CN219127829U - Novel visual double-cavity tube on carina - Google Patents

Novel visual double-cavity tube on carina Download PDF

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CN219127829U
CN219127829U CN202221610319.2U CN202221610319U CN219127829U CN 219127829 U CN219127829 U CN 219127829U CN 202221610319 U CN202221610319 U CN 202221610319U CN 219127829 U CN219127829 U CN 219127829U
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cavity tube
double
tube
cavity
air outlet
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苗青
吴镜湘
张晓峰
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Shanghai Chest Hospital
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Shanghai Chest Hospital
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Abstract

The utility model relates to the technical field of medical appliances. The novel visual double-cavity tube on the carina comprises a double-cavity tube body, wherein the double-cavity tube body comprises a left cavity tube and a right cavity tube, and also comprises two air bag sleeves, wherein the two air bag sleeves are a first air bag sleeve and a second air bag sleeve; the first air bag sleeve is sleeved on the periphery of the tube body part of the double-cavity tube body and is positioned on the periphery of the left cavity tube and the right cavity tube; the second air bag sleeve is positioned at the periphery of the air outlet port of the left side cavity tube, the second air bag sleeve is provided with a limiting part extending into the right bronchus, and the second air bag sleeve is used for propping against the carina to block the left bronchus; the air outlet direction of the air outlet port of the left cavity tube is inclined leftwards, and the air outlet direction of the air outlet port of the right cavity tube is inclined rightwards; still include image acquisition mechanism, image acquisition mechanism includes camera and signal transmission line, and camera and signal transmission line link to each other, and camera and signal transmission line are located left side lumen. The implantation process is convenient and visible, and the operation difficulty is reduced.

Description

Novel visual double-cavity tube on carina
Technical Field
The utility model relates to the field of medical instruments, in particular to a double-cavity tube.
Background
The double-cavity tube is a common tool in the anesthesia of the thoracic department, and has two cavities, and can separate the bronchi and the lungs at the level of the carina of the trachea so as to realize the functions of isolation and ventilation of the single lung.
At present, a side lumen of a double-lumen bronchus in clinical use needs to be placed in the same side bronchus, and problems possibly exist are as follows: if anatomical variation occurs or the bronchus opening is narrow, the placement of the tube is difficult; the clinical operation has a certain technical difficulty, the operation difficulty is high, the success rate of one-time intubation is low, and particularly, the operation can be mastered by a plurality of anesthesiologists which are not in the department of chest specialized and need specialized training and practice, and the learning period is long; such as repeated placement or adjustment of the lumen site, may lead to complications such as injury to the tracheal mucosa, bleeding, etc.
Disclosure of Invention
Aiming at the problems existing in the prior art, the utility model provides a novel visible double-cavity tube on a carina so as to solve at least one technical problem.
In order to achieve the above purpose, the utility model provides a novel visual double-lumen on carina, which comprises a double-lumen body, wherein the double-lumen body comprises a left side lumen and a right side lumen which are arranged left and right;
the first air bag sleeve is sleeved on the periphery of the tube body part of the double-cavity tube body and is positioned on the periphery of the left cavity tube and the right cavity tube;
the second air bag sleeve is positioned at the periphery of the air outlet port of the left side cavity tube, the second air bag sleeve is provided with a limiting part extending into the right bronchus, and the second air bag sleeve is used for propping against the carina to block the left bronchus;
the air outlet direction of the air outlet port of the left side cavity tube is inclined leftwards, and the air outlet direction of the air outlet port of the right side cavity tube is inclined rightwards;
still include image acquisition mechanism, image acquisition mechanism includes camera and signal transmission line, the camera with signal transmission line links to each other, just the camera with signal transmission line is located in the left side lumen.
The utility model can meet the requirement of ventilation of double lungs by inflating the first cuff, and the left side cavity tube and the right side cavity tube are simultaneously ventilated. The left side lumen opening is encircled after the second gasbag sleeve pipe is inflated, and still there are spacing portion can put into the right side lumen, mainly have 2 effects, and one of them can fix the lumen position, and the second is better airtight left bronchus, realizes isolating and the function that singly lung ventilated. Through the sheathed tube structure of second gasbag, need not to stretch into left bronchus, avoided the stimulation to sensitive position carina, be convenient for put the pipe, great reduction the intraductal mucosa injury of trachea, complication such as hemorrhage, the degree of difficulty of putting into the double-chamber pipe is reduced.
By additionally arranging the image acquisition mechanism, a good visual field is ensured, the operation of placing the tube is ensured, the internal condition of the air tube can be observed from time to time, and the pollution by endocrine of the air tube can be reduced.
Further preferably, the image acquisition mechanism further comprises a flushing pipe arranged side by side with the signal transmission line. When the camera is shielded or polluted by secretion, the camera can be flushed through the flushing pipe, so that the clear view is ensured.
Further preferably, the air outlet port of the right side cavity tube is elliptical due to oblique cutting of the circular tube.
Further preferably, the opening of the air outlet port of the right side cavity tube faces an axial included angle of 20 degrees with the right side cavity tube.
The right branch anatomical structure of the bronchus is convenient to meet, and the angle between the right branch anatomical structure of the bronchus and the longitudinal axis extension line of the bronchus is about 20-30 degrees.
Further preferably, the opening of the air outlet port of the left side cavity tube faces an axial included angle of 45 degrees with the left side cavity tube.
The left branch anatomical structure of the bronchus is matched with the characteristic that the extension line of the longitudinal axis of the bronchus forms an angle of 40-55 degrees.
Further preferably, the air outlet end of the left side cavity tube is in an outward-expanded horn shape.
Further preferably, the air outlet port of the left side cavity tube is elliptical due to oblique cutting of the circular tube.
The opening area is increased, and the advantages are that the opening of the upper right leaf is not blocked when the upper right She Kaikou is above the carina; the oblong opening enables drainage and ventilation to be smoother, and meanwhile reduces the overall pipe diameter of the tip of the pipe cavity, so that the pipe placing process is smoother.
Further preferably, the first air bag sleeve is communicated with the air port extending out of the double-cavity pipe body through a first diversion channel;
the second air bag sleeve is communicated with the air port extending out of the double-cavity tube body through a second flow guide channel.
Further preferably, the signal transmission line extends out of the double-cavity tube body and is connected with the connector;
the flushing pipe extends out of the double-cavity pipe body and is connected with the joint.
Further preferably, a valve is installed on the connector, the connector is used for guiding physiological saline, and the connector is in butt joint conduction with the physiological saline injector.
The beneficial effects are that:
the novel visible double-cavity tube on the carina is easy and convenient to operate, the implantation process is convenient and visible, and the operation difficulty is reduced.
The catheter is placed above the carina, double-lung isolation and single-lung ventilation are completed through the second air sac sleeve, compared with a traditional double-cavity tube, the method has less stimulation to the carina and the bronchus, and the risk of damage to the airway mucosa is reduced. Meanwhile, the left side cavity tube is provided with the camera, so that the whole-range visualization of the cavity implantation process is realized, and the success rate of the disposable intubation is improved.
Drawings
FIG. 1 is a schematic structural view of embodiment 1 of the present utility model;
fig. 2 is a schematic structural diagram of embodiment 1 of the present utility model in use.
Wherein: 1 is a right side cavity tube, 2 is a left side cavity tube, 3 is a first air bag sleeve, 4 is a camera, 5 is a second air bag sleeve, 6 is a first joint, and 7 is a second joint.
Detailed Description
The utility model is further described below with reference to the accompanying drawings.
Referring to fig. 1 to 2, embodiment 1: the novel visual double-lumen on carina comprises a double-lumen tube body, wherein the double-lumen tube body comprises a left side lumen tube 2 and a right side lumen tube 1 which are arranged left and right, and also comprises two air sac sleeves, wherein the two air sac sleeves are respectively a first air sac sleeve 3 and a second air sac sleeve 5; the first air sac sleeve 3 is sleeved on the periphery of the tube body part of the double-cavity tube body and is positioned on the periphery of the left cavity tube 2 and the right cavity tube 1; the second air sac sleeve 5 is positioned at the periphery of the air outlet port of the left side cavity tube 2, the second air sac sleeve 5 is provided with a limiting part extending into the right bronchus, and the second air sac sleeve 5 is used for propping against the carina to block the left bronchus; the air outlet direction of the air outlet port of the left cavity tube 2 is inclined leftwards, and the air outlet direction of the air outlet port of the right cavity tube 1 is inclined rightwards; still include image acquisition mechanism, image acquisition mechanism includes camera 4 and signal transmission line, and camera 4 and signal transmission line link to each other, and camera 4 and signal transmission line are located left side lumen 2. The utility model can meet the requirement of ventilation of double lungs through inflation of the first cuff, and the left side cavity tube 2 and the right side cavity tube 1 are simultaneously ventilated. The left side lumen opening is encircled after the second gasbag sleeve 5 is inflated, and the right bronchus can be put into to limit part still, mainly has 2 effects, and one of them can fix the lumen position, and the second is better airtight left bronchus, realizes isolating and the function of single lung ventilation. Through the structure of the second air sac sleeve 5, the left bronchus does not need to be stretched, the stimulation to the carina of the sensitive part is avoided, the tube is convenient to put, and complications such as mucosal injury and hemorrhage in the trachea are greatly reduced. The limiting part is positioned on the side, adjacent to the right side cavity tube, of the second air bag sleeve.
By additionally arranging the image acquisition mechanism, a good visual field is ensured, the operation of placing the tube is ensured, the internal condition of the air tube can be observed from time to time, and the pollution by endocrine of the air tube can be reduced.
The image acquisition mechanism also comprises a flushing pipe which is arranged side by side with the signal transmission line. When the camera 4 is shielded or polluted by secretion, the camera can be flushed through the flushing pipe, so that the clear view is ensured.
The opening of the air outlet port of the right cavity tube 1 faces an axial included angle of 20 degrees with the right cavity tube 1. The right branch anatomical structure of the bronchus is convenient to meet and corresponds to the characteristic that the longitudinal axis extension line of the bronchus is about 20-30 degrees (the position A in figure 2). The opening of the air outlet port of the right side cavity tube 1 is inclined outwards from top to bottom. The opening of the air outlet port of the left cavity tube is inclined outwards from top to bottom.
The opening of the air outlet port of the left cavity tube 2 faces an axial included angle of 45 degrees with the left cavity tube 2. The left branch of the fitting bronchi is characterized by an extension of the longitudinal axis of the bronchi of about 40 ° -55 ° (at B in fig. 2).
The air outlet end of the left cavity tube 2 is in an outward-expanded horn shape. The air outlet port of the left cavity tube 2 is in an elliptical shape caused by the oblique cutting of the circular tube. The opening area is increased, and the advantages are that the opening of the upper right leaf is not blocked when the upper right She Kaikou is above the carina; the oblong opening enables drainage and ventilation to be smoother, and meanwhile reduces the overall pipe diameter of the tip of the pipe cavity, so that the pipe placing process is smoother.
The first air sac sleeve 3 is communicated with an air port extending out of the double-cavity pipe body through a first diversion channel; the second air bag sleeve 5 is communicated with the air port extending out of the double-cavity tube body through a second flow guide channel.
The signal transmission line extends out of the double-cavity tube body and is connected with the first connector 6; the flushing pipe extends out of the double-cavity pipe body and is connected with the second joint 7.
The connector is provided with a valve and is used for guiding physiological saline, and the connector is in butt joint connection with the physiological saline injector.
The beneficial effects are that:
the novel visible double-cavity tube on the carina is easy and convenient to operate, the implantation process is convenient and visible, and the operation difficulty is reduced. The catheter is placed above the carina, and double-lung isolation and single-lung ventilation are completed through the second balloon sleeve 5, so that compared with a traditional double-cavity tube, the method has less stimulation to the carina and the bronchus, and the risk of damage to the airway mucosa is reduced. Meanwhile, the camera 4 is arranged on the left side cavity tube 2, so that the full-range visualization of the cavity implantation process is realized, and the success rate of disposable intubation is improved.
The foregoing is merely a preferred embodiment of the present utility model and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present utility model, which are intended to be comprehended within the scope of the present utility model.

Claims (9)

1. The novel visual double-cavity tube on the carina comprises a double-cavity tube body, wherein the double-cavity tube body comprises a left cavity tube and a right cavity tube which are arranged left and right;
the first air bag sleeve is sleeved on the periphery of the tube body part of the double-cavity tube body and is positioned on the periphery of the left cavity tube and the right cavity tube;
the second air bag sleeve is positioned at the periphery of the air outlet port of the left side cavity tube, the second air bag sleeve is provided with a limiting part extending into the right bronchus, and the second air bag sleeve is used for propping against the carina to block the left bronchus;
the air outlet direction of the air outlet port of the left side cavity tube is inclined leftwards, and the air outlet direction of the air outlet port of the right side cavity tube is inclined rightwards;
still include image acquisition mechanism, image acquisition mechanism includes camera and signal transmission line, the camera with signal transmission line links to each other, just the camera with signal transmission line is located in the left side lumen.
2. The novel supracarial visual double-lumen tube according to claim 1, wherein: the image acquisition mechanism further comprises a flushing pipe which is arranged side by side with the signal transmission line.
3. The novel supracarial visual double-lumen tube according to claim 1, wherein: the opening direction of the air outlet port of the right side cavity tube is 20 degrees with the axial included angle of the right side cavity tube.
4. The novel supracarial visual double-lumen tube according to claim 1, wherein: the opening direction of the air outlet port of the left cavity tube is 45 degrees with the axial included angle of the left cavity tube.
5. The novel supracarial visual double-lumen tube according to claim 1, wherein: the air outlet end of the left cavity tube is in an outward-expanded horn shape.
6. The novel supracarial visual double-lumen tube according to claim 1, wherein: the air outlet port of the left cavity tube is elliptical due to the oblique cutting of the circular tube.
7. The novel supracarial visual double-lumen tube according to claim 1, wherein: the first air bag sleeve is communicated with an air port extending out of the double-cavity pipe body through a first diversion channel;
the second air bag sleeve is communicated with the air port extending out of the double-cavity tube body through a second flow guide channel.
8. The novel on-carina visual double-lumen tube of claim 2, wherein: the signal transmission line extends out of the double-cavity tube body and is connected with the connector;
the flushing pipe extends out of the double-cavity pipe body and is connected with the joint.
9. The novel on-carina visual double-lumen tube of claim 2, wherein: the flushing pipe extends out of the double-cavity pipe body and is connected with the joint;
the connector is provided with a valve and is used for guiding physiological saline, and the connector is in butt joint connection with the physiological saline injector.
CN202221610319.2U 2022-06-27 2022-06-27 Novel visual double-cavity tube on carina Active CN219127829U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202221610319.2U CN219127829U (en) 2022-06-27 2022-06-27 Novel visual double-cavity tube on carina

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202221610319.2U CN219127829U (en) 2022-06-27 2022-06-27 Novel visual double-cavity tube on carina

Publications (1)

Publication Number Publication Date
CN219127829U true CN219127829U (en) 2023-06-06

Family

ID=86595358

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202221610319.2U Active CN219127829U (en) 2022-06-27 2022-06-27 Novel visual double-cavity tube on carina

Country Status (1)

Country Link
CN (1) CN219127829U (en)

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