiberscope is required to assist in repeatedly adjusting the alignment of the openings of the lumens, adjusting and replacing the respiration mode, interrupting the ventilation of the double lungs and the like), the operation progress of the surgical operation is influenced, and the anesthesia risk of the operation is increased. Even the most experienced medical team, how to accurately align the position of the right superior pulmonary lobe ventilation side hole with the right superior pulmonary lobe bronchial opening, and at the same time, ensure that the left main bronchial ventilation hole is aligned with the left main bronchus is a challenging clinical problem.
Disclosure of Invention
In view of the above, it is an object of the present invention to provide a visual right-side dual-lumen bronchial cannula that overcomes the problem of current right-side dual-lumen bronchial cannula positioning difficulties and can provide continuous right-side main branch tracheal airway monitoring during surgery.
In order to achieve the above object, the utility model discloses take following technical scheme, a visual right side two-chamber trachea cannula, including right side two-chamber trachea cannula body, right side two-chamber trachea cannula body includes:
the trachea cannula comprises a main trachea, a left bronchus and a right bronchus which are arranged in parallel, wherein a first inclined opening serving as a vent of the left main bronchus is formed at the front end of the left bronchus, and the first inclined opening is positioned above a carina of the trachea after the trachea cannula;
the front section of the right bronchial cannula is communicated with the front end of the right bronchial tube, a second oblique opening serving as a ventilation port of the right main bronchial tube is formed at the front end of the front section of the right bronchial cannula, the second oblique opening is positioned above or beside an upper right lung lobe opening in the right main bronchial tube under the carina after the cannula is inserted, and the end face of the second oblique opening forms an included angle of 45 degrees with the sagittal plane;
the rear section of the left bronchial cannula is communicated with the rear end of the left bronchial tube;
the right bronchial cannula rear section is communicated with the rear end of the right bronchial tube;
a first cuff disposed outside of the main trachea proximate the first oblique opening;
and the second cuff is arranged outside the front section of the right bronchial cannula close to the second oblique opening and is an S-shaped cuff.
Preferably, the device also comprises a miniature camera, an LED light source and a cleaning port;
the miniature camera is arranged on the inner wall of the front section of the right bronchial cannula, which is positioned in front of the second sleeve bag; the LED light source is arranged on the inner wall of the front section of the right bronchial cannula close to the miniature camera and is used for polishing the miniature camera; the cleaning port is arranged on the inner wall of the front section of the right bronchial cannula and is adjacent to the miniature camera and used for cleaning the miniature camera;
preferably, the miniature camera and the LED light source are connected with an external video interface through signal transmission lines, the front section of the signal transmission lines is embedded in the pipe wall of the right double-cavity bronchial cannula body, the cleaning port is connected with an external water injection interface through a cleaning pipeline, the front section of the cleaning pipeline is embedded in the pipe wall of the right double-cavity bronchial cannula body, and hydrophobic and oleophobic coatings are coated on the outer parts of the miniature camera and the LED light source;
preferably, a left connecting pipe and a right connecting pipe are respectively led out of the main trachea, one end of the left connecting pipe is connected with the first cuff, one end of the right connecting pipe is connected with the second cuff, and the other ends of the left connecting pipe and the right connecting pipe are both connected with pre-filling air bags.
The utility model discloses owing to take above technical scheme, it has following advantage: 1. the right double-cavity bronchial cannula of the utility model comprises a main trachea, a front section of the right bronchial cannula, a rear section of the left bronchial cannula, a rear section of the right bronchial cannula, a first sleeve bag and a second sleeve bag; the left branch trachea and the right branch trachea are arranged in parallel in the main trachea, a first oblique opening is formed at the front end of the left branch trachea, a second oblique opening is formed at the front end of the front section of the right branch trachea cannula, the second cuff is an S-shaped cuff, the second cuff is arranged outside the front section of the right branch trachea cannula close to the second oblique opening, the contact area between the S-shaped cuff and the right main branch trachea is large, the second cuff can be effectively prevented from slipping from the right main branch trachea, the second oblique opening is positioned in front of the second cuff, the upper right lung lobe opening on the side edge can be prevented as far as possible under the filling state of the second cuff, a space is provided for the opening of the upper right lung lobe as far as possible, the lower lobe airway in the right lung can be correspondingly guaranteed, the accurate alignment of the ventilation opening of the right main branch trachea and the upper right lung lobe opening is guaranteed, and the first oblique opening is correspondingly communicated with the left main branch trachea, ensure the smooth air passage of the left main bronchus. Therefore, the right double-cavity bronchial cannula of the utility model can overcome the problem of difficult positioning in the prior art.
2. The utility model discloses still include miniature camera, the LED lamp and wash the mouth, the LED lamp is polished for miniature camera, wash the mouth and wash miniature camera, avoid miniature camera department to haze influence monitoring, miniature camera can last monitoring intubate position in real time during operation duration after intubate in-process and intubate, real-time supervision right side trachea airway in the art live of ventilating, adjust trachea cannula relocate when necessary, can reduce or avoid the use of bronchofiberscope, improve intubate efficiency, the patient of reduction is uncomfortable.
Drawings
Fig. 1 is a schematic structural diagram of the present invention;
fig. 2 is a schematic diagram of the local enlarged structure of the present invention.
Detailed Description
The present invention will be described in detail with reference to the accompanying drawings and examples. It is to be understood, however, that the drawings are provided for a better understanding of the invention and that they are not to be interpreted as limiting the invention.
It should be noted that all the directional indicators (such as the near end, the far end, the front end, the rear end, etc.) in the present embodiment are only used to explain the relative positional relationship, the motion situation, etc. of the components in the general operation posture, that is, the side close to the operator is referred to as the near end or the rear end, and the side far away from the operator is referred to as the far end or the front end; if the operating posture changes, the directional indication changes accordingly.
As shown in fig. 1 and 2, the present invention provides a visible right double-lumen bronchial cannula, which comprises a right double-lumen bronchial cannula body 4;
the right double-cavity bronchial cannula body 4 comprises a main trachea 41, a right bronchial cannula front section 42, a left bronchial cannula rear section 43, a right bronchial cannula rear section 44, a first sleeve 45 and a second sleeve 46; a left branch air duct 411 and a right branch air duct 412 which are arranged in parallel are formed inside the main trachea 41, a first inclined opening serving as a vent of the left main trachea is formed at the front end of the left branch air duct 411, and the first inclined opening is positioned above the carina of the trachea after intubation; the right side bronchus intubation front section 42 is communicated with the front end of the right side bronchus canal 412, the front end of the right side bronchus intubation front section 42 is provided with a second oblique opening which is used as a ventilation port of the right side main bronchus, the second oblique opening is positioned above or beside the upper lobe opening of the right lung in the right main bronchus under the carina after intubation, and the end surface of the second oblique opening forms an included angle of 45 degrees with the sagittal plane (human body); the left bronchial cannula rear section 43 and the right bronchial cannula rear section 44 are respectively communicated with the rear ends of the left bronchial tube 411 and the right bronchial tube 412; a first cuff 45 is provided on the outside of the main air tube 41 adjacent to the first oblique opening; a second cuff 46 is provided on the outside of the right endotracheal tube front section 42 adjacent the second oblique opening, the second cuff 46 being an S-shaped cuff. Compare in conventional circular gasbag, the S type cover bag is great with the tracheal area of contact of right main tributary, can prevent effectively that second cover bag 46 from slipping in the right main tributary trachea, and second slant opening is located the place ahead of second cover bag 46, can be in second cover bag 46 sufficient state down the right lung upper lobe opening that does not shelter from the side as far as possible, for right lung upper lobe open-ended unobstructed space that provides as far as possible, also can be corresponding assurance right lung in the lower lobe air flue unobstructed, first slant opening and the corresponding intercommunication of left main tributary trachea simultaneously, guarantee left main tributary trachea air flue unobstructed, so the utility model discloses a problem of location difficulty among the prior art can be overcome to right side two-chamber trachea cannula.
In the above embodiment, the utility model also includes a micro camera 1, an LED light source 2 and a cleaning opening 3; the miniature camera 1 is arranged on the inner wall of the front section 42 of the right side bronchus intubation, which is positioned in front of the second sleeve 46; the LED light source 2 is arranged on the inner wall of the front section 42 of the right side bronchus insertion tube close to the micro camera 1 and is used for polishing the micro camera 1; the cleaning port 3 is arranged on the inner wall of the front section 42 of the right side bronchus intubation adjacent to the micro camera 1 and is used for cleaning the micro camera 1; miniature camera 1 and LED light source 2 pass through signal transmission line and are connected with outside video ware interface 5, and the anterior segment part of signal transmission line is inlayed and is established in the pipe wall of right side two-chamber trachea cannula body 4, washs mouthful 3 and is connected with outside water injection interface 6 through wasing the pipeline, washs the anterior segment part of pipeline and inlays and locate in the pipe wall of right side two-chamber trachea cannula body 4, and miniature camera 1 and LED light source 2's outside all is scribbled hydrophobic oleophobic coating.
In the above embodiment, the main air tube 41 is led out with the left side connection tube 47 and the right side connection tube 48, respectively, one end of the left side connection tube 47 is connected to the first cuff 45, one end of the right side connection tube 48 is connected to the second cuff 46, and the other ends of the left side connection tube 47 and the right side connection tube 48 are both connected to the pre-filling air bag 7.
The utility model discloses when using, utilize LED light source 2 to polish for miniature camera 1, miniature camera 1 can continuously monitor the intubate position in real time during the operation duration after intubate in-process and the intubate, especially in lung lavage operation and chest operation in-process, monitor the adjacent relation between second sleeve bag 46 in the main tributary trachea of right side and the upper right lung leaf opening, the monitoring upper right lung leaf opening is unobstructed or not, adjust trachea cannula relocating when necessary, realize the live real-time supervision of ventilating in the trachea way of right side branch promptly, can reduce or avoid the use of bronchofiberscope.
Above-mentioned each embodiment only is used for explaining the utility model discloses, wherein the structure of each part, set up position and connected mode etc. all can change to some extent, all are in the utility model discloses equal transform and improvement of going on technical scheme's the basis all should not exclude outside the protection scope of the utility model.
Claims (4)
1. The utility model provides a visual right side two-chamber trachea cannula which characterized in that, includes right side two-chamber trachea cannula body, right side two-chamber trachea cannula body includes:
the trachea cannula comprises a main trachea, a left bronchus and a right bronchus which are arranged in parallel, wherein a first inclined opening serving as a vent of the left main bronchus is formed at the front end of the left bronchus, and the first inclined opening is positioned above a carina of the trachea after the trachea cannula;
the front section of the right bronchial cannula is communicated with the front end of the right bronchial tube, a second oblique opening serving as a ventilation port of the right main bronchial tube is formed at the front end of the front section of the right bronchial cannula, the second oblique opening is positioned above or beside an upper right lung lobe opening in the right main bronchial tube under the carina after the cannula is inserted, and the end face of the second oblique opening forms an included angle of 45 degrees with the sagittal plane;
the rear section of the left bronchial cannula is communicated with the rear end of the left bronchial tube;
the right bronchial cannula rear section is communicated with the rear end of the right bronchial tube;
a first cuff disposed outside of the main trachea proximate the first oblique opening;
and the second cuff is arranged outside the front section of the right bronchial cannula close to the second oblique opening and is an S-shaped cuff.
2. The visible right dual-lumen bronchial cannula of claim 1, wherein:
the device also comprises a miniature camera, an LED light source and a cleaning port;
the miniature camera is arranged on the inner wall of the front section of the right bronchial cannula, which is positioned in front of the second sleeve bag; the LED light source is arranged on the inner wall of the front section of the right bronchial cannula close to the miniature camera and is used for polishing the miniature camera; the cleaning opening is adjacently arranged on the inner wall of the front section of the right bronchial cannula with the miniature camera and is used for cleaning the miniature camera.
3. The visible right dual-lumen bronchial cannula of claim 2, wherein:
miniature camera and LED light source pass through signal transmission line and outside video ware interface connection, signal transmission line's anterior segment part inlays to be established in the pipe wall of right side two-chamber trachea cannula body, wash mouthful through wasing pipeline and outside water injection interface connection, the anterior segment part of wasing the pipeline inlays to be located in the pipe wall of right side two-chamber trachea cannula body, the outside of miniature camera and LED light source has all been scribbled hydrophobic oleophobic coating.
4. The visible right dual-lumen bronchial cannula of claim 1, wherein:
a left connecting pipe and a right connecting pipe are respectively led out of the main trachea, one end of the left connecting pipe is connected with the first cuff, one end of the right connecting pipe is connected with the second cuff, and the other ends of the left connecting pipe and the right connecting pipe are both connected with pre-filling air bags.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020703111.XU CN212854296U (en) | 2020-04-30 | 2020-04-30 | Visible right double-cavity bronchial cannula |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020703111.XU CN212854296U (en) | 2020-04-30 | 2020-04-30 | Visible right double-cavity bronchial cannula |
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| Publication Number | Publication Date |
|---|---|
| CN212854296U true CN212854296U (en) | 2021-04-02 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202020703111.XU Expired - Fee Related CN212854296U (en) | 2020-04-30 | 2020-04-30 | Visible right double-cavity bronchial cannula |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114209916A (en) * | 2022-01-21 | 2022-03-22 | 郑州大学 | Severe pneumonia patient's alveolar lavage ware |
-
2020
- 2020-04-30 CN CN202020703111.XU patent/CN212854296U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114209916A (en) * | 2022-01-21 | 2022-03-22 | 郑州大学 | Severe pneumonia patient's alveolar lavage ware |
| CN114209916B (en) * | 2022-01-21 | 2024-01-16 | 郑州大学 | Alveolar lavage device for severe pneumonia patient |
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| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20210402 |
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| CF01 | Termination of patent right due to non-payment of annual fee |