CN213077215U

CN213077215U - Multifunctional joint for integrated bronchoscope diagnosis and treatment

Info

Publication number: CN213077215U
Application number: CN202020338356.7U
Authority: CN
Inventors: 祁宾; 张志捷
Original assignee: Huaian No 1 Peoples Hospital
Current assignee: Huaian No 1 Peoples Hospital
Priority date: 2020-03-18
Filing date: 2020-03-18
Publication date: 2021-04-30
Anticipated expiration: 2030-03-18

Abstract

The utility model discloses a multi-functional joint is diagnose to integration bronchoscope, it is including connecting main part (1), the lubricating body and folding flexible lag (2), it is cross rigid plastic pipe to connect main part (1), the below that connects main part (1) is interface (3) No. one, the both sides that connect main part (1) are interface (4) No. two and interface (5) No. three, sealed lid (7) can be dismantled in the installation on interface (4) No. two and interface (5) No. three, the top that connects main part (1) is interface (6) No. four, install the lubricating body on interface (6) No. four, connect folding flexible lag (2) on the lubricating body, wholly constitute the multi-functional joint of diagnosing of integration bronchoscope. The utility model discloses the integrated design, rational in infrastructure, low cost, simple to operate, the processing ease reduces the invalid chamber of air flue machinery, reduces painless bronchoscope and diagnoses the risk of anesthesia, improves the anesthesia security.

Description

Multifunctional joint for integrated bronchoscope diagnosis and treatment

Technical Field

The utility model relates to a medical treatment auxiliary instrument, concretely relates to integration multifunctional joint who uses in bronchoscope diagnoses.

Background

In the general anesthesia implementation process of painless bronchoscope diagnosis and treatment, a connecting pipe is required to be connected with a laryngeal mask and an anesthesia machine breathing loop to maintain mechanical ventilation or auxiliary respiration of a patient, and meanwhile, an elastic sealing opening through which an bronchoscope can pass is reserved on the connecting pipe. Currently, most of the takeover is self-made by anesthetists. The self-made connecting pipe enables the anesthesia airway to be complex in management and operation, poor in connection tightness and poor in reliability in the using process, and due to the fact that the connection is too long, the mechanical invalid cavity of the airway is increased, and the risk of painless bronchoscope diagnosis and treatment anesthesia is greatly increased. In the bronchoscope diagnosis and treatment process under a non-anesthesia state, the airway is shared by the operation of the bronchoscope body and the respiration of a patient, so that the condition that a plurality of tools such as an oxygen inhalation nasal catheter, a breathing mask and a mouth cushion are shared easily occurs, and the diagnosis and treatment operation even needs to be interrupted when the patient is in oxygen deficiency, thereby increasing the complexity and the danger of clinical work; in addition, in the process of diagnosis and treatment and lubrication of the bronchoscope, the disinfected inserting part of the bronchoscope body is likely to be in contact with external polluted objects again, and certain cross infection risks exist.

Disclosure of Invention

The utility model aims to provide a: the multifunctional joint is designed for integrated bronchoscope diagnosis and treatment, solves the problem of interface of airway management in bronchoscope diagnosis and treatment and general anesthesia, and has multiple functions of lubrication, mouth pad, scope body protection and the like simultaneously so as to meet clinical requirements.

The purpose of the utility model is achieved by adopting the following technical scheme: this integration multifunctional joint is including connecting main part, the lubricating body and folding flexible lag, connects the main part and is cross pipe, and the below that connects the main part is the interface No. one, and the both sides that connect the main part are No. two interfaces and No. three interfaces, and sealed lid can be dismantled in the installation on No. two interfaces and No. three interfaces, and the top that connects the main part is No. four interfaces, installs the lubricating body on No. four interfaces, connects folding flexible lag on the lubricating body, wholly constitutes integration bronchoscope and diagnoses multifunctional joint.

Furthermore, the lower part of the first interface is provided with an international standard interface which can be connected with artificial airway tools such as a laryngeal mask, a tracheal tube, an anesthetic breathing mask and the like, and the external diameter of the international standard interface is 22mm, and the internal diameter of the international standard interface is 15 mm.

Furthermore, the upper part of the first interface is designed with a rectangular occlusion part which is used as an oral pad when not connected with an artificial airway tool.

Furthermore, the second interface and the third interface are respectively two international standard interfaces which are connected with the breathing circuit interface, and the outer diameter of the second interface and the outer diameter of the third interface are 15 mm.

Furthermore, the detachable sealing cover of the second connector is provided with an oxygen supply pipe connector with a sealing cover.

Furthermore, a standard gas sampling interface with a spiral sealing cover is designed on the detachable sealing cover of the third interface.

Furthermore, fixing belts are arranged below the second connector and the third connector which are positioned on two sides of the connector main body.

Furthermore, the lubricating body comprises a soft silica gel sleeve and an elastic sponge body, the elastic sponge body soaked with sterile lubricating liquid is placed in the soft silica gel sleeve, and the center of the elastic sponge body is provided with a longitudinal duct gas supply tube endoscope body inserting part for passing through and lubricating simultaneously.

Furthermore, an elastic silica gel sealing ring with a telescopic hole in the center is arranged at the joint of the joint main body and the lubricating body, an elastic silica gel sealing ring with a telescopic hole in the center is also arranged at the joint of the lubricating body and the folding telescopic protective sleeve, and an elastic silica gel sealing ring with a telescopic hole in the center is arranged at the tail end of the folding telescopic protective sleeve.

Furthermore, the center of the elastic silica gel sealing ring is provided with holes with different telescopic inner diameters, and the center holes are in a closed state to keep air tightness when the air tube-free mirror body penetrates into the air tube-free mirror body; when the bronchoscope body is inserted, the air tightness is kept through the elastic pore contraction.

Furthermore, the soft silica gel sleeve of the lubricating body is integrated upwards to extend into a folding telescopic protective sleeve.

The utility model has the advantages of it is following:

1. the integrated design, rational in infrastructure, low cost, simple to operate, the processing ease reduces the device and connects the complicated invalid chamber increase of air flue machinery that causes, greatly reduced painless bronchoscope and diagnose anesthesia's risk, improve the anesthesia security.

2. The soft silica gel sleeve of the lubricating body is internally provided with an elastic sponge body soaked with sterile lubricating liquid, the center of the elastic sponge body is provided with a longitudinal duct air supply bronchoscope body to pass through, and the soft silica gel sleeve is extruded to liberate the sterile lubricating liquid in the elastic sponge body to lubricate the bronchoscope body insertion part, so that the operation convenience and the comfort level of an operator are improved.

3. The upper part of the first interface is provided with an international standard interface which can be connected with artificial airway tools such as a laryngeal mask, a tracheal tube, an anesthetic breathing mask and the like, and the breathing control, the auxiliary breathing and the high oxygen concentration spontaneous breathing are realized by connecting different facilities; the lower part is designed with a rectangular occlusion part which is used as a mouth pad when not connected with an artificial airway tool, and the use is flexible.

4. The detachable sealing cover of the second connector is provided with an oxygen supply pipe connector with a sealing cover, and the detachable sealing cover of the third connector is provided with a standard gas sampling connector with a spiral sealing cover, so that the use diversity is met.

5. The connector main part is located the below of No. two interfaces and No. three interfaces of both sides and is equipped with the fixed band, wears the reliability height.

6. Different flexible internal diameter holes are designed in the center of the elastic silica gel sealing ring, different models with corresponding flexible internal diameter hole sealing rings are matched according to the selected outer diameter of the insertion part of the bronchoscope body in the clinical practical application process, the airtightness in the air passage loop is maintained to the maximum extent, so that the inhalation anesthetic can be safely and pollution-free applied to general anesthesia of the painless bronchoscope, and meanwhile, the smooth operation of the bronchoscope can be kept.

7. In the operation process, the bronchoscope body insertion part is wrapped in the folding telescopic protective sleeve all the time when being outside the patient body, so that the possibility that the bronchoscope body insertion part is contacted with external polluted objects again is avoided, and the risk of cross infection between doctors and patients is reduced.

Drawings

Fig. 1 is a schematic structural view of the present invention;

in the figure: the flexible oxygen supply pipe comprises a joint main body 1, a folding telescopic protective sleeve 2, a first connector 3, a second connector 4, a third connector 5, a fourth connector 6, a detachable sealing cover 7, an oxygen supply pipe connector 8, a standard gas sampling connector 9, a fixing belt 10, a soft silica gel sleeve 11, an elastic sponge body 12, a longitudinal hole 13, an elastic silica gel sealing ring 14, an inner diameter hole 15 and an occlusion part 16.

Detailed Description

The technical solution of the present invention is further explained below with reference to the drawings and examples.

As shown in fig. 1, this integration multifunctional joint is including connecting main part 1, the lubricating body and folding flexible lag 2, it is the cross four-way rigid plastic pipe to connect main part 1, the below that connects main part 1 is interface 3 No. two, the both sides that connect main part 1 are interface 4 No. two and interface 5 No. three, the sealed lid 7 can be dismantled in the installation on interface 4 No. two and interface 5 No. three, the top that connects main part 1 is interface 6 No. four, install the lubricating body on interface 6 No. four, connect folding flexible lag 2 on the lubricating body, wholly constitute integration bronchoscope and diagnose multifunctional joint.

Furthermore, the lower part of the first interface 3 is an international standard interface connected with artificial airway tools such as a laryngeal mask, a tracheal tube, a mask breathing mask and the like, and the outer diameter of the international standard interface is 22mm, and the inner diameter of the international standard interface is 15 mm.

Further, the first mouthpiece 3 is provided with a rectangular engaging portion 16, which serves as a mouthpiece when not connected to the artificial airway tool.

Furthermore, the second interface 4 and the third interface 5 are two international standard interfaces with interfaces for connecting with a breathing circuit, respectively, and the outer diameter thereof is 15 mm.

Furthermore, the detachable sealing cover of the second connector 4 is provided with an oxygen supply pipe connector 8 with a sealing cover.

Furthermore, the detachable sealing cover of the third interface 5 is designed with a standard gas sampling interface 9 with a spiral sealing cover.

Furthermore, the fixing belts 10 are arranged below the second connector 4 and the third connector 5 which are arranged on the two sides of the joint body.

Furthermore, the lubricating body comprises a soft silica gel sleeve 11 and an elastic sponge body 12, the elastic sponge body 12 soaked with sterile lubricating liquid is placed in the soft silica gel sleeve 11, and the center of the elastic sponge body 12 is provided with a longitudinal hole 13 for passing through the endoscope body insertion part and simultaneously lubricating.

Furthermore, an elastic silica gel sealing ring 14 with a telescopic hole at the center is arranged at the joint of the joint main body 1 and the lubricating body, an elastic silica gel sealing ring with a telescopic hole at the center is also arranged at the joint of the lubricating body and the folding telescopic protection sleeve 2, and an elastic silica gel sealing ring with a telescopic hole at the center is arranged at the tail end of the folding telescopic protection sleeve 2.

Furthermore, the center of the elastic silica gel sealing ring 14 is designed with holes 15 with different telescopic inner diameters, and the center holes are in a closed state to keep air tightness when the air tube-free mirror body penetrates; when the bronchoscope body is inserted, the air tightness is kept through the elastic pore contraction.

Furthermore, the soft silicone sleeve 11 of the lubricating body is integrally extended upwards to form the folding telescopic protection sleeve 2.

Example 1, painless bronchoscope general anesthesia procedure: after general anesthesia induction, a patient puts in a laryngeal mask, and a first interface 3 of a connector main body 1 is connected with an interface above the laryngeal mask; the sealing cover of the second connector 4 is opened and is connected with the breathing loop connector of the anesthesia machine, and the controlled breathing under the anesthesia is implemented; meanwhile, the monitoring equipment is connected with a gas sampling interface 9 of the third interface 5 to implement gas monitoring; then, the bronchoscope inserting part enters through an elastic silica gel sealing ring of a far-end folding telescopic protection sleeve 2, and the folding telescopic protection sleeve 2, the elastic sponge body 12, the upper elastic silica gel sealing ring, the lower elastic silica gel sealing ring and the joint main body 1 enter the laryngeal mask and further enter the air passage for diagnosis and treatment; in the operation process, if the inserted part of the bronchoscope needs to be lubricated, the soft silica gel sleeve 11 is directly kneaded to release the sterile lubricating liquid in the elastic sponge body 12 to lubricate the bronchoscope body.

Example 2, during general anesthesia with a painless bronchoscope: the patient puts into the laryngeal mask under the general anesthesia that keeps spontaneous breathing according to the state of an illness needs, will connect the main part and be connected with laryngeal mask top interface, opens the sealed lid of No. three interfaces, simultaneously with the oxygen interface of plugging into of oxygen supply pipe, adjusts the oxygen flow, realizes low carbon dioxide and accumulates autonomic breathing oxygen suppliment.

Example 3, during general anesthesia with a painless bronchoscope: according to the requirements of the patient, a laryngeal mask is placed under general anesthesia of the patient with the self-breathing reserved, a connector main body is connected with an interface above the laryngeal mask, a sealing cover of a second interface is opened and is connected with a breathing loop of an anesthesia machine, a gas sampling interface is simultaneously connected according to the requirements to carry out gas monitoring and/or adjust an inhalation anesthesia evaporation tank, and a pressure valve of the anesthesia machine is adjusted to ensure the patient to breathe and supply oxygen autonomously or maintain the inhalation general anesthesia of the patient with the self-breathing reserved; if the auxiliary respiration is needed in the operation, the auxiliary respiration can be carried out for the patient through the gas storage respiration bag of the anesthesia machine at any time.

Embodiment 4, in the painless bronchoscope treatment operation process: bronchoscope cooperation apparatus need take out in trachea and this device after carrying tissue or foreign matter, if meet the great unable sealing washer that passes through of volume, when bronchoscope carries tissue or foreign matter to artificial airway or connecting pipe main part in, break away from the interface that connects main part and artificial airway, tissue or foreign matter do not directly carry through the sealing washer and take out.

Embodiment 5, during the operation of bronchoscope diagnosis and treatment: when the patient needs high concentration oxygen uptake of anaesthetic mask, detain the face guard in patient's face, with interface and face guard interface connection, the fixed band is fixed, opens the sealed lid of No. three interfaces, will supply the oxygen pipe to plug into the oxygen interface simultaneously, the adjustment oxygen flow, then implements the bronchoscope through this multi-functional interface and diagnoses.

Embodiment 6, this device are applicable to the operation of diagnosing of ordinary bronchoscope mouth through a mouthful, directly bite the interlock part as oral pad advice patient with an interface, and the fixed band is fixed, diagnoses through this multi-functional interface implementation bronchoscope.

Claims

1. Integration bronchoscope diagnoses multifunctional joint, characterized by: this integration multifunctional joint is including connecting main part (1), the lubricating body and folding flexible lag (2), it is cross-shaped cross pipe to connect main part (1), the below that connects main part (1) is interface (3) No. one, the both sides that connect main part (1) are interface (4) No. two and interface (5) No. three, sealed lid (7) can be dismantled in the installation on interface (4) No. two and interface (5) No. three, the top that connects main part (1) is interface (6) No. four, install the lubricating body on interface (6) No. four, connect folding flexible lag (2) on the lubricating body, wholly constitute integration bronchoscope and diagnose multifunctional joint.

2. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: the lower part of the first interface (3) is an international standard interface connected with artificial airway tools such as a laryngeal mask, a tracheal tube, an anesthetic breathing mask and the like, and the external diameter of the international standard interface is 22mm, and the internal diameter of the international standard interface is 15 mm; the upper part of the first interface (3) is a rectangular occlusion part (16) which is used as an oral pad when not connected with an artificial airway tool.

3. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: the second interface (4) and the third interface (5) are two international standard interfaces which are connected with the breathing circuit interface respectively, and the outer diameter of the interfaces is 15 mm.

4. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: an oxygen supply pipe interface (8) with a sealing cover is designed on the detachable sealing cover of the second interface (4).

5. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: a detachable sealing cover of the third interface (5) is provided with a standard gas sampling interface (9) with a spiral sealing cover.

6. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: the lower part of the second connector (4) and the third connector (5) which are arranged on the two sides of the joint body is provided with a fixing belt (10).

7. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: the lubricating body comprises a soft silica gel sleeve (11) and an elastic sponge body (12), the elastic sponge body (12) soaked with sterile lubricating liquid is placed in the soft silica gel sleeve (11), and the center of the elastic sponge body (12) is provided with a longitudinal hole (13) for the insertion part of the gas supply bronchoscope body to pass through and be lubricated simultaneously.

8. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 1, wherein: connect main part (1) and the handing-over department of the lubricated body to be equipped with elastic silica gel sealing washer (14) that the center has scalable pore, the handing-over department of the lubricated body and folding flexible lag (2) also is equipped with the elastic silica gel sealing washer that the center has scalable pore, the end of folding flexible lag (2) is equipped with the elastic silica gel sealing washer that the center has scalable pore.

9. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 8, wherein: different telescopic inner diameter pores (15) are designed in the center of the elastic silica gel sealing ring (14), and the central pores are in a closed state to keep air tightness when the air tube-free mirror body penetrates into the air tube-free mirror body; when the bronchoscope body is inserted, the air tightness is kept through the elastic pore contraction.

10. The multifunctional joint for integrated bronchoscope diagnosis and treatment according to claim 7, wherein: the soft silica gel sleeve (11) of the lubricating body integrally extends upwards to form a folding telescopic protective sleeve (2).