CN202015404U - Septum windowing-type double-lumen bronchial catheter - Google Patents

Septum windowing-type double-lumen bronchial catheter Download PDF

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Publication number
CN202015404U
CN202015404U CN2011200630722U CN201120063072U CN202015404U CN 202015404 U CN202015404 U CN 202015404U CN 2011200630722 U CN2011200630722 U CN 2011200630722U CN 201120063072 U CN201120063072 U CN 201120063072U CN 202015404 U CN202015404 U CN 202015404U
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endotracheal tube
air bag
dividing plate
tube
bronchial catheter
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Expired - Fee Related
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CN2011200630722U
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Chinese (zh)
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高宏
艾青
姚敏
张兆平
王志萍
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高宏
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Abstract

The utility model relates to a double-lumen bronchial catheter, in particular to a septum windowing-type double-lumen bronchial catheter which belongs to the technical field of medical instruments. According to the technical scheme provided by the utility model, the septum windowing-type double-lumen bronchial catheter comprises a first trachea catheter and a second trachea catheter, wherein the second trachea catheter is positioned on the outer wall of the first trachea catheter; one end part of the second trachea catheter is provided with the bronchial catheter; the bronchial catheter is communicated with the second trachea catheter; the junction of the first trachea catheter and the second trachea catheter is provided with a clapboard slot; the lower part of the clapboard slot is provided with a venting window; the first trachea catheter and the second trachea catheter are communicated by the venting window; the clapboard slot is provided with a clapboard capable of sealing the venting window; and the clapboard can move in the clapboard slot. The septum windowing-type double-lumen bronchial tube has the advantages of simple structure and wide applicable range, is convenient to use and is safe and reliable.

Description

But in every the fenestration double lumen endobronchial tube
Technical field
This utility model relates to a kind of double lumen endobronchial tube, but in especially a kind of every the fenestration double lumen endobronchial tube, belong to technical field of medical.
Background technology
One-lung ventilation is meant the method that thoracic surgery patients undergo endotracheal tube only utilizes a side lung (non-operation side) to ventilate.The range of application of one-lung ventilation anesthesia at present is expansion greatly, except that being used for the many patients of lung endocrine, also through being usually used in operations such as esophagus, the lobe of the lung, full lung, thoracoscope, to make things convenient for operation technique, alleviate operation side injury of lung, prevent the cross infection between two lungs.
The method that one-lung ventilation is implemented at present mainly is double lumen endobronchial tube, bronchus blanking plug or two-chamber dissymmetry double lumen endobronchial tube, and more or less there is following problem in it: 1, pressure height during one-lung ventilation, cause injury of lung easily; 2, the expectorant operating difficulties is inhaled in certain side chamber, even can't inhale expectorant; When 3, auscultation is located, need clamp one side pipe chamber, may cause the tube chamber breakage; Pressure was higher when the operation side was roused lung when 4, operation finished, even can't operate.The existence of the problems referred to above has a strong impact on clinical use, and the safety that has influenced corresponding operation is carried out.
Summary of the invention
The purpose of this utility model is to overcome the deficiencies in the prior art, but provide a kind of in every the fenestration double lumen endobronchial tube, it is simple in structure, and is applied widely, easy to use, safe and reliable.
The technical scheme that provides according to this utility model, but in described every the fenestration double lumen endobronchial tube, comprise first endotracheal tube and be positioned at second endotracheal tube on the described first endotracheal tube outer wall, one end end of described second endotracheal tube is provided with bronchial catheter, and described bronchial catheter is connected with second endotracheal tube; Be provided with the dividing plate slot between the joint portion of described first endotracheal tube and second endotracheal tube, the bottom of described dividing plate slot is provided with the ventilation window, and the ventilation window can be connected first endotracheal tube with second endotracheal tube; Be provided with the dividing plate of energy closed vent window in the dividing plate slot, dividing plate can move in the dividing plate slot.
Described second endotracheal tube is provided with the second endotracheal tube interface corresponding to the other end that bronchial catheter is set.Described first endotracheal tube forms the endotracheal tube opening corresponding to an end end of contiguous bronchial catheter, and first endotracheal tube is provided with the first endotracheal tube interface corresponding to the other end that the endotracheal tube opening is set.
The outer wall of described first endotracheal tube and second endotracheal tube is provided with first air bag, and described first air bag links to each other with first airbag inflation pipe that is used for first airbag aeration; Be provided with second air bag in first endotracheal tube, described second air bag links to each other with second airbag inflation pipe that is used for second airbag aeration; Be provided with the 3rd air bag in second endotracheal tube, described the 3rd air bag links to each other with the 3rd airbag inflation pipe that is used for the 3rd airbag aeration; The outer wall of bronchial catheter is provided with four gasbags, and described four gasbags links to each other with the four gasbags gas tube that is used for the four gasbags inflation; Second air bag and the 3rd air bag all are positioned at the bottom of ventilation window.
Be provided with anti-pressing spring in the described bronchial catheter.Described bronchial catheter is left bronchus conduit or right bronchial catheter.Described right bronchial catheter is provided with the inducing QI side opening, and described inducing QI side opening is connected with right bronchial catheter.
The bottom of described dividing plate is provided with the dividing plate window; When mobile, first endotracheal tube can be connected with second endotracheal tube by ventilation window, dividing plate window dividing plate in the dividing plate slot.
Described dividing plate convexes with limited block corresponding to the end that is positioned at the dividing plate slot, and the shape of described limited block and dividing plate slot are complementary.
Described first airbag inflation pipe is provided with the first air sac sealing valve that is used to seal first air bag corresponding to the other end that links to each other with first air bag; Second airbag inflation pipe is provided with the second air sac sealing valve that is used to seal second air bag corresponding to the other end that links to each other with second air bag; The 3rd airbag inflation pipe is provided with the 3rd air sac sealing valve that is used to seal the 3rd air bag corresponding to the other end that links to each other with the 3rd air bag; The four gasbags gas tube is provided with the four gasbags seal valve that is used to seal four gasbags corresponding to the other end that links to each other with four gasbags.
Advantage of the present utility model: when central partition window mouth was closed, two lung isolation effects were equal to common double lumen endobronchial tube, and the bilateral tube chamber is all thicker simultaneously, and the convenient expectorant of inhaling is operated; When auscultation is located after the intubate, need not the clamp tube chamber, only need get final product airbag aeration in the bilateral tube chamber respectively, having reduced the tube chamber damage may; All can accomplish arbitrarily non-ventilation side pipe chamber obturation during the side one-lung ventilation, the joint portion of first endotracheal tube and second endotracheal tube is provided with the dividing plate slot and moves, can make between first endotracheal tube and second endotracheal tube and be connected by the ventilation window, reach the shared ventilation of the shared ventilation side of two-chamber two-chamber of first endotracheal tube and second endotracheal tube, reduce aeration resistance and venting pressure; First endotracheal tube and second endotracheal tube are provided with first air bag, are provided with second air bag in first endotracheal tube, are provided with the 3rd air bag in second endotracheal tube; The left bronchus conduit is set in the end of second endotracheal tube or right bronchus is led, and can be used in left lung and the corresponding operation technique of right lung; Inflation venting by corresponding air bag and middle partition window mouth are open or close, and reach the low ventilation of any unilateral lung pressure or two lung is isolated fully and convenient drum lung and inhale expectorant and operate; The scope of application is extensive, and is simple in structure, safe and reliable.
Description of drawings
Fig. 1 is a structural representation of the present utility model.
Fig. 2 is that the A-A of Fig. 1 is to structural representation.
Fig. 3 is that the B-B of Fig. 2 is to structural representation.
Fig. 4 is an another kind of structural representation of the present utility model.
Fig. 5 is that the C-C of Fig. 4 is to structural representation.
The specific embodiment
The utility model is described in further detail below in conjunction with concrete drawings and Examples.
As Fig. 1 ~ shown in Figure 5: this utility model comprises respirator interface 1, dividing plate lifts ring 2, first airbag inflation pipe 3, the first air sac sealing valve 4, the second air sac sealing valve 5, second airbag inflation pipe 6, the 3rd airbag inflation pipe 7, the 3rd air sac sealing valve 8, four gasbags seal valve 9, four gasbags gas tube 10, first air bag 11, second air bag 12, ventilation window 13, the 3rd air bag 14, left bronchus conduit 15, four gasbags 16, anti-pressing spring 17, first endotracheal tube 18, dividing plate 19, limited block 20, second endotracheal tube 21, dividing plate window 22, dividing plate slot 23, pocket base 24, inducing QI side opening 25, right bronchial catheter 26, the first endotracheal tube interface 27, the second endotracheal tube interface 28, endotracheal tube opening 29 and bronchial catheter opening 30.
As Fig. 1, Fig. 2, Fig. 3 and shown in Figure 5: as described in the outer wall of first endotracheal tube 18 to be provided with second endotracheal tube, 21, the second endotracheal tubes 21 identical with the caliber of first endotracheal tube 18.The joint portion of first endotracheal tube 18 and second endotracheal tube 21 is provided with dividing plate socket 24, and the center of described dividing plate socket 24 forms dividing plate slot 23; The length of dividing plate slot 23 is less than the length of first endotracheal tube 18 and second endotracheal tube, 21 outer wall joint portions.Be provided with dividing plate 19 in the dividing plate slot 23, described dividing plate 19 can move in dividing plate slot 23.The bottom of dividing plate slot 23 is provided with ventilation window 13, and described ventilation window 13 can be connected first endotracheal tube 18 with second endotracheal tube 21; Ventilation window 13 with first endotracheal tube 18 with after second endotracheal tube 21 is connected, pressure that can reduce to ventilate and resistance.Described dividing plate 19 can closed vent window 13, behind dividing plate 19 closed vent windows 13, can keep the independence of first endotracheal tube 18 and 21 uses of second endotracheal tube.Dividing plate 19 is provided with dividing plate and lifts ring 2 corresponding to being positioned at the outer ends of dividing plate slot 23.For the convenience of use, on the dividing plate 19 dividing plate window 22 can also be set, behind moveable partition board 19, dividing plate window 22 can be connected with ventilation window 23, thereby first endotracheal tube 18 is connected with second endotracheal tube 21; At this moment, dividing plate 19 is provided with limited block 20 corresponding to the end of stretching in dividing plate slot 23 bottom lands, and the width of described limited block 20 is greater than slot support 24, can prevent that dividing plate 19 from when mobile, producing excessive amount of movement in dividing plate slot 23, and the location accurately.During concrete enforcement, the area of ventilation window 13 is more preferably greater than the cross section of first endotracheal tube 18 or second endotracheal tube 21.
The outer wall of first endotracheal tube 18 and second endotracheal tube 21 is provided with first air bag 11, and described first air bag 11 is wrapped on first endotracheal tube 18 and second endotracheal tube 21.First air bag 11 links to each other with first airbag inflation pipe 3 that is used for 11 inflations of first air bag, and first airbag inflation pipe 3 is provided with the first air sac sealing valve 4 that is used for first air bag 11.The end of second endotracheal tube 21 is provided with bronchial catheter, and bronchial catheter is connected with second endotracheal tube 21, and described bronchial catheter is left bronchus conduit 15 or right bronchial catheter 26, is the structural representation of left bronchus conduit 15 among Fig. 1.The end of first endotracheal tube, 18 contiguous left bronchus conduits 15 forms endotracheal tube opening 29, and the end of left bronchus conduit 15 forms bronchus opening 30.Be provided with second air bag 12 in first endotracheal tube 18, described second air bag 12 links to each other with second airbag inflation pipe 6 that is used for 12 inflations of second air bag, and second airbag inflation pipe 6 is provided with the second air sac sealing valve 5.Be provided with the 3rd air bag 14 in second endotracheal tube 21, described the 3rd air bag 14 links to each other with the 3rd airbag inflation pipe 7 that is used for 14 inflations of the 3rd air bag, and the 3rd airbag inflation pipe 7 is provided with the 3rd air sac sealing valve 8; Second air bag 12 and the 3rd air bag 14 all are positioned at the below of ventilation window 13.The outer wall of left bronchus conduit 15 is provided with four gasbags 16, and described four gasbags 16 links to each other with the four gasbags gas tube 10 that is used for four gasbags 16 inflations, and four gasbags gas tube 10 is provided with four gasbags seal valve 9.Be provided with anti-pressing spring 17 in the left bronchus conduit 15, can prevent that left bronchus conduit 15 is flattened.During concrete enforcement, second air bag 12 and the 3rd air bag 14 can be respectively distribute along the lumen shape of first endotracheal tube 18, second endotracheal tube 21, also can distribute along the part tube chamber of first endotracheal tube 18, second endotracheal tube 21, after only needing second air bag 12 and the 3rd air bag 14 to inflate, can distinguish shutoff first endotracheal tube 18, second endotracheal tube 21 gets final product.When double lumen endobronchial tube is used as one-sided ventilation, second air bag 12 or the 3rd air bag 14 can only be set, promptly when first endotracheal tube, 18 conduct ventilation sides, can only the 3rd air bag 14 be set in second endotracheal tube 21, save second air bag 12 in first endotracheal tube 18; In like manner, during second endotracheal tube, 21 conduct ventilation sides, can only second air bag 12 be set in first endotracheal tube 18, save the 3rd air bag 14 in second endotracheal tube 21, can reduce processing request.
First endotracheal tube 18 is provided with the first endotracheal tube interface 27 corresponding to the other end that endotracheal tube opening 29 is set, and described first endotracheal tube 27 is provided with respirator interface 1.Second endotracheal tube 21 is provided with on the second endotracheal tube interface, 28, the second endotracheal tube interfaces 28 corresponding to the other end that left bronchus conduit 15 is set and also is provided with respirator interface 1.
As shown in Figure 4: be the structural representation that the end of second endotracheal tube 21 is provided with right bronchial catheter 26.Right bronchial catheter 26 is connected with second endotracheal tube 21, and right bronchial catheter 26 is provided with inducing QI side opening 25, and described inducing QI side opening 25 is connected with right bronchial catheter 26.Right bronchial catheter 26 is provided with four gasbags 16, the four gasbags 16 and distributes corresponding to all the other outer walls that inducing QI side opening 25 is set along right bronchial catheter 26.
As Fig. 1 ~ shown in Figure 5: during use, when the end of second endotracheal tube 21 is provided with left bronchus conduit 15, can be respectively applied for the operation of right lung periphery, the operation of left lung periphery or right lung central authorities hands art; When the end of second endotracheal tube 21 is provided with right bronchial catheter 26, can be respectively applied for the operation of right lung periphery, the operation of left lung periphery or the operation of left lung central authorities.When select using, preferentially select the end of second endotracheal tube 21 that the structure of left bronchus conduit 15 is set, the location is convenient.After selecting to use corresponding second endotracheal tube 21 and bronchial catheter, bronchial catheter and first endotracheal tube 18, second endotracheal tube 21 are positioned, and the first endotracheal tube interface 27 of first endotracheal tube, 18 ends, the second endotracheal tube interface 28 of second endotracheal tube, 21 ends link to each other with respirator by corresponding respirator interface 1 respectively.During one-sided ventilation, first air bag 11 by 3 inflations of first airbag inflation pipe after, seal by the first air sac sealing valve 4; After four gasbags 16 is inflated by four gasbags gas tube 10 simultaneously, seal by four gasbags seal valve 9; Corresponding airbag aeration in the side of not ventilating, promptly when first endotracheal tube, 18 conduct ventilation sides, the 3rd air bags 14 in second endotracheal tube 21 seal by the 3rd air sac sealing valve 8 after passing through 7 inflations of the 3rd airbag inflation pipe.Then, the pulling dividing plate lifts ring 2, and pulling dividing plate 19 makes first endotracheal tube 18 be connected with second endotracheal tube 21 by ventilation window 13, and is convenient when inhaling expectorant like this, during while one-sided ventilation, can realize that two-chamber is shared, and venting pressure and resistance all can reduce.During the bilateral ventilation, first air bag 11 seals by the first air sac sealing valve 4 after inflating by first airbag inflation pipe 3; After four gasbags 16 is inflated by four gasbags gas tube 10 simultaneously, seal by four gasbags seal valve 9.The 3rd air bag 14 in second air bag 12 in first endotracheal tube 18 and second endotracheal tube 21 is not all inflated, and by dividing plate 19 closed vent windows 13, such first endotracheal tube 18 and second endotracheal tube 21 can be ventilated respectively accordingly.When positioning, do not need clamp to carry out corresponding tube chamber, only need to have avoided the tube chamber breakage by intraluminal airbag aeration is got final product.
The joint portion of this utility model first endotracheal tube 18 and second endotracheal tube 21 is provided with dividing plate slot 23, be provided with mobile dividing plate 19 in the dividing plate slot 23, the bottom of dividing plate slot 23 is provided with ventilation window 13, moveable partition board 19,21 of first endotracheal tube 18 and second endotracheal tubes are connected by ventilation window 13, and when reaching one-sided ventilation, the two-chamber of first endotracheal tube 18 and second endotracheal tube 21 is shared, reduced the resistance and the pressure of ventilation, it is convenient to inhale expectorant; First endotracheal tube 18 and second endotracheal tube 21 are provided with to be provided with in second air bag, 12, the second endotracheal tubes 21 in first air bag, 11, the first endotracheal tubes 18 and are provided with the 3rd air bag 14; The end of second endotracheal tube 21 is provided with left bronchus conduit 15 or right bronchial catheter 26, can be used in the corresponding operation technique of left lung and right lung, has improved the scope of application, and is simple in structure, safe and reliable.

Claims (10)

  1. But in one kind every the fenestration double lumen endobronchial tube, comprise first endotracheal tube (18) and be positioned at second endotracheal tube (21) on described first endotracheal tube (18) outer wall, one end end of described second endotracheal tube (21) is provided with bronchial catheter, and described bronchial catheter is connected with second endotracheal tube (21); It is characterized in that: be provided with dividing plate slot (23) between the joint portion of described first endotracheal tube (18) and second endotracheal tube (21), the bottom of described dividing plate slot (23) is provided with ventilation window (13), and ventilation window (13) can be connected first endotracheal tube (18) with second endotracheal tube (21); Be provided with the dividing plate (19) of energy closed vent window (13) in the dividing plate slot (23), dividing plate (19) can move in dividing plate slot (23).
  2. 2. but every the fenestration double lumen endobronchial tube, it is characterized in that in according to claim 1: described second endotracheal tube (21) is provided with the second endotracheal tube interface (28) corresponding to the other end that bronchial catheter is set.
  3. But 3. in according to claim 1 every the fenestration double lumen endobronchial tube, it is characterized in that: described first endotracheal tube (18) forms endotracheal tube opening (29) corresponding to an end end of contiguous bronchial catheter, and first endotracheal tube (18) is provided with the first endotracheal tube interface (27) corresponding to the other end that endotracheal tube opening (29) is set.
  4. But 4. in according to claim 1 every the fenestration double lumen endobronchial tube, it is characterized in that: described first endotracheal tube (18) is provided with first air bag (11) with the outer wall of second endotracheal tube (21), and described first air bag (11) links to each other with first airbag inflation pipe (3) that is used for first air bag (11) inflation; Be provided with second air bag (12) in first endotracheal tube (18), described second air bag (12) links to each other with second airbag inflation pipe (6) that is used for second air bag (12) inflation; Be provided with the 3rd air bag (14) in second endotracheal tube (21), described the 3rd air bag (14) links to each other with the 3rd airbag inflation pipe (7) that is used for the 3rd air bag (14) inflation; The outer wall of bronchial catheter is provided with four gasbags (16), and described four gasbags (16) links to each other with the four gasbags gas tube (10) that is used for four gasbags (16) inflation; Second air bag (12) and the 3rd air bag (14) all are positioned at the bottom of ventilation window (13).
  5. 5. but every the fenestration double lumen endobronchial tube, it is characterized in that in according to claim 1: be provided with anti-pressing spring (17) in the described bronchial catheter.
  6. But according to claim 1 or 5 in every the fenestration double lumen endobronchial tube, it is characterized in that: described bronchial catheter is left bronchus conduit (15) or right bronchial catheter (26).
  7. 7. but every the fenestration double lumen endobronchial tube, it is characterized in that in according to claim 6: described right bronchial catheter (26) is provided with inducing QI side opening (25), and described inducing QI side opening (25) is connected with right bronchial catheter (26).
  8. 8. but every the fenestration double lumen endobronchial tube, it is characterized in that in according to claim 1: the bottom of described dividing plate (19) is provided with dividing plate window (22); When mobile, first endotracheal tube (18) can be connected with second endotracheal tube (21) by ventilation window (13), dividing plate window (22) dividing plate (19) in dividing plate slot (23).
  9. But 9. in according to claim 1 every the fenestration double lumen endobronchial tube, it is characterized in that: described dividing plate (19) convexes with limited block (20) corresponding to the end that is positioned at dividing plate slot (23), and the shape of described limited block (20) and dividing plate slot (23) are complementary.
  10. 10. but every the fenestration double lumen endobronchial tube, it is characterized in that in according to claim 4: described first airbag inflation pipe (3) is provided with the first air sac sealing valve (4) that is used to seal first air bag (11) corresponding to the other end that links to each other with first air bag (11); Second airbag inflation pipe (6) is provided with the second air sac sealing valve (5) that is used to seal second air bag (12) corresponding to the other end that links to each other with second air bag (12); The 3rd airbag inflation pipe (7) is provided with the 3rd air sac sealing valve (8) that is used to seal the 3rd air bag (14) corresponding to the other end that links to each other with the 3rd air bag (14); Four gasbags gas tube (10) is provided with the four gasbags seal valve (9) that is used to seal four gasbags (16) corresponding to the other end that links to each other with four gasbags (16).
CN2011200630722U 2011-03-11 2011-03-11 Septum windowing-type double-lumen bronchial catheter Expired - Fee Related CN202015404U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2011200630722U CN202015404U (en) 2011-03-11 2011-03-11 Septum windowing-type double-lumen bronchial catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2011200630722U CN202015404U (en) 2011-03-11 2011-03-11 Septum windowing-type double-lumen bronchial catheter

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CN202015404U true CN202015404U (en) 2011-10-26

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CN2011200630722U Expired - Fee Related CN202015404U (en) 2011-03-11 2011-03-11 Septum windowing-type double-lumen bronchial catheter

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106075687A (en) * 2016-07-11 2016-11-09 阮云 A kind of double-lumen catheter
CN107126613A (en) * 2017-06-13 2017-09-05 王剑平 A kind of right-sided double-lumen endobronchial cannula
CN109172984A (en) * 2018-08-22 2019-01-11 杭州市第人民医院 A kind of Combined double-chamber bronchial catheter
CN109224235A (en) * 2018-10-23 2019-01-18 孙喜家 A kind of double lumen tube and intubation procedure

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106075687A (en) * 2016-07-11 2016-11-09 阮云 A kind of double-lumen catheter
CN106075687B (en) * 2016-07-11 2019-02-22 阮云 A kind of double-lumen catheter
CN107126613A (en) * 2017-06-13 2017-09-05 王剑平 A kind of right-sided double-lumen endobronchial cannula
CN109172984A (en) * 2018-08-22 2019-01-11 杭州市第人民医院 A kind of Combined double-chamber bronchial catheter
CN109224235A (en) * 2018-10-23 2019-01-18 孙喜家 A kind of double lumen tube and intubation procedure

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Granted publication date: 20111026

Termination date: 20120311