CN213641040U

CN213641040U - Visual bushing type plugging device

Info

Publication number: CN213641040U
Application number: CN202021715941.0U
Authority: CN
Inventors: 邬子林
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-08-17
Filing date: 2020-08-17
Publication date: 2021-07-09
Anticipated expiration: 2030-08-17

Abstract

The utility model discloses a visual bushing type plugging device, including endotracheal tube and bronchus plugging device, the last small-size camera of taking the light source that is equipped with of endotracheal tube or bronchus plugging device, endotracheal tube includes the person in charge of single chamber and fixes the T-shaped pipe in being responsible for the upper end, the T-shaped pipe includes mutually perpendicular takeover and screwed pipe, be responsible for the lower part and be equipped with main cuff, the upper portion has corresponding first inflation interface, bronchus plugging device includes can insert the endotracheal tube in being responsible for from the takeover, the lower part of bronchus pipe is equipped with the cuff, the upper portion has corresponding second inflation interface, the upper end of bronchus pipe is fixed with external tapping, the top cover that bronchus pipe is located the cuff is equipped with the silica gel cap that can cover tightly on the mouth of takeover, the below that is located the cuff on the bronchus pipe is connected with the nylon rope, the nylon rope passes between silica gel cap and the bronchus pipe, need, effectively reduce the external diameter of being responsible for, reduce the damage to the air flue.

Description

Visual bushing type plugging device

[ technical field ] A method for producing a semiconductor device

The utility model relates to a visual bushing type plugging device.

[ background of the invention ]

The bronchus stopper has very wide application in the chest surgery airway management single lung ventilation, and the two lungs are respectively ventilated or blocked, and the bronchus stopper has the use values of single lung ventilation in the chest opening surgery, good lung atrophy provision, selective blocking of the whole lung and the lung lobes, improvement of hypoxia blood in the surgery and the like in clinic. The common bronchial occluder and the tracheal catheter are integrally formed, namely, the double-cavity bronchial catheter is internally provided with two formed cavities, the lower port of one cavity is high, the lower port of the other cavity is low, a section of bronchial catheter with smaller radius is formed between the two lower ports, the bronchial catheter is provided with a bronchial occlusion cuff, and the tracheal occlusion cuff is arranged at the lower end of the tracheal catheter and above the lower ports of the two cavities. Because the double cavities are arranged in the double-cavity bronchial catheter, the diameter of the catheter is larger, the difficulty of the tracheal intubation is increased more than that of a single-cavity tracheal catheter, and the damage to the trachea is larger. Therefore, the novel bronchial occluder comes from the beginning, namely the novel bronchial occluder is placed in a bronchus on the basis of a common tracheal cannula, and the occlusion effect of the double-cavity bronchial catheter can be realized after the bronchial occlusion cuff is inflated. However, the difficulty of the operation is how to accurately place the bronchial occlusion device into the corresponding bronchus and successfully achieve the occlusion effect. The existing common operation mode is that the insertion and the positioning are guided in a visualized way through a bronchofiberscope in the whole process, but the operation is inconvenient and the Tampar angle is an angle close to the anatomy; but also the use of bronchofiberscopes causes the endotracheal tube to be prone to damage the airway to some extent.

The utility model discloses just design based on above condition.

[ Utility model ] content

The utility model aims to solve the technical problem that a visual bushing type plugging device that simple structure, convenient operation, little, the change of air flue damage is accepted in clinician is provided.

The utility model discloses a realize through following technical scheme:

a visual sleeve type plugging device comprises a tracheal catheter and a bronchial plugging device capable of being placed into the tracheal catheter, wherein a small camera with a light source is arranged on the tracheal catheter or the bronchial plugging device, the camera is electrically connected with a connector through a cable, the tracheal catheter comprises a single-cavity main tube and a T-shaped tube, the T-shaped tube comprises a connecting tube which is coaxial with the main tube and is fixed at the upper end of the main tube, and a screwed tube which is vertically connected to the middle part of the connecting tube, a screwed tube interface which is connected with an external oxygen supply device is arranged on the screwed tube, a main sleeve bag for plugging the trachea is arranged at the lower part of the main tube, a first inflation interface which is used for inflating the main sleeve bag is connected to the upper part of the main tube and is positioned below the connecting tube through a pipeline, a tube cap which can cover the mouth of the connecting tube is connected to the upper part of the connecting tube through a soft belt, and the bronchial plugging, the utility model discloses a bronchial catheter, including bronchial catheter, interface, rubber cap, nylon rope, the lower part of bronchial catheter is equipped with the cuff, the upper end of bronchial catheter is fixed with the external tapping that can be connected with external equipment, the below that the upper portion of bronchial catheter is located the external tapping is connected with through the pipeline and is used for giving the inflated second of cuff and aerifys the interface, the top cover that bronchial catheter is located the cuff is equipped with can cover the silica gel cap on the mouth of pipe of takeover tightly, silica gel cap and bronchial catheter sealing connection can follow bronchial catheter and reciprocate under the exogenic action, the below that is located the cuff on the bronchial catheter is connected with the nylon rope, the nylon rope passes from between silica gel cap and the bronchial catheter, and nylon rope upper end is connected with can freely remove and can prevent the nylon rope from.

The visualized sleeve type plugging device comprises two cuffs which are arranged at the lower part of the bronchial catheter at intervals up and down, two second inflation interfaces which are arranged at the lower part of the bronchial catheter and respectively and correspondingly inflate the two cuffs independently, the silica gel cap is positioned above the upper cuff, and the lower end of the nylon rope is connected below the lower cuff.

The visual bushing type plugging device comprises a bushing type plugging device body, wherein a molding aluminum pipe is detachably arranged inside the bushing type plugging device body, the upper end of the molding aluminum pipe is provided with a clamping ring which can be clamped on an external interface to limit the depth of the molding aluminum pipe inserted into the bushing type plugging device body, and when the clamping ring is clamped on the external interface, the lower end of the molding aluminum pipe is inserted into the portion, close to the connecting position of a nylon rope and the bushing type plugging device body, of the bushing type plugging device body and is hidden inside the bushing type plugging device body.

According to the visual sleeve type plugging device, when the small camera is arranged on the bronchial plugging device, the camera is fixed to the lower end of the shaping aluminum pipe, and a cable for connecting the camera and the connector is arranged inside or outside the shaping aluminum pipe.

The visual sleeve type plugging device comprises a small camera, a connector, a cleaning water outlet, a water injection connector, a pipeline and a pipeline, wherein the small camera is arranged on a tracheal catheter, the camera is fixed at the lower part of a main pipe, a cable for connecting the camera and the connector is arranged in the pipe wall of the main pipe, the lower part of the main pipe is arranged below the side of the camera and can transversely spray water to clean the camera, the upper part of the main pipe is connected below the connecting pipe through the pipeline, the water injection connector is used for injecting water, and a channel for communicating the water injection connector and cleaning the water.

The visual sleeve type plugging device is characterized in that the connector is a USB.

The visual sleeve type plugging device is characterized in that the threaded pipe is connected with a cap capable of covering the interface of the threaded pipe through a soft belt.

According to the visual sleeve type plugging device, the middle upper part of the bronchial catheter is provided with scale marks.

According to the visual sleeve type plugging device, the pipe cap and the soft belt are integrally formed by a silica gel material.

According to the visual sleeve type plugging device, the main pipe is made of the silica gel material, and the spiral steel wire is arranged inside the inner wall of the main pipe.

Compared with the prior art, the utility model discloses there is following advantage:

1. the utility model discloses a endotracheal tube only needs to adopt the person in charge and the T nature pipe in single chamber to constitute, and the shutoff of bronchus can be realized to cooperation bronchus occluder, and simple structure can pass through the external display device of connector the camera carries out visual operation, need not to use the clear guide of bronchofiberscope, can effectively reduce the external diameter of being responsible for in the endotracheal tube, reduces to the air flue damage, changes in clinician and accepts.

2. Under the photopic vision guide of a camera with a light source, when the plugging operation is carried out, the nylon rope is used for controlling the bronchial catheter and the built-in shaping aluminum tube to generate the tampa angle effect in the front end shaping process, so that the bending angles of the lower end of the bronchial catheter and the shaping aluminum tube are accurately controlled, and the bronchial catheter and the corresponding cuff are accurately inserted into the corresponding position of the bronchus to be plugged. And the tracheal catheter is also provided with a T-shaped pipe, wherein the connecting pipe is used for inserting the bronchial catheter, and the threaded pipe vertical to the connecting pipe is used for connecting an anesthesia machine or a breathing machine, so that oxygen can be synchronously supplied when the bronchial occluder is placed in the tracheal catheter, and the oxygen deficiency of a patient caused by long-time operation is avoided.

3. After the internal shaping aluminum tube of the bronchial catheter is pulled out, the bronchial catheter is a hollow tube and can be used for sucking phlegm, blood and residual gas and temporarily supplying oxygen or accidentally expanding or ventilating the side lung.

4. The upper and lower double-cuff design of the bronchial catheter can be used as a remedy for strengthening the plugging when the plugging effect of the lower cuff is not good, the bronchial catheter can be inserted into a bit, and then the two cuffs are respectively inflated to plug the bronchial catheter, so that a relatively ideal plugging effect is achieved

5. The bronchial catheter is sleeved with a silica gel cap, after plugging is completed, the silica gel cap can be pulled by hand to cover the port of the connecting pipe, the port of the connecting pipe is sealed, and the bronchial catheter is fixed on the tracheal catheter.

6. When the small-size camera sets up on endotracheal tube, the camera is fixed in the lower part of being responsible for, the lower part of being responsible for is located the side below of camera and is equipped with the washing delivery port that can transversely spray water in order to carry out abluent to the camera, connects external high-pressure water supply equipment through the water injection connector to wash the camera through the horizontal water spray of washing delivery port, eliminate bodily fluids such as sputum of adhesion on it, in order to gain better visual effect.

[ description of the drawings ]

The following detailed description of embodiments of the present invention is provided with reference to the accompanying drawings, in which:

fig. 1 is a schematic structural view of a visual sleeve type plugging device according to the present invention;

fig. 2 is an exploded view of the endotracheal tube of the present invention;

FIG. 3 is a schematic structural view of a bronchial occlusion device;

FIG. 4 is an exploded view of a bronchial occluder with a camera mounted on the endotracheal tube;

fig. 5 is an exploded view of the bronchial occluder with a camera mounted.

[ detailed description ] embodiments

The invention will be further described with reference to the accompanying drawings:

as shown in fig. 1 to 5, a visual sleeve type plugging device comprises a tracheal catheter 10 and a bronchial plugging device 20 which can be placed in the tracheal catheter 10, wherein a small-sized camera 3 with a light source is arranged at the lower end of the tracheal catheter 10 or the bronchial plugging device 20, the camera 3 is electrically connected with a connector 4 through a cable, the connector 4 can adopt a USB, the tracheal catheter 10 comprises a main tube 101 with a single cavity and a T-shaped tube, the T-shaped tube comprises a connecting tube 102 which is coaxial with the main tube 101 and is fixed at the upper end of the main tube 101, and a screwed tube 108 which is vertically connected to the middle part of the connecting tube 102, a screwed tube interface 109 which is connected with an external oxygen supply device is arranged on the screwed tube 108, a main cuff 103 which is used for plugging the trachea is arranged at the lower part of the main tube 101, a first inflation interface 104 which is used for inflating the main cuff 103 is connected to the upper part of the, the upper part of the connecting pipe 102 is connected with a pipe cap 106 which can cover the pipe orifice of the connecting pipe 102 through a soft belt 105, the bronchial stopper 20 comprises a bronchial catheter 201 which can be inserted into the main pipe 101 from the pipe orifice of the connecting pipe 102, the lower part of the bronchial catheter 201 is provided with a cuff 202, the upper end of the bronchial catheter 201 is fixed with an external interface 203 which can be connected with external equipment, the upper part of the bronchial catheter 201, which is positioned below the external interface 203, is connected with a second inflation interface 204 which is used for inflating the cuff 202 through a pipeline, the bronchial catheter 201, which is positioned above the cuff 202, is sleeved with a silica gel cap 205 which can cover the pipe orifice of the connecting pipe 102, the silica gel cap 205 is in sealing connection with the bronchial catheter 201 and can move up and down along the bronchial catheter 201 under the action of external force, the bronchial catheter 201, which is positioned below the cuff 202, is connected with a nylon rope 206, and the nylon rope 206 passes through the space between the silica gel cap 205, and the upper end of the nylon rope 206 is connected with an anti-drop piece 207 which can move freely and can prevent the nylon rope 206 from dropping down from the space between the silica gel cap 205 and the bronchial catheter 201.

In clinical application, the endotracheal tube 10 is inserted into a trachea, the bronchial tube 201 is inserted into the main tube 101, as shown in the embodiment of fig. 3 to 5, a shaping aluminum tube 208 is detachably arranged inside the bronchial tube 201, the upper end of the shaping aluminum tube 208 is provided with a snap ring 209 capable of being clamped on the external port 203 so as to limit the depth of the shaping aluminum tube 208 inserted into the bronchial tube 201, and when the snap ring 209 is clamped on the external port 203, the lower end of the shaping aluminum tube 208 is inserted into a position close to the connection position of the nylon rope 206 and the bronchial tube 201 and hidden inside the bronchial tube 201. After the bronchial tube 201 passes through the lower port of the endotracheal tube 10, the nylon rope 206 can be pulled to bend the lower end of the bronchial tube 201 and the shaping aluminum tube 208 to the bronchial tube which needs to be inserted into one side to form a tanpa angle, and the elastic nylon rope 206 can be used for controlling the bending angle of the lower end of the bronchial tube 201. In the intubation blockage operation, the camera 3 can be used for visual operation by externally connecting a display device through the connector 4, the bronchofiberscope is not needed for visual guidance, the outer diameter of the main pipe 101 in the tracheal catheter 10 can be effectively reduced, the damage to the airway is reduced, and the intubation blockage operation is easier for a clinician to accept.

After the plugging is completed, the shaping aluminum tube 208 can be drawn out from the bronchial tube 201, so that the bronchial tube 201 can suck sputum, blood or residual gas and the like. In addition, a silicone cap 205 may be tightly fitted over the port of the adapter tube 102 to secure the bronchial tube 201 to the endotracheal tube and to seal the port of the adapter tube 102.

The two cuffs 202 are arranged at the lower part of the bronchial catheter 201 at intervals up and down, the two second inflation interfaces 204 are arranged at the lower part of the bronchial catheter 201 and respectively and correspondingly inflate the two cuffs 202 independently, the silica gel cap 205 is positioned above the upper cuff 202, and the lower end of the nylon rope 206 is connected below the lower cuff 202. Through the design of the upper and lower double cuffs, when the lower cuff 202 has poor plugging effect, the bronchial catheter 201 can be inserted into a bit deep as a remedy for strengthening plugging, and then the two cuffs 202 are respectively inflated to plug the bronchus, so that a relatively ideal plugging effect is achieved.

In the embodiment shown in fig. 5, as an installation manner of the camera 3, the small-sized camera 3 is arranged on the bronchial occlusion device 20, specifically, the camera 3 is fixed on the lower end of the shaping aluminum tube 208, the cable connecting the camera 3 and the connector 4 is arranged inside or outside the shaping aluminum tube 208, and when in use, the camera 3, the shaping aluminum tube 208 and the corresponding cable are inserted into the bronchial catheter 201, so as to avoid affecting the operation space of the main tube 101.

As another installation method of the camera 3, as shown in fig. 2, the small-sized camera 3 is installed on the endotracheal tube 10, specifically, the camera 3 is fixed on the lower portion of the main tube 101, the cable connecting the camera 3 and the connector 4 is installed in the tube wall of the main tube 101, the lower portion of the main tube 101 is located below the side of the camera 3 and is provided with a cleaning water outlet 111 capable of spraying water transversely to clean the camera 3, a water injection connector 112 for injecting water is connected to the upper portion of the main tube 101 and below the adapter tube 102 through a tube, and a channel for communicating the water injection connector 112 and the cleaning water outlet 111 is arranged on the tube wall of the main tube 101. Because camera 3 is in the intubate in-process, often can be by the internal bodily fluids such as sputum of patient's adhesion on it, influence the effect of making a video recording, through the external high-pressure water supply equipment of water injection connector 112 to wash camera 3 through the horizontal water spray of washing delivery port 111, remove bodily fluids such as the sputum of adhesion on it, in order to gain better visual effect.

Further, a sealing cap 113 capable of sealing the water injection connection port 112 is connected to the water injection connection port 112 through a soft tape so as to seal the water injection connection port 112 when the water injection connection port 112 is not used.

In order to be able to close the threaded pipe 108 as required for operation, a cap 110 that can cover the threaded pipe connection 109 is connected to the threaded pipe 108 by a soft band.

In order to better control the insertion depth of the bronchial tube, the middle upper part of the bronchial tube 201 is provided with a graduation mark 210 for observing the insertion depth.

The pipe cap 106 and the soft belt 105 are integrally formed by silica gel materials, the structure is simple, the manufacture is convenient, the soft belt 105 can be fastened or stuck and fixed on the upper part of the connecting pipe 102, the pipe cap 106 is taken down when the pipe orifice of the connecting pipe 102 needs to be used, and the pipe cap 106 is covered when the pipe orifice does not need to be used.

In order to maintain the main pipe 101 with certain elasticity and flexibility, the main pipe 101 is made of a silicone material, and a spiral steel wire 107 is disposed inside the inner wall of the main pipe 101 to prevent the main pipe 101 from being broken.

Claims

1. A visual bushing type plugging device which characterized in that: the tracheal catheter comprises a tracheal catheter (10) and a bronchial stopper (20) which can be placed into the tracheal catheter (10), wherein a small camera (3) with a light source is arranged on the tracheal catheter (10) or the bronchial stopper (20), the camera (3) is electrically connected with a connector (4) through a cable, the tracheal catheter (10) comprises a single-cavity main tube (101) and a T-shaped tube, the T-shaped tube comprises a connecting tube (102) which is coaxial with the main tube (101) and fixed at the upper end of the main tube (101) and a screwed tube (108) which is vertically connected to the middle part of the connecting tube (102), a screwed tube interface (109) which is connected with external oxygen supply equipment is arranged on the screwed tube (108), a main cuff (103) for blocking the trachea is arranged at the lower part of the main tube (101), a first inflation interface (104) which is used for inflating the main cuff (103) is connected to the upper part of the main tube (101) and is positioned below the connecting tube (, the upper part of the connecting pipe (102) is connected with a pipe cap (106) capable of covering the pipe orifice of the connecting pipe (102) through a soft belt (105), the bronchus stopper (20) comprises a bronchus catheter (201) capable of being inserted into the main pipe (101) from the pipe orifice of the connecting pipe (102), the lower part of the bronchus catheter (201) is provided with a cuff (202), the upper end of the bronchus catheter (201) is fixed with an external interface (203) capable of being connected with external equipment, the upper part of the bronchus catheter (201) is positioned below the external interface (203) and is connected with a second inflation interface (204) for inflating the cuff (202) through a pipeline, a silica gel cap (205) capable of covering the pipe orifice of the connecting pipe (102) is sleeved above the cuff (202), the silica gel cap (205) is connected with the bronchus catheter (201) in a sealing mode and can move up and down along the bronchus catheter (201) under the action of external force, the lower part of the cuff (202) on the bronchial catheter (201) is connected with a nylon rope (206), the nylon rope (206) penetrates through the space between the silica gel cap (205) and the bronchial catheter (201), and the upper end of the nylon rope (206) is connected with an anti-falling part (207) which can move freely and can prevent the nylon rope (206) from falling down between the silica gel cap (205) and the bronchial catheter (201).

2. The visual cannula occlusion device of claim 1, wherein: the two cuffs (202) are arranged at the lower part of the bronchial catheter (201) at intervals up and down, the two second inflation interfaces (204) are arranged and respectively and correspondingly inflate the two cuffs (202) independently, the silica gel cap (205) is positioned above the upper cuff (202), and the lower end of the nylon rope (206) is connected below the lower cuff (202).

3. The visual cannula occlusion device of claim 1, wherein: the inside detachable of bronchial tube (201) is provided with moulding aluminum pipe (208), thereby the upper end of moulding aluminum pipe (208) is equipped with snap ring (209) that can block on external tapping (203) and restrict the degree of depth that moulding aluminum pipe (208) inserted bronchial tube (201), and when snap ring (209) card was on external tapping (203), the lower extreme of moulding aluminum pipe (208) is inserted and is just hidden in the inside of bronchial tube (201) in the hookup location department that is close to nylon rope (206) and bronchial tube (201).

4. The visual cannula occlusion device of claim 3, wherein: when the small camera (3) is arranged on the bronchus stopper (20), the camera (3) is fixed on the lower end of the shaping aluminum pipe (208), and a cable for connecting the camera (3) and the connector (4) is arranged inside or outside the shaping aluminum pipe (208).

5. The visual cannula occlusion device of claim 1, wherein: work as small-size camera (3) set up on endotracheal tube (10), camera (3) are fixed in the lower part of being responsible for (101), and the cable of connecting camera (3) and connector (4) is established in the pipe wall of being responsible for (101), the side below that the lower part of being responsible for (101) is located camera (3) is equipped with can transversely spray water in order to carry out abluent washing delivery port (111) to camera (3), be responsible for (101) upper portion and be located takeover (102) below and be connected with a water injection connector (112) that is used for the water injection through the pipeline, be equipped with the passageway that communicates water injection connector (112) and wash delivery port (111) on the pipe wall of being responsible for (101).

6. The visual cannula occlusion device of claim 1, wherein: the connector (4) is a USB.

7. The visual cannula occlusion device of claim 1, wherein: the threaded pipe (108) is connected with a cap (110) which can cover the threaded pipe interface (109) through a soft belt.

8. The visual cannula occlusion device of claim 1, wherein: the middle upper part of the bronchial catheter (201) is provided with scale marks (210).

9. The visual cannula occlusion device of claim 1, wherein: the pipe cap (106) and the soft belt (105) are integrally formed by silica gel materials.

10. The visual cannula occlusion device of claim 1, wherein: the main pipe (101) is made of a silica gel material, and a spiral steel wire (107) is arranged inside the inner wall of the main pipe.