CN104383630A - Bronchial occluder with double bags - Google Patents
Bronchial occluder with double bags Download PDFInfo
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- CN104383630A CN104383630A CN201410695623.5A CN201410695623A CN104383630A CN 104383630 A CN104383630 A CN 104383630A CN 201410695623 A CN201410695623 A CN 201410695623A CN 104383630 A CN104383630 A CN 104383630A
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- shutoff pipe
- bronchus shutoff
- tracheal intubation
- bronchus
- cuff
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Abstract
The invention discloses a bronchial occluder with double bags. The bronchial occluder consists of a trachea cannula and a bronchial blocking pipe with double bags, wherein the lower end of the trachea cannula is provided with trachea cannula bags connected with inflation valves of the trachea cannula bag through a trachea cannula guide pipe, the bronchial blocking pipe with double bags passes through the trachea cannula and is connected with the trachea cannula, and the upper end of the bronchial blocking pipe with double bags is provided with a caped blocking plug and two inflation valves of the trachea cannula bag; each inflation valve of the trachea cannula bag is respectively connected with the trachea cannula bag through the bronchial blocking pipe with double bags. The different bags can be adjusted to realize partially blocking an opening between the superior lobe of left lung and the inferior lobe of left lung/a part between superior lobe of right lung and medium inferior lobe of right lung during surgery, therefore the flexibility of airway management can be improved, the breathing and circulating stability of a patient can be ensured maximally, and the safety guarantee can be provided for the successful operation of the surgery and the successful recovery of a patient after the surgery.
Description
Technical field
The invention belongs to technical field of medical instruments, is the airway management equipment used in the anesthesia of a kind of thoracic surgery, a kind of double cuff bronchial occlusive device of specific design.
Background technology
China's population enormous amount is the continuous aggravation of the district occurred frequently of esophageal carcinoma, pulmonary carcinoma, simultaneous environmental in a lot of area, and sickness rate is in the trend risen year by year, and amount for surgical is also in continuous increase.
Operation patients also exists the particularity of section office, and the disease of patient itself can produce negative impact to cardio-pulmonary function, and holds breast and can bring patient's normal physiological mechanism and change significantly.Along with the aggravation of domestic aged tendency of population and improving constantly of clinical levels, the aged surgical patient of current thoracic surgery increases year by year, but aged patient inevitably exists going down of cardio-pulmonary function.So, for the patients with thoracotomy of old-age group, in art of being everlasting, there is the sharply change of serious hypoxemia, blood pressure, serious arrhythmia etc., can cause abandoning operation because patient can not tolerate, make patient lose therapy apparatus meeting; Or due to the complication that the anoxia in art makes patient in art, postoperative appearance is serious, affect the recovery of patient, even can jeopardize the life security of patient.The airway management equipment of current Clinical practice has shown obvious limitation, needs to occur that a kind of novel, more advanced equipment improves this clinical condition.
Thoracic surgery, due to its special operative site, needs to adopt special airway management method, the lung tissue near operative site is withered, can expose operating field more fully on the one hand, be convenient to operation technique; Also can be avoided on the other hand to the compressing of lung tissue, extruding in operation, alleviating the damage to lung tissue, is a kind of protection to Pulmonary Function.
The clinical airway management method the most often used at thoracic surgery uses double-cavity bronchial cannula or bronchial occlusive device at present, the effect that operation side lung tissue is all withered can be reached, can meet clinical needs, but these two kinds of devices are all make the lung tissue of corrective surgery side all wither, patient can only carry out the exchange of gas by the lung of opposite side, this can generation patient with the great difference of normal physiological condition affects significantly, the most often show as the reduction of partial pressure of oxygen and the rising of partial pressure of carbon dioxide, and then the impact that can produce circulation, normally carrying out of operation can be hindered, harm is produced to the health of patient, even jeopardize the life security of patient.
Summary of the invention
For overcoming the problems referred to above, the object of this invention is to provide a kind of double cuff bronchial occlusive device, the lobe of the lung at perioperatively position can be only made to wither, and the lung tissue at other positions, art side of might as well being in the way keeps normal ventilation, increase the lung tissue breathing area of patient, reduce the interference to patient's normal physiological mechanism, both ensure normally carrying out of operation, reduce again the impact on patient respiratory, circulation in operation, ensure that the safety of patient.
The present invention is achieved through the following technical solutions:
A kind of double cuff bronchial occlusive device, be made up of tracheal intubation and double cuff bronchus shutoff pipe, the lower end of tracheal intubation arranges tracheal intubation cuff, tracheal intubation cuff is connected with tracheal intubation sleeve bag gas-filling valve by trachea cannula conduit, double cuff bronchus shutoff pipe combines through tracheal intubation and tracheal intubation, double cuff bronchus shutoff pipe upper end has band cap shutoff joint and two bronchus shutoff pipe box capsule charge valves, wherein the first bronchus shutoff pipe box capsule charge valve is connected with the first bronchus shutoff pipe box capsule by the first bronchus shutoff pipe conduit, second bronchus shutoff pipe box capsule charge valve is connected with the second bronchus shutoff pipe box capsule by the second bronchus shutoff pipe conduit.
Distance between above-mentioned first bronchus shutoff pipe box capsule and the second bronchus shutoff pipe box capsule is 2cm.
Preferably the position of the first bronchus shutoff pipe box capsule charge valve relative second bronchus shutoff pipe box capsule charge valve on double cuff bronchus shutoff pipe, identical with the position of the first bronchus shutoff pipe box capsule relative second bronchus shutoff pipe box capsule on double cuff bronchus shutoff pipe.
Preferably the conduit of the first bronchus shutoff pipe box capsule charge valve is shorter than the conduit of connection second bronchus shutoff pipe box capsule charge valve.
The lower ending opening of preferred tracheal intubation is oblique structure.
Oblique of the lower end of above-mentioned tracheal intubation is arranged the hole of an ellipse.
Preferred double cuff bronchus shutoff pipe and tracheal intubation are combined by dismountable connector.
The side that above-mentioned connector and double cuff bronchus shutoff pipe combine has card and holds plate, and opposite side has clamp.
Above-mentioned clamp arranges bayonet socket.
Preferred bayonet socket is U-shaped.
The invention has the beneficial effects as follows:
In clinical thoracic surgery, double cuff bronchial occlusive device can allow anesthetist need to adjust flexibly according to different operations, operative site is when lower position, by to second sleeve bag gas-filling, inferior lobe in shutoff inferior lobe of left lung or right lung, inferior lobe in inferior lobe of left lung or right lung is withered, satisfied surgical field of view is provided, go up leaf simultaneously and keep ventilation; Operative site is when higher position, two cuffs are all inflated, to perform the operation the whole shutoff of side lung, on making leaf wither provide be satisfied with surgical field of view while blow side into oxygen by shutoff pipe to operation, inferior lobe appropriateness in inferior lobe of left lung or right lung is kept to expand, increase oxygen and, avoid the reduction occurring partial pressure of oxygen.
Double cuff bronchial occlusive device adds the motility of airway management, ensure that to the full extent patient respiratory, circulation stable, for carrying out smoothly of operation, the smooth recovery of postoperative patient provides safety assurance, especially the aged surgical patient of thoracic surgery, and itself suffer from the patient of meeting to the disease that cardio-pulmonary function has a negative impact.
The plurality of advantages that the present invention has flexibly, safety, controllability are strong, does not increase the difficulty of Clinical practice simultaneously.
First bronchus shutoff pipe box capsule charge valve and the relative position of the second bronchus shutoff pipe box capsule charge valve on double cuff bronchus shutoff pipe, identical with the relative position of the second bronchus shutoff pipe box capsule on double cuff bronchus shutoff pipe with the first bronchus shutoff pipe box capsule, or it is shorter than the conduit of connection second bronchus shutoff pipe box capsule charge valve to connect the conduit of the first bronchus shutoff pipe box capsule charge valve, can promptly and accurately to different sleeve bag gas-fillings.Also the charge valve of corresponding different colours can be recognized by the color of different charge valve, such as the first bronchus shutoff pipe box capsule and the first bronchus shutoff pipe box capsule charge valve are set to redness, and the second bronchus shutoff pipe box capsule and the second bronchus shutoff pipe box capsule charge valve are set to blueness.
Distance between first bronchus shutoff pipe box capsule and described second bronchus shutoff pipe box capsule, can arrange corresponding distance according to child adult.
Double cuff bronchus shutoff pipe and tracheal intubation are combined by dismountable connector, and connector has card and hold plate and clamp, clamp arranges bayonet socket, and bayonet socket is U-shaped, for the position of fixing shutoff pipe after adjusting shutoff pipe position.
Accompanying drawing explanation
The structural representation of Fig. 1 embodiment 1 double cuff bronchial occlusive device;
The double cuff bronchus shutoff pipe of Fig. 2 embodiment 1;
The tracheal intubation of Fig. 3 embodiment 1;
Wherein, 1, tracheal intubation, 2, double cuff bronchus shutoff pipe, 3, tracheal intubation cuff, 4 trachea cannula conduits, 5, tracheal intubation sleeve bag gas-filling valve, 6, cap shutoff joint is with, the 7, first bronchus shutoff pipe box capsule charge valve, the 8, first bronchus shutoff pipe box capsule, 9, the second bronchus shutoff pipe box capsule charge valve, 10, the second bronchus shutoff pipe box capsule, 11, connector, 12, card holds plate, 13, clamp, 14, U-shaped bayonet socket.
Detailed description of the invention
Embodiment 1
As shown in Figure 1, a kind of double cuff bronchial occlusive device, be made up of tracheal intubation 1 and double cuff bronchus shutoff pipe 2, the lower end of tracheal intubation arranges tracheal intubation cuff 3, tracheal intubation cuff 3 is connected with tracheal intubation sleeve bag gas-filling valve 5 by trachea cannula conduit 4, double cuff bronchus shutoff pipe 2 and tracheal intubation 1 are combined by dismountable connector 11, the side that connector 11 and double cuff bronchus shutoff pipe 2 combine has card and holds plate 12, opposite side has clamp 13, clamp is arranged a bayonet socket 14, bayonet socket is U-shaped, double cuff bronchus shutoff pipe 2 upper end has band cap shutoff joint 6 and two bronchus shutoff pipe box capsule charge valves, wherein the first bronchus shutoff pipe box capsule charge valve 7 is connected with the first bronchus shutoff pipe box capsule 8 by the first bronchus shutoff pipe conduit, second bronchus shutoff pipe box capsule charge valve 9 is connected with the second bronchus shutoff pipe box capsule 10 by the second bronchus shutoff pipe conduit.
The position of the first bronchus shutoff pipe box capsule 8 above the superior lobar branches tracheostomy of operation side, the position of the second bronchus shutoff pipe box capsule 10 between superior lobe of left lung opening and inferior lobe opening/between superior lobe of right lung opening and middle inferior lobe opening.
First bronchus shutoff pipe box capsule charge valve 7 is positioned at the top of the second bronchus shutoff pipe box capsule charge valve 9, and the first bronchus shutoff pipe box capsule 8 is positioned at the second bronchus shutoff pipe box capsule 10 top.The lower ending opening of tracheal intubation 1 is oblique structure, oblique is arranged the hole of an ellipse.
Operative site is when lower position, tracheal intubation cuff 3 is inflated, second bronchus shutoff pipe box capsule 10 is inflated, inferior lobe in shutoff inferior lobe of left lung/right lung, inferior lobe in inferior lobe of left lung/right lung is withered, satisfied surgical field of view is provided, is ventilated by tracheal intubation simultaneously, realize leaf and second half lung on the lung of operation side and keep ventilation; Operative site is when higher position, tracheal intubation cuff 3 is inflated, two bronchus shutoff pipe box capsules are all inflated, to perform the operation the whole shutoff of side lung, on making leaf wither provide be satisfied with surgical field of view while blow side into oxygen by band cap shutoff joint 6 to operation, keep inferior lobe appropriateness in inferior lobe of left lung/right lung to expand, increase oxygen and, avoid the reduction occurring partial pressure of oxygen.By above adjustment, add the motility of airway management, ensure that to the full extent patient respiratory, circulation stable, be carrying out smoothly of operation, the smooth recovery of postoperative patient provides safety assurance.
Embodiment 2
A kind of double cuff bronchial occlusive device, double cuff bronchial occlusive device is made up of tracheal intubation 1 and double cuff bronchus shutoff pipe 2, the lower end of tracheal intubation 1 arranges tracheal intubation cuff 3, tracheal intubation cuff 3 is connected with tracheal intubation sleeve bag gas-filling valve 5 by trachea cannula conduit 4, double cuff bronchus shutoff pipe 2 and tracheal intubation 1 are combined by dismountable connector 11, the side that connector 11 and double cuff bronchus shutoff pipe 2 combine has card and holds plate 12, opposite side has clamp 13, clamp is arranged two bayonet sockets 14, bayonet socket is U-shaped, double cuff bronchus shutoff pipe 2 upper end has band cap shutoff joint 6 and two bronchial cannula sleeve bag gas-filling valves, wherein the first bronchus shutoff pipe box capsule charge valve 7 is connected with the first bronchus shutoff pipe box capsule 8 by the first bronchus shutoff pipe conduit, second bronchus shutoff pipe box capsule charge valve 9 is connected with the second bronchus shutoff pipe box capsule 10 by the second bronchus shutoff pipe conduit.
The position of first cuff above the superior lobar branches tracheostomy of operation side, the position of second cuff between superior lobe of left lung opening and inferior lobe opening/between superior lobe of right lung opening and middle inferior lobe opening.
The conduit of the first bronchus shutoff pipe box capsule charge valve 7 is shorter than the conduit of connection second bronchus shutoff pipe box capsule charge valve 9.The lower ending opening of tracheal intubation is oblique structure, oblique is arranged the hole of an ellipse.
By reference to the accompanying drawings the specific embodiment of the present invention is described although above-mentioned; but not limiting the scope of the invention; one of ordinary skill in the art should be understood that; on the basis of technical scheme of the present invention, those skilled in the art do not need to pay various amendment or distortion that creative work can make still within protection scope of the present invention.
Claims (10)
1. a double cuff bronchial occlusive device, it is characterized in that, be made up of tracheal intubation (1) and double cuff bronchus shutoff pipe (2), the lower end of described tracheal intubation (1) arranges tracheal intubation cuff (3), described tracheal intubation cuff (3) is connected with tracheal intubation sleeve bag gas-filling valve (5) by trachea cannula conduit (4), described double cuff bronchus shutoff pipe (2) is combined through tracheal intubation (1) and tracheal intubation (1), described double cuff bronchus shutoff pipe (2) upper end has band cap shutoff joint (6) and two bronchial cannula sleeve bag gas-filling valves, wherein the first bronchus shutoff pipe box capsule charge valve (7) is connected with the first bronchus shutoff pipe box capsule (8) by bronchus shutoff pipe conduit, second bronchus shutoff pipe box capsule charge valve (9) is connected with the second bronchus shutoff pipe box capsule (10) by bronchus shutoff pipe conduit.
2. double cuff bronchial occlusive device as claimed in claim 1, it is characterized in that, described first bronchus shutoff pipe box capsule charge valve (7) is in the position of upper relative second bronchus shutoff pipe box capsule charge valve (9) of double cuff bronchus shutoff pipe (2), identical in the position of upper relative second bronchus shutoff pipe box capsule (10) of double cuff bronchus shutoff pipe (2) with the first bronchus shutoff pipe box capsule (8).
3. double cuff bronchial occlusive device as claimed in claim 1, it is characterized in that, the conduit connecting described first bronchus shutoff pipe box capsule charge valve (7) is shorter than the conduit of connection second bronchus shutoff pipe box capsule charge valve (9).
4. double cuff bronchial occlusive device as claimed in claim 1, it is characterized in that, the lower ending opening of described tracheal intubation (1) is oblique structure.
5. double cuff bronchial occlusive device as claimed in claim 4, is characterized in that, oblique of the lower end of described tracheal intubation (1) is arranged the hole of an ellipse.
6. double cuff bronchial occlusive device as claimed in claim 1, is characterized in that, described double cuff bronchus shutoff pipe and tracheal intubation are combined by dismountable connector (11).
7. double cuff bronchial occlusive device as claimed in claim 6, is characterized in that, the side that described connector (11) and double cuff bronchus shutoff pipe combine has card and holds plate (12), and opposite side has clamp (13).
8. double cuff bronchial occlusive device as claimed in claim 7, is characterized in that, described clamp is arranged bayonet socket (14).
9. double cuff bronchial occlusive device as claimed in claim 8, it is characterized in that, described bayonet socket is U-shaped.
10. the using method of the double cuff bronchial occlusive device as described in as arbitrary in claim 1-9, it is characterized in that, operative site is when lower position, and tracheal intubation cuff (3) is inflated, terminal bronchi intubate sleeve bag gas-filling, is ventilated by tracheal intubation simultaneously; Operative site is when higher position, and tracheal intubation cuff (3) is inflated, and all inflates two bronchial cannula cuffs, is blown side into oxygen by band cap shutoff joint (6) to operation simultaneously.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410695623.5A CN104383630A (en) | 2014-11-26 | 2014-11-26 | Bronchial occluder with double bags |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410695623.5A CN104383630A (en) | 2014-11-26 | 2014-11-26 | Bronchial occluder with double bags |
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| Publication Number | Publication Date |
|---|---|
| CN104383630A true CN104383630A (en) | 2015-03-04 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410695623.5A Pending CN104383630A (en) | 2014-11-26 | 2014-11-26 | Bronchial occluder with double bags |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111166998A (en) * | 2020-01-30 | 2020-05-19 | 江苏省人民医院（南京医科大学第一附属医院） | Novel multifunctional bronchus ventilation and plugging tube |
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| US20020111386A1 (en) * | 1989-08-28 | 2002-08-15 | Sekins K. Michael | Apparatus for pulmonary delivery of drugs with simultaneous liquid lavage and ventilation |
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| CN201223616Y (en) * | 2008-07-02 | 2009-04-22 | 刘进 | Controllable single-bronchi plugging catheter |
| US20100147311A1 (en) * | 2007-05-02 | 2010-06-17 | Peter Arno Nierich | Apparatus and Method for Selective Ventilation of a Patient |
| CN201558392U (en) * | 2009-09-23 | 2010-08-25 | 邵贤斌 | Combined connector and bronchus sealing sleeve with the same |
| CN201807048U (en) * | 2010-10-14 | 2011-04-27 | 马博平 | Disposable bronchial stopper |
| CN204233568U (en) * | 2014-11-26 | 2015-04-01 | 林红 | A kind of double cuff bronchial occlusive device |
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2014
- 2014-11-26 CN CN201410695623.5A patent/CN104383630A/en active Pending
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20020111386A1 (en) * | 1989-08-28 | 2002-08-15 | Sekins K. Michael | Apparatus for pulmonary delivery of drugs with simultaneous liquid lavage and ventilation |
| US5315992A (en) * | 1993-03-10 | 1994-05-31 | Dalton William J | Triple cuff endobronchial tube with selective multiple outlets served by a single airflow passage |
| US5660175A (en) * | 1995-08-21 | 1997-08-26 | Dayal; Bimal | Endotracheal device |
| WO2002100471A1 (en) * | 2001-06-11 | 2002-12-19 | Memorial Sloan-Kettering Cancer Center | Double endobronchial catheter for one lung isolation |
| US20040144387A1 (en) * | 2003-01-28 | 2004-07-29 | David Amar | Double-balloon endobronchial catheter for one lung isolation anesthesia and surgery |
| US20100147311A1 (en) * | 2007-05-02 | 2010-06-17 | Peter Arno Nierich | Apparatus and Method for Selective Ventilation of a Patient |
| CN201223616Y (en) * | 2008-07-02 | 2009-04-22 | 刘进 | Controllable single-bronchi plugging catheter |
| CN201558392U (en) * | 2009-09-23 | 2010-08-25 | 邵贤斌 | Combined connector and bronchus sealing sleeve with the same |
| CN201807048U (en) * | 2010-10-14 | 2011-04-27 | 马博平 | Disposable bronchial stopper |
| CN204233568U (en) * | 2014-11-26 | 2015-04-01 | 林红 | A kind of double cuff bronchial occlusive device |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111166998A (en) * | 2020-01-30 | 2020-05-19 | 江苏省人民医院（南京医科大学第一附属医院） | Novel multifunctional bronchus ventilation and plugging tube |
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Application publication date: 20150304 |