CN104491976A - Visible tracheal catheter and bronchus blocking tube connecting tube - Google Patents
Visible tracheal catheter and bronchus blocking tube connecting tube Download PDFInfo
- Publication number
- CN104491976A CN104491976A CN201410834368.8A CN201410834368A CN104491976A CN 104491976 A CN104491976 A CN 104491976A CN 201410834368 A CN201410834368 A CN 201410834368A CN 104491976 A CN104491976 A CN 104491976A
- Authority
- CN
- China
- Prior art keywords
- endotracheal tube
- tracheal catheter
- tube
- bronchus
- pipe
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Landscapes
- Endoscopes (AREA)
Abstract
The invention discloses a visible tracheal catheter and bronchus blocking tube connecting tube, which comprises a tracheal catheter and a bronchus blocking tube, wherein a miniature camera and an LED (light emitting diode) lamp are arranged at the front end of the tracheal catheter, the bronchus blocking tube penetrates through the tracheal catheter, a blocking bag is arranged at the front end of the bronchus blocking tube, the tail end of the bronchus blocking tube penetrates out of the tail end of the tracheal catheter and is provided with a cover cap, and a tracheal catheter bag is arranged in the middle part of the tracheal catheter. When the tracheal catheter and the bronchus blocking tube are used for intubation, an operator can visually and conveniently perform tracheal intubation by utilizing the miniature camera and the LED lamp at the front end; when the tracheal catheter passes through a glottis, the front end of the tracheal catheter is turned by 90 degrees to the left or the right, the bronchus blocking tube is aligned with a bronchus needing to be blocked at one side, the blocking bag is positioned about 0.5cm under a bulge, the tracheal catheter is positioned 2-3cm above the bulge, and the tracheal catheter bag is inflated with air to fix the tracheal catheter; in the operation process, the blocking bag can be inflated and deflated with air according to the requirements, so as to realize the air ventilation of single lungs or double lungs.
Description
Technical field
the present invention relates to technical field of medical instruments, particularly a kind of medical endotracheal tube.
Background technology
One-lung ventilation is that open chest surgery is as management of respiratory method conventional in the operations such as Resection Esophagus Carcinoma, lobectomy of lungs, stripping of the pleura operation, thoracic spine surgery, thoracoscope.Can make art side lung static, wither, facilitate operation technique; Also play the effect of strong Ipsilateral lung isolation, prevent the secretions of Ipsilateral lung, blood, abscess etc. from flowing into strong side.One-lung ventilation device conventional clinically at present mainly contains double lumen endobronchial tube inner catheter (DLTs), single lumen endobronchial tube, single-lumen bronchial tube in conjunction with bronchial occlusive device, endotracheal tube is combined with bronchus shutoff pipe and is managed (as Univent conduit) etc., but all there is certain defect separately.
Adopt double lumen endobronchial tube inner catheter (DLTs) to carry out lung isolation, often have following shortcoming or complication: (1) double-lumen catheter external diameter is comparatively thick, usually can be damaged to respiratory tract during row intubate; (2) two lung separation location is more difficult, and especially right upper lung main bronchus opening part is easily by cuff occlusion; (3) catheter diameter is meticulous, easy gas duct high pressure in art; (4) bronchial cuff is excessively inflated and can be caused rupture of bronchus; (5) alternative model is less, clinical in certain restriction.
Adopt single lumen endobronchial tube then can not carry out the conversion of two lung and one-lung ventilation.A kind of single chamber three bag bronchial catheter needs Bronchofibroscope location, intubate problem of itself can not overcoming a difficulty, and art finishes to be needed mechanical ventilation person need change again.
Adopt visual duct joint bronchus shutoff pipe effect better, but independent shutoff pipe cost is higher, and shutoff pipe is long, more loaded down with trivial details when inserting.
Univent conduit is adopted to need Bronchofibroscope location, its tube wall has the tunnel of an accommodation shutoff pipe, but tunnel diameter crosses conference affects intubate, the meticulous activity that can affect shutoff pipe of diameter, and shutoff pipe meticulous being unfavorable for attracts bloody sputum secretions, its positioning time is longer than double lumen tube to have document to confirm, and after position variation, the displacement of shutoff pipe has certain incidence rate, needs branchofiberoscope to locate adjustment at any time.Can not real-time dynamic monitoring shutoff pipe displacement situation, and conduit itself can not guide difficult intubation.
And current neurosurgery brain domain operation, should accurate complete removal lesion tissue, can not damage the functions such as normal motion, language, audition again, need to use awakening technology in general anesthesia patients.Traditional method puts laryngeal mask after general anesthesia induction, subtracts after light anaesthesia is regained consciousness and extract laryngeal mask, carry out row functional areas tumor resection according to the autonomous responsing reaction of patient in art, excised rear intensification anesthesia and again inserted laryngeal mask.Traditional method need plug laryngeal mask, and patient posture is fixed, and as there is epilepsy or other accident in art, can not process in time, anesthetic risks is larger.Existing a kind of esophagus nasopharyngeal airway, can insert esophagus by per nasal, and block ventilation on esophagus and the capable glottis of nasopharynx oropharynx and do general anesthesia, during Intraoperative waken-up, pharyngeal air bag deflation can be spoken, and need not plug conduit, ventilates and wakes conversion up soon, decreasing risk.But esophagus nasopharyngeal airway is without visual function, the very first time accurately esophagus can not be put into; This pipe passage is positioned at side opening, is unfavorable for suction sputum, once in art easily there is gas duct high pressure hypoxemia in bloody sputum blocking side opening, and position chanP not easily monitoring tube displacement in art.
Summary of the invention
Technical problem to be solved by this invention is to provide a kind of invisible tracheal catheter easy to use, dynamic video monitoring and combines pipe with bronchus shutoff pipe.
For solving the problems of the technologies described above adopted technical scheme: a kind of invisible tracheal catheter combines pipe with bronchus shutoff pipe, comprise endotracheal tube and bronchus shutoff pipe, in described endotracheal tube front end, there is minisize pick-up head and LED, the end of described endotracheal tube is extended with the wirning harness be connected with minisize pick-up head and LED, described wirning harness has a USB interface, described wirning harness is connected with a display by USB interface, described bronchus shutoff pipe passes endotracheal tube and stretches out from the front end of endotracheal tube, the Plugging brusa gas tube that the front end of described bronchus shutoff pipe has a Plugging brusa and is connected with Plugging brusa, described Plugging brusa gas tube stretches out from the end of endotracheal tube through endotracheal tube, the end of described Plugging brusa gas tube is also provided with a Plugging brusa charge valve, the end of described bronchus shutoff pipe passes from the end of endotracheal tube and is provided with a block, endotracheal tube capsule is also provided with in the middle part of described endotracheal tube, described endotracheal tube capsule is connected with an endotracheal tube capsule gas tube and stretches out from endotracheal tube end, the end of described endotracheal tube capsule gas tube is provided with endotracheal tube capsule charge valve.
Further, described minisize pick-up head and LED and bronchus shutoff pipe is opposed is respectively fixed on both sides, endotracheal tube front end.
Further, described bronchus shutoff pipe stretches out 4 ~ 5cm from the front end of endotracheal tube.
Further, on the tube wall of described endotracheal tube, mark has graduation mark.
Further, described endotracheal tube and bronchus shutoff pipe adopt plastic material.
Further, the capacity of described endotracheal tube capsule is 10-100ml.
Beneficial effect: this endotracheal tube combines pipe when carrying out intubate with bronchus shutoff pipe, the minisize pick-up head arranged by front end and LED, tracheal intubation is carried out visual lower convenient operation person, when endotracheal tube is after glottis, endotracheal tube front end left or right 90-degree rotation, bronchus shutoff pipe is made to aim at the laterobronchus needing shutoff, Plugging brusa is positioned at about 0.5cm under knuckle, and endotracheal tube is positioned at 2 ~ 3cm place in knuckle, the inflation of endotracheal tube capsule is with fixing endotracheal tube, in art as required to Plugging brusa inflation/deflation so that single lung or two pulmonary ventilation, its mesobronchus shutoff pipe also can attract bloody sputum or pulmonary air.Wherein by minisize pick-up head and LED to coordinate with display omnidistance video monitoring particularly position change after Plugging brusa be shifted, the endotracheal tube degree of depth and direction can be adjusted at any time.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the present invention is described further;
Fig. 1 is the structural representation of the embodiment of the present invention;
Fig. 2 is the schematic diagram of the present invention for One-lung ventilation;
Fig. 3 is the schematic diagram of the present invention for another One-lung ventilation;
Fig. 4 is the schematic diagram of the present invention for general anesthesia Intraoperative waken-up.
Detailed description of the invention
As shown in Figure 1, a kind of invisible tracheal catheter of the present invention combines pipe with bronchus shutoff pipe, comprise endotracheal tube 1 and bronchus shutoff pipe 2, in endotracheal tube 1 front end, there is minisize pick-up head and LED 11, the end of endotracheal tube 1 is extended with the wirning harness 12 be connected with minisize pick-up head and LED 11, wirning harness 12 has a usb 13, wirning harness 12 is connected with a display 3 by usb 13, bronchus shutoff pipe 2 passes endotracheal tube 1 and stretches out from the front end of endotracheal tube 1, the Plugging brusa gas tube 22 that the front end of bronchus shutoff pipe 2 has a Plugging brusa 21 and is connected with Plugging brusa 21, Plugging brusa gas tube 22 stretches out from the end of endotracheal tube 1 through endotracheal tube 1, the end of Plugging brusa gas tube 22 is also provided with a Plugging brusa charge valve 23, the end of bronchus shutoff pipe 2 passes from the end of endotracheal tube 1 and is provided with a block 24, endotracheal tube capsule 14 is also provided with in the middle part of endotracheal tube 1, endotracheal tube capsule 14 is connected with an endotracheal tube capsule gas tube 15 and stretches out from endotracheal tube 1 end, the end of endotracheal tube capsule gas tube 15 is provided with endotracheal tube capsule charge valve 16.
In the present embodiment, the length of endotracheal tube 1 is 30cm, on its tube wall, mark has graduation mark, bronchus shutoff pipe 2 stretches out about 4 ~ 5cm from the front end of endotracheal tube 1, direction parallels with endotracheal tube 1 substantially, wherein, the Plugging brusa 21 of bronchus shutoff pipe 2 front end is that blue low pressure height holds Plugging brusa, gas injection is about 8-15ml, realize exitting to the inflation of Plugging brusa 21 by Plugging brusa gas tube 22 and Plugging brusa charge valve 23, endotracheal tube capsule 14 is then white, when the capacity of endotracheal tube capsule 14 elects 10-30ml as, can be used for lung isolation and one-lung ventilation; When the capacity of endotracheal tube capsule 14 elects 70-100ml as, can be used for neurosurgery Intraoperative waken-up.Realize exitting to the inflation of endotracheal tube capsule 14 by endotracheal tube capsule gas tube 15 and endotracheal tube capsule charge valve 16.
As shown in Figures 2 and 3, by this endotracheal tube to combine with bronchus shutoff pipe pipe carry out intubate time, common tube core can be put in endotracheal tube 1, be about 5-7cm place apart from endotracheal tube 1 front end and comprise bronchus shutoff pipe 2 upwards bending 30 to 50 degree angle, be connected with display 3 by wirning harness 12, tracheal intubation is carried out under visual, after glottis crossed by endotracheal tube 1, extract tube core, endotracheal tube 1 left or right 90-degree rotation, bronchus shutoff pipe 2 is made to aim at the laterobronchus needing shutoff, Plugging brusa 21 is positioned at about 0.5cm under knuckle, and endotracheal tube 1 is positioned at 2 ~ 3cm place in knuckle, endotracheal tube capsule 14 is inflated with fixing endotracheal tube 1, by minisize pick-up head and LED 11 to coordinate with display 3 omnidistance video monitoring particularly position change after Plugging brusa 21 be shifted, endotracheal tube 1 degree of depth and direction can be adjusted at any time.In art as required to Plugging brusa 21 inflation/deflation so that single lung or two pulmonary ventilation, its mesobronchus shutoff pipe 2 also can attract bloody sputum or pulmonary air, in bronchus shutoff pipe 2 end cap upper cap 24, need open during one-lung ventilation when two pulmonary ventilation.Art finishes the pipe of combining taking out most gas is retreated in gas main and recovered, and critical patient can deliver to intensive care unit ICU by replace tubes.
As shown in Figure 4, this endotracheal tube is combined pipe with bronchus shutoff pipe and also be can be used for Intraoperative waken-up.Method: the capacity of endotracheal tube capsule 14 is increased to 70-100ml.After general anesthesia (as far as possible without muscle relaxant), per nasal is visual transfers this and combines pipe to nasopharynx part, visually again bronchus shutoff pipe 2 is inserted 2-3cm under esophagus down, Plugging brusa 21 and endotracheal tube capsule 14 are inflated, to block esophagus and nasopharynx, pars oralis pharyngis realizes glottis is ventilated, and time clear-headed in art, the venting of endotracheal tube capsule 14 can be spoken, compared with esophagus ductus nasopharyngeus, advantage has 4 points: 1, visualized operation, and 2, suction sputum is convenient in art; 3, art can finish and lower visual conduit is inserted trachea band pipe go back to department of cerebral surgery intensive care unit if desired; 4, lung isolation and the one-lung ventilation of division of chest disease is mainly used in.
By reference to the accompanying drawings embodiments of the present invention are explained in detail above, but the invention is not restricted to above-mentioned embodiment, in the ken that described technical field those of ordinary skill possesses, various change can also be made under the prerequisite not departing from present inventive concept.
Claims (6)
1. an invisible tracheal catheter combines pipe with bronchus shutoff pipe, it is characterized in that: comprise endotracheal tube and bronchus shutoff pipe, in described endotracheal tube front end, there is minisize pick-up head and LED, the end of described endotracheal tube is extended with the wirning harness be connected with minisize pick-up head and LED, described wirning harness has a USB interface, described wirning harness is connected with a display by USB interface, described bronchus shutoff pipe passes endotracheal tube and stretches out from the front end of endotracheal tube, the Plugging brusa gas tube that the front end of described bronchus shutoff pipe has a Plugging brusa and is connected with Plugging brusa, described Plugging brusa gas tube stretches out from the end of endotracheal tube through endotracheal tube, the end of described Plugging brusa gas tube is also provided with a Plugging brusa charge valve, the end of described bronchus shutoff pipe passes from the end of endotracheal tube and is provided with a block, endotracheal tube capsule is also provided with in the middle part of described endotracheal tube, described endotracheal tube capsule is connected with an endotracheal tube capsule gas tube and stretches out from endotracheal tube end, the end of described endotracheal tube capsule gas tube is provided with endotracheal tube capsule charge valve.
2. invisible tracheal catheter according to claim 1 combines pipe with bronchus shutoff pipe, it is characterized in that: described minisize pick-up head and LED and bronchus shutoff pipe is opposed is respectively fixed on both sides, endotracheal tube front end.
3. invisible tracheal catheter according to claim 1 combines pipe with bronchus shutoff pipe, it is characterized in that: described bronchus shutoff pipe stretches out 4 ~ 5cm from the front end of endotracheal tube.
4. invisible tracheal catheter according to claim 1 combines pipe with bronchus shutoff pipe, it is characterized in that: on the tube wall of described endotracheal tube, mark has graduation mark.
5. invisible tracheal catheter according to claim 1 combines pipe with bronchus shutoff pipe, it is characterized in that: described endotracheal tube and bronchus shutoff pipe adopt plastic material.
6. invisible tracheal catheter according to claim 1 combines pipe with bronchus shutoff pipe, it is characterized in that: the capacity of described endotracheal tube capsule is 10-100ml.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410834368.8A CN104491976A (en) | 2014-09-05 | 2014-12-26 | Visible tracheal catheter and bronchus blocking tube connecting tube |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420513285 | 2014-09-05 | ||
| CN2014205132854 | 2014-09-05 | ||
| CN201410834368.8A CN104491976A (en) | 2014-09-05 | 2014-12-26 | Visible tracheal catheter and bronchus blocking tube connecting tube |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN104491976A true CN104491976A (en) | 2015-04-08 |
Family
ID=52933482
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410834368.8A Pending CN104491976A (en) | 2014-09-05 | 2014-12-26 | Visible tracheal catheter and bronchus blocking tube connecting tube |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104491976A (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105343975A (en) * | 2015-12-04 | 2016-02-24 | 孙扬 | Tracheal intubation device with no laryngoscope |
| CN106139350A (en) * | 2016-07-06 | 2016-11-23 | 河南驼人医疗器械集团有限公司 | A kind of integrated shooting visual trachea cannula |
| CN109009309A (en) * | 2018-09-06 | 2018-12-18 | 上海中医药大学附属曙光医院 | A kind of visual bronchial occlusive device |
| CN110124172A (en) * | 2019-06-21 | 2019-08-16 | 上海中医药大学附属曙光医院 | Visual side guiding tracheal catheter external member |
| CN113796910A (en) * | 2021-09-18 | 2021-12-17 | 浙江优亿医疗器械股份有限公司 | Visual bronchus plugging device |
| CN114159663A (en) * | 2021-02-22 | 2022-03-11 | 上海交通大学医学院附属第九人民医院 | Trachea cannula device |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030051733A1 (en) * | 2001-09-10 | 2003-03-20 | Pulmonx | Method and apparatus for endobronchial diagnosis |
| CN201235136Y (en) * | 2008-06-04 | 2009-05-13 | 贺定辉 | Bronchus block pipe guide |
| CN201404561Y (en) * | 2009-05-14 | 2010-02-17 | 王令平 | Invisible tracheal catheter |
| CN201735038U (en) * | 2010-08-09 | 2011-02-09 | 高宏 | Visible trachea cannula core |
| CN103330985A (en) * | 2013-07-03 | 2013-10-02 | 李伟 | Blocking sleeve tube with double bronchi alternated |
| CN204428601U (en) * | 2014-12-26 | 2015-07-01 | 广州中医药大学第一附属医院 | A kind of invisible tracheal catheter combines pipe with bronchus shutoff pipe |
-
2014
- 2014-12-26 CN CN201410834368.8A patent/CN104491976A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030051733A1 (en) * | 2001-09-10 | 2003-03-20 | Pulmonx | Method and apparatus for endobronchial diagnosis |
| CN201235136Y (en) * | 2008-06-04 | 2009-05-13 | 贺定辉 | Bronchus block pipe guide |
| CN201404561Y (en) * | 2009-05-14 | 2010-02-17 | 王令平 | Invisible tracheal catheter |
| CN201735038U (en) * | 2010-08-09 | 2011-02-09 | 高宏 | Visible trachea cannula core |
| CN103330985A (en) * | 2013-07-03 | 2013-10-02 | 李伟 | Blocking sleeve tube with double bronchi alternated |
| CN204428601U (en) * | 2014-12-26 | 2015-07-01 | 广州中医药大学第一附属医院 | A kind of invisible tracheal catheter combines pipe with bronchus shutoff pipe |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105343975A (en) * | 2015-12-04 | 2016-02-24 | 孙扬 | Tracheal intubation device with no laryngoscope |
| CN106139350A (en) * | 2016-07-06 | 2016-11-23 | 河南驼人医疗器械集团有限公司 | A kind of integrated shooting visual trachea cannula |
| CN109009309A (en) * | 2018-09-06 | 2018-12-18 | 上海中医药大学附属曙光医院 | A kind of visual bronchial occlusive device |
| CN110124172A (en) * | 2019-06-21 | 2019-08-16 | 上海中医药大学附属曙光医院 | Visual side guiding tracheal catheter external member |
| CN114159663A (en) * | 2021-02-22 | 2022-03-11 | 上海交通大学医学院附属第九人民医院 | Trachea cannula device |
| CN113796910A (en) * | 2021-09-18 | 2021-12-17 | 浙江优亿医疗器械股份有限公司 | Visual bronchus plugging device |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US8998798B2 (en) | Multi-lumen tracheal tube with visualization device | |
| CN104491976A (en) | Visible tracheal catheter and bronchus blocking tube connecting tube | |
| US9155854B2 (en) | Tracheal tube with visualization device and integrated flushing system | |
| US20130096379A1 (en) | Double-lumen endotracheal tube devices, systems and methods | |
| US10441735B1 (en) | Combined laryngeal-bronchial lung separation system | |
| Kristensen et al. | Ventilation via the 2.4 mm internal diameter Tritube® with cuff–new possibilities in airway management | |
| McGrath et al. | The history of one-lung anesthesia and the double-lumen tube | |
| CN204428601U (en) | A kind of invisible tracheal catheter combines pipe with bronchus shutoff pipe | |
| JP2016531706A (en) | Endotracheal tube and method of use | |
| CN203220662U (en) | Three-cuff double-lumen bronchial catheter | |
| CN201978294U (en) | Single-chamber trachea catheter possessing functions of phlegm suction and single or double lung ventilation | |
| US20140083432A1 (en) | Orotracheal tube for tracheostomy procedure | |
| CN103330985A (en) | Blocking sleeve tube with double bronchi alternated | |
| Licker et al. | Isolation of the lung: double-lumen tubes and endobronchial blockers | |
| CN202961429U (en) | Double saccule trachea cannula | |
| CN209809241U (en) | Visual bronchial cannula | |
| CN203227164U (en) | Endoscopic oropharyngeal airway | |
| CN201775850U (en) | Parallel double-cuff infection-preventive long-term indwelling tracheal cannula | |
| CN204972601U (en) | Can appraise formula endotracheal tube | |
| Sinha et al. | Supraglottic airway devices other than laryngeal mask airway and its prototypes | |
| CN202982854U (en) | Tracheotomy cannula | |
| CN203971115U (en) | A kind of tracheal intubation | |
| EP2801384A1 (en) | Tube for endobronchial intubation | |
| CN205181954U (en) | Be used for anesthetic two -chamber endotracheal tube of thoracic operation | |
| CN203169781U (en) | High-frequency jet oxygen feeding type tracheal catheter |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20150408 |
|
| RJ01 | Rejection of invention patent application after publication |