CN214912442U - Right bronchial catheter with three outer cuffs at two side holes - Google Patents

Right bronchial catheter with three outer cuffs at two side holes Download PDF

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Publication number
CN214912442U
CN214912442U CN202120428835.2U CN202120428835U CN214912442U CN 214912442 U CN214912442 U CN 214912442U CN 202120428835 U CN202120428835 U CN 202120428835U CN 214912442 U CN214912442 U CN 214912442U
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CN
China
Prior art keywords
opening
catheter
outer cuff
suction tube
inflation valve
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Expired - Fee Related
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CN202120428835.2U
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Chinese (zh)
Inventor
肖旭东
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Second Affiliated Hospital Army Medical University
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Second Affiliated Hospital Army Medical University
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Priority to CN202120428835.2U priority Critical patent/CN214912442U/en
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Publication of CN214912442U publication Critical patent/CN214912442U/en
Expired - Fee Related legal-status Critical Current
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Abstract

The utility model provides a two side three outer cuff right branch endotracheal tubes in hole, including the pipe main part, the both sides of pipe main part are provided with the both sides hole, still are provided with in the pipe main part and attract the pipe opening, attract the pipe opening part to be provided with and attract the pipe, still be provided with three outer cuff in the pipe main part. The utility model relates to a two three outer cuff right branch endotracheal tubes in side hole simple structure can realize the lung and keep apart, the operation of being convenient for to and can avoid the secondary intubate to cause the damage to the patient, be favorable to the patient to be recovered.

Description

Right bronchial catheter with three outer cuffs at two side holes
Technical Field
The utility model relates to a right bronchial catheter with three outer cuffs and two side holes.
Background
An anesthesia technique that separates the bilateral pulmonary airway diameters at the bronchial level, called pulmonary isolation, is problematic because of the following problems during thoracic surgical anesthesia: the operation of trachea, bronchus and lung is carried out in the lateral lying position with the affected side upward, after the affected side is opened, the lung is collapsed due to disappearance of negative pressure of the thoracic cavity and the lung is lifted and extruded by the operation, secretion or blood accumulated in the affected side lung is drained to the bronchus and trachea bulge of the healthy side lung, and the secretion and the blood flow into the healthy side bronchus due to gravity factors, so that the healthy side lung is infected and spread, blood clots are blocked, and an airway is blocked. Secondly, during the anesthesia, the mechanical control ventilation is carried out after muscle relaxant is used, generally in an intermittent positive pressure ventilation mode, and the physiological disorder caused by abnormal respiration and mediastinal swing is overcome. However, in the case of bronchial surgery, the bronchus of the patient may be opened, and the patient may not be ventilated by positive pressure due to local air leakage. The chest surgery under the television thoracoscope which is widely developed at present has small wound and quick postoperative recovery, and the lung at the operation side is required to be collapsed during the surgery to observe and operate.
Above-mentioned several circumstances all require only to carry out both sides lung and keep apart and ventilate respectively, can realize: firstly, the healthy side lung is prevented from being polluted by the affected side lung; secondly, when the affected lung and the bronchus are open, the effective ventilation of the healthy lung can be still ensured; the healthy side lung ventilates and the affected side lung collapses, thereby providing clear operation visual field and ensuring the smooth operation of the affected side lung (especially the thoracoscope operation); in addition, different ventilation modes can be performed on the bilateral lungs according to the disease condition and the operation requirement. At present, a double-cavity bronchial catheter is mostly adopted as an appliance for carrying out lung isolation application in thoracic surgery anesthesia.
The prior double-cavity bronchial catheter has the following problems in clinical use:
1. for children or short patients, when the inner diameter of the trachea is thin, the double-lumen bronchial catheter cannot be inserted to realize lung isolation;
2. for patients who have difficulty in mouth opening or can only be intubated through nose and need to be isolated by two lungs, the double-cavity bronchial catheter cannot be intubated to realize lung isolation due to too large pipe diameter and high hardness of the double-cavity bronchial catheter;
3. in addition, the trachea inner diameter and the throat or glottis stenosis are not only considered during intubation, and the dual-cavity bronchial catheter is easy to damage the throat or the glottis due to too large tube diameter and high hardness; 4. after the double-cavity bronchial operation, part of patients still need to be supported and treated by a breathing machine for a period of time, and in order to improve the comfort of the patients and reduce the damage of the air passage, the single-cavity bronchial catheter needs to be replaced, so that one invasive operation is added, and the medical expense is also increased.
SUMMERY OF THE UTILITY MODEL
The utility model provides a two three outer cuff right branch endotracheal tubes in side hole can't realize among the solution prior art that the lung is kept apart, the intubate is changed to the technical problem that the intubate caused the damage to patient's air flue.
A double sided ostia three outer cuff right bronchial catheter comprising: the catheter body, the catheter body sets up to encircle by the pipe wall and forms, and its inside is formed with the cavity, and its top is provided with breathing circuit interface, and the bottom is provided with catheter point end opening, the first side opening that switches on rather than inside cavity has been seted up respectively to the pipe wall both sides of catheter body, the second side opening, and first side opening and second side opening set up in the different height departments of catheter body pipe wall along the length direction of catheter body, still are provided with the suction tube opening rather than the cavity opening that switches on the pipe wall of catheter body, the suction tube opening sets up between first side opening and second side opening, still is provided with the suction tube in the catheter body, suction tube one end sets up in the suction tube opening part, and the other end is provided with suction tube sealing head, has set gradually first outer cuff, second outer, third outer cuff along its length direction in the catheter body, and first overcoat bag passes through first gas tube and links to each other with first inflation valve, the second outer cuff is connected with a second inflation valve through a second inflation tube, the third outer cuff is connected with a third inflation valve through a third inflation tube, the first outer cuff is arranged above the first side hole, the second outer cuff is arranged between the opening of the suction tube and the first side hole, and the third outer cuff is arranged below the opening of the suction tube and above the opening of the tip end of the catheter.
Preferably, the suction tube, the first inflation valve, the second inflation valve and the third inflation valve are all arranged in the tube wall.
Preferably, the first side hole is disposed above the second side hole.
Preferably, the first inflation valve, the second inflation valve and the third inflation valve are all one-way inflation valves.
Preferably, the third outer cuff is disposed between the suction tube opening and the second side aperture.
The utility model relates to a two three outer cuff right branch endotracheal tubes in side hole simple structure can realize the lung and keep apart, the operation of being convenient for to and can avoid the secondary intubate to cause the damage to the patient, be favorable to the patient to be recovered.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic view of a right bronchial catheter with three outer cuffs and two side holes according to the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the drawings in the embodiments of the present invention will be connected below to clearly and completely describe the technical solutions in the embodiments of the present invention, and obviously, the described embodiments are some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
As shown in fig. 1, the right bronchial catheter with three outer cuffs on two sides of the utility model comprises: the catheter comprises a catheter main body 2, the catheter main body 2 is formed by surrounding a catheter wall, a hollow cavity is formed in the catheter main body, a breathing circuit interface 1 is arranged at the top of the catheter main body, a catheter tip opening 5 is arranged at the bottom of the catheter main body, so oxygen can enter the catheter main body 2 from the breathing circuit interface 1 and is led out from the catheter tip opening 5, a first side hole 3 and a second side hole 4 which are communicated with the hollow cavity in the catheter main body 2 are respectively arranged at two sides of the catheter wall of the catheter main body 2, the first side hole 3 and the second side hole 4 are respectively arranged at different heights of the catheter wall of the catheter main body 2 along the length direction of the catheter main body 2 (the direction from the breathing circuit interface 1 to the catheter tip opening 5), specifically, the first side hole 3 is arranged above the second side hole 4, a suction tube opening 7 which is communicated with the hollow cavity in the catheter main body 2 is also arranged on the catheter wall of the catheter main body 2, specifically, the suction tube opening 7 is arranged between the first side hole 3 and the second side hole 4 along the length direction of the catheter main body 2, the catheter main body 2 is also provided with a suction tube 6, one end of the suction tube 6 is arranged at the opening 7 of the suction tube, the other end is provided with a suction tube sealing head 6.1 for sealing the suction tube 6, the catheter main body 2 is sequentially provided with a first outer cuff 8 and a second outer cuff 9 along the length direction, the first outer cuff 10, the first outer cuff 8 links to each other with first inflation valve 11 through first gas tube 14, the second outer cuff 9 links to each other with second inflation valve 12 through second gas tube 15, the third outer cuff 10 links to each other with third inflation valve 13 through third gas tube 16, specifically, first outer cuff 8 sets up in first side hole 3 top, second outer cuff 9 sets up between suction tube opening 7 and first side hole 3, third outer cuff 10 sets up in suction tube opening 7 below and is located catheter tip opening 5 top, optimally, third outer cuff 10 sets up between suction tube opening 7 and second side hole 4.
In this embodiment, the suction tube 6, the first inflation valve 11, the second inflation valve 12, and the third inflation valve 13 are all disposed in the tube wall.
In this embodiment, the first inflation valve 11, the second inflation valve 12, and the third inflation valve 13 are all one-way inflation valves.
When in use, the utility model is inserted into the right bronchial catheter with three outer cuffs of the two side holes to a proper depth, the breathing loop interface 1 is connected to the breathing machine pipeline, the first outer cuff 8 and the third outer cuff 10 are inflated through the first inflation valve 11 and the third inflation valve 13, the first side hole 3 is respectively communicated with the left single lung B and then positioned, the second side hole 4 is communicated with the right single lung A and then positioned, and the ventilation of the two lungs is realized; the second outer cuff 9 is inflated through a second inflation valve 12, and the first side hole 3 can be closed after the second outer cuff 9 is inflated, so that the ventilation of the right single lung A is realized; then the sealing head of the suction tube 6.1 is opened, the suction tube 6 is opened, the left lung is collapsed, the operation visual field is exposed, and the operation is convenient, after the operation is finished, the sealing head of the suction tube 6.1 is closed, the air is discharged through the second inflation valve 12, the side hole 3 is opened, the ventilation of the two lungs is realized again, the trachea does not need to be replaced additionally, and the secretion or the exudate of the left bronchus can be discharged through the suction tube 6.
The utility model relates to a two right bronchus pipes of three outer sacs in side hole have following advantage:
1. the right lung can be isolated by the single-cavity tube, the single lung can ventilate, the tube does not need to be replaced after the operation, and the injury of a patient caused by the secondary replacement of the trachea is avoided;
2. the structure is reasonable, the miniaturization of the tracheal catheter for isolating the right lung can be realized, and the tracheal catheter is beneficial to the conditions that the inner diameter of the trachea is thinned, the right lung of a child is needed to be isolated, but the airway is difficult, and the like;
3. reducing the complication of the damage of the tracheal cannula.
To sum up, the utility model relates to a two three outer cuff right branch endotracheal tubes in side hole simple structure can realize the lung and keep apart, the operation of being convenient for to and can avoid the secondary intubate to cause the damage to the patient, be favorable to the patient to be recovered.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments or some of the technical features of the foregoing embodiments may be equally replaced by other technical solutions described in the foregoing description, and these modifications or replacements do not make the essence of the corresponding technical solutions depart from the spirit and scope of the technical solutions of the embodiments of the present invention.

Claims (5)

1. A right bronchial catheter with a double-sided aperture and three outer cuffs, comprising: the catheter body, the catheter body sets up to encircle by the pipe wall and forms, and its inside is formed with the cavity, and its top is provided with breathing circuit interface, and the bottom is provided with catheter point end opening, the first side opening that switches on rather than inside cavity has been seted up respectively to the pipe wall both sides of catheter body, the second side opening, and first side opening and second side opening set up in the different height departments of catheter body pipe wall along the length direction of catheter body, still are provided with the suction tube opening rather than the cavity opening that switches on the pipe wall of catheter body, the suction tube opening sets up between first side opening and second side opening, still is provided with the suction tube in the catheter body, suction tube one end sets up in the suction tube opening part, and the other end is provided with suction tube sealing head, has set gradually first outer cuff, second outer, third outer cuff along its length direction in the catheter body, and first overcoat bag passes through first gas tube and links to each other with first inflation valve, the second outer cuff is connected with a second inflation valve through a second inflation tube, the third outer cuff is connected with a third inflation valve through a third inflation tube, the first outer cuff is arranged above the first side hole, the second outer cuff is arranged between the opening of the suction tube and the first side hole, and the third outer cuff is arranged below the opening of the suction tube and above the opening of the tip end of the catheter.
2. The double-sided aperture three outer cuff right bronchial catheter of claim 1, wherein the suction tube, the first inflation valve, the second inflation valve, and the third inflation valve are all disposed in the tube wall.
3. The double sided aperture three outer cuff right bronchial tube of claim 2, wherein the first side aperture is disposed above the second side aperture.
4. The right bronchial catheter with a double-sided aperture and three outer cuffs as claimed in claim 3, wherein the first inflation valve, the second inflation valve and the third inflation valve are all one-way inflation valves.
5. The dual sided aperture three outer cuff right bronchial catheter of claim 4, wherein the third outer cuff is disposed between the suction tube opening and the second lateral aperture.
CN202120428835.2U 2021-02-26 2021-02-26 Right bronchial catheter with three outer cuffs at two side holes Expired - Fee Related CN214912442U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202120428835.2U CN214912442U (en) 2021-02-26 2021-02-26 Right bronchial catheter with three outer cuffs at two side holes

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202120428835.2U CN214912442U (en) 2021-02-26 2021-02-26 Right bronchial catheter with three outer cuffs at two side holes

Publications (1)

Publication Number Publication Date
CN214912442U true CN214912442U (en) 2021-11-30

Family

ID=79098043

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202120428835.2U Expired - Fee Related CN214912442U (en) 2021-02-26 2021-02-26 Right bronchial catheter with three outer cuffs at two side holes

Country Status (1)

Country Link
CN (1) CN214912442U (en)

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Granted publication date: 20211130