CN109965929A - A kind of novel clamp pressure filled-type double cuff bronchial occlusive device - Google Patents
A kind of novel clamp pressure filled-type double cuff bronchial occlusive device Download PDFInfo
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- CN109965929A CN109965929A CN201910252273.8A CN201910252273A CN109965929A CN 109965929 A CN109965929 A CN 109965929A CN 201910252273 A CN201910252273 A CN 201910252273A CN 109965929 A CN109965929 A CN 109965929A
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- cuff
- main body
- occlusion catheter
- catheter main
- type double
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- 230000000903 blocking effect Effects 0.000 claims description 8
- 239000002775 capsule Substances 0.000 claims description 2
- 210000004072 lung Anatomy 0.000 abstract description 24
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 210000000038 chest Anatomy 0.000 abstract description 5
- 210000000115 thoracic cavity Anatomy 0.000 abstract description 3
- 210000000621 bronchi Anatomy 0.000 description 15
- 230000000694 effects Effects 0.000 description 7
- 238000000034 method Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- SEPPVOUBHWNCAW-FNORWQNLSA-N (E)-4-oxonon-2-enal Chemical compound CCCCCC(=O)\C=C\C=O SEPPVOUBHWNCAW-FNORWQNLSA-N 0.000 description 1
- LLBZPESJRQGYMB-UHFFFAOYSA-N 4-one Natural products O1C(C(=O)CC)CC(C)C11C2(C)CCC(C3(C)C(C(C)(CO)C(OC4C(C(O)C(O)C(COC5C(C(O)C(O)CO5)OC5C(C(OC6C(C(O)C(O)C(CO)O6)O)C(O)C(CO)O5)OC5C(C(O)C(O)C(C)O5)O)O4)O)CC3)CC3)=C3C2(C)CC1 LLBZPESJRQGYMB-UHFFFAOYSA-N 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
- A61B17/12045—Type of occlusion temporary occlusion double occlusion, e.g. during anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention discloses a kind of novel clamps to press filled-type double cuff bronchial occlusive device, including occlusion catheter main body, the first cuff, the second cuff, the first cuff charge valve and the second sleeve bag gas-filling valve, occlusion catheter main body is divided into straight pipe and bend loss to curving by occlusion catheter main body one end, first cuff and the second cuff are respectively arranged in the bend loss of occlusion catheter main body, and are connected to by occlusion catheter main body with the first cuff charge valve and the second sleeve bag gas-filling valve for being set to straight pipe；Volume of first cuff under the end of occlusion catheter main body, the second sleeve bag gas-filling state on the inside of the bend loss of occlusion catheter main body accounts for 3/4ths of the second cuff total volume.It is the configuration of the present invention is simple, flexible and convenient to use, in actually opening right chest surgical procedure, right lung is enabled to wither completely, is of great significance for thoracic surgery field, it is easy to spread.
Description
Technical field
The invention belongs to the field of medical instrument technology, specifically, being related to a kind of novel clamp pressure filled-type double cuff branch gas
Pipe plugging device.
Background technique
Clinic is usually made in thoracic surgery using double-cavity bronchial cannula or bronchial occlusive device to reach at present
The effect that operation side lung tissue withers.It is frequently found in clinical position, the patient for opening left chest is made using bronchial occlusive device ratio
It is more convenient with double lumen tube, it is more efficient, lateral position is directly put after often inserting single tube in actual use, is then directly sealed
It is stifled, it works well.However the operation for opening right chest, bronchial occlusive device just seem that some are less practical.Existing bronchus
Plugging device often only one round cuff, since right principal bronchus is shorter, the main tracheae of right superior lobar bronchus extended distance is too
Closely, especially superior lobe of right lung using plugging device is extremely difficult makes right lung wither completely, is unfavorable for subsequent procedures operation in this way.Therefore, have
Necessity designs a kind of novel clamp pressure filled-type double cuff bronchus envelope that in opening right chest operation right lung can be withered completely
Stifled device.
Summary of the invention
For deficiency above-mentioned in the prior art, the present invention provides a kind of novel clamp pressure filled-type double cuff bronchus closure
Device, for solving problems of the prior art.
In order to achieve the above object, the solution that the present invention uses is: a kind of novel clamp pressure filled-type double cuff branch gas
Pipe plugging device, including occlusion catheter main body, the first cuff, the second cuff, the first cuff charge valve and the second sleeve bag gas-filling valve, institute
It states occlusion catheter main body one end and occlusion catheter main body is divided into straight pipe and bend loss, first cuff and to curving
Two cuffs are respectively arranged in the bend loss of occlusion catheter main body, and by occlusion catheter main body and are set to the first of straight pipe
Sleeve bag gas-filling valve and the connection of the second sleeve bag gas-filling valve；
First cuff is located at occlusion catheter under the end of occlusion catheter main body, the second sleeve bag gas-filling state
Volume on the inside of the bend loss of main body accounts for 3/4ths of the second cuff total volume.
It further, further include occlusion catheter connector, the occlusion catheter connector is three-way connection, and the closure is led
The straight pipe of pipe main body passes through two connectors of occlusion catheter connector, another connector conduct of the occlusion catheter connector
Gas supply end is connected with screwed pipe, and the first cuff charge valve and the second sleeve bag gas-filling valve are located on rear side of occlusion catheter connector.
Further, the volume ratio of first cuff and the second cuff is 2/3:1, and spacing between the two is 2mm.
Further, the length of the bend loss of the occlusion catheter main body is 4cm, and the folder between bend loss and straight pipe
Angle is 150 °.
Further, the outer diameter of the occlusion catheter main body is 3mm, and internal diameter is less than 1.5mm.
Further, the total length of the occlusion catheter main body is 70mm.
Further, the occlusion catheter connector is provided with buckle away from the joint for the bend loss for blocking pipe main body.
Working principle: when carrying out the closure of right lung bronchus, the bend loss for being provided with the first cuff and the second cuff is inserted
Enter in the right lung bronchus of patient, and the first cuff and the second cuff are located in right inferior lobar bronchus and right lung
At leaf bronchus, by the first cuff charge valve and the second sleeve bag gas-filling valve respectively to the first cuff and second set of intracapsular inflation,
Until carrying out subsequent procedures operation after right lung bronchus is blocked completely；Due to the second cuff in the deflated condition its be located at bend pipe
The volume of section inside accounts for 3/4ths (not being symmetrically arranged relative to bend loss) of total volume, so that second set is encapsulated
The effect of superior lobar branch tracheae is more preferable in stifled right lung.
It should be strongly noted that it is of the present invention card pressure, filling two keywords be for plugging device function and
Speech, refer to the second asymmetric cuff of abnormity (the second cuff i.e. in the present invention) in plugging device be by after inflation to right lung
Middle superior lobar branch tracheae forms card pressure and filling, to achieve the purpose that block superior lobar branch tracheae in right lung completely, and has
Corresponding fixed effect.
The beneficial effects of the present invention are:
It is the configuration of the present invention is simple, flexible and convenient to use, by designing two cuffs, in actually opening right chest surgical procedure,
For blocking right inferior lobar bronchus, the second cuff can reach first cuff in this way for blocking superior lobar branch tracheae in right lung
The bronchial purpose of right lung upper, middle and lower is blocked to be of great significance for thoracic surgery field, easily so that right lung withers completely
In popularization.
Detailed description of the invention
Fig. 1 is the structural schematic diagram under bronchial occlusive device unaerated state of the present invention；
Fig. 2 is the structural schematic diagram under bronchial occlusive device inflated condition of the present invention；
In attached drawing: 1- occlusion catheter main body, 11- bend loss, 12- straight pipe, the first cuff of 2-, the second cuff of 3-, 4-
One cuff charge valve, 5- the second sleeve bag gas-filling valve, 6- occlusion catheter connector, 7- screwed pipe, 8- buckle.
Specific embodiment
Below in conjunction with attached drawing, the invention will be further described:
To make the object, technical solutions and advantages of the present invention clearer, the technical solution in the present invention is carried out below
It clearly and completely describes, it is clear that described embodiments are some of the embodiments of the present invention, instead of all the embodiments.Base
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts it is all its
His embodiment, shall fall within the protection scope of the present invention.
Referring to Figures 1 and 2, the present invention provides a kind of novel clamp pressure filled-type double cuff bronchial occlusive device, including blocks
Catheter main body 1, the first cuff 2, the second cuff 3, the first cuff charge valve 4 and the second sleeve bag gas-filling valve 5, wherein occlusion catheter master
Using conventional occlusion catheter, (i.e. one end is provided with sealing cap to body 1, and the other end is provided with sealing plug, so that occlusion catheter both ends
In closed state), described 1 one end of occlusion catheter main body divides occlusion catheter main body 1 for straight pipe 11 and bend pipe to curving
Section 12, first cuff 2 and the second cuff 3 are respectively arranged in the bend loss 11 of occlusion catheter main body 1, and are led by blocking
Pipe main body 1 is connected to the first cuff charge valve 4 and the second sleeve bag gas-filling valve 5 for being set to straight pipe 12, and when practical operation passes through
First cuff charge valve 4 and the second sleeve bag gas-filling valve 5 are supplied to the first cuff 2 and the second cuff 3 respectively；For the ease of distinguishing the
One cuff charge valve 4 and the second sleeve bag gas-filling valve 5 can set identical for the first cuff charge valve 4 and the color of the first cuff 2
The color of the second sleeve bag gas-filling valve 5 and the second cuff is set same color by color, or in 4 He of the first cuff charge valve
It is marked on second sleeve bag gas-filling valve 5, medical staff is avoided to obscure the two；
First cuff 2 is in the second cuff 3 when first cuff 2 is close to the end, i.e. practical operation of occlusion catheter main body 1
Lower section, wherein the first cuff 2, for blocking inferior lobe of right lung branch pipe, the second cuff 3 is for blocking superior lobar branch tracheae in right lung, together
It is overall that volume under 3 inflated condition of the second cuff of Shi Suoshu positioned at 11 inside of the bend loss of occlusion catheter main body 1 accounts for the second cuff 3
Long-pending 3/4ths specifically can refer to the form under 3 inflated condition of the second cuff that Fig. 2 is shown.
Referring to Figures 1 and 2, further preferably embodiment, further includes occlusion catheter connector 6, and the occlusion catheter connects
Connector 6 is three-way connection, and the straight pipe 12 of the occlusion catheter main body 1 passes through two connectors of occlusion catheter connector 6, is realized
Occlusion catheter connector 6 can move on straight pipe 12, convenient for according to the optimum bit of different sufferer adjustment occlusion catheter connectors 6
Set, another connector of the occlusion catheter connector 6 is connected with screwed pipe 7 as gas supply end, wherein screwed pipe 7 be used for it is outer
The Anesthesia machine in portion connects, so that surgical procedure is more convenient, the first cuff charge valve 4 and the second sleeve bag gas-filling valve 5 are located at
6 rear side of occlusion catheter connector, operates convenient for medical staff.
Referring to Figures 1 and 2, further preferably embodiment selects the first cuff according to the bronchial design feature of right lung
Volume ratio with the second cuff is 2/3:1, can both reduce the use of cuff material in this way, while improving the closure of the first cuff 2
Effect blocks more tight；The spacing between first cuff 2 and the second cuff 3 is set as according to actual needs simultaneously
2mm to ensure the plugging effect of the first cuff 2 and the second cuff 3, while will not be in contact in inflated condition in the two.
Further preferably embodiment, according to the bronchial physical length of right lung preferably by the occlusion catheter main body 1
The length of bend loss 11 be set as 4cm, and the angle between bend loss 11 and straight pipe 12 selects optimal 150 ° of angles, in order to
Further increase the plugging effect of the first cuff 2 and the second cuff 3.
Further preferably embodiment in order to improve the comfort level of patient in the actual operation process, while to block
The feed rate of catheter main body 1 is best feed rate, and the outer diameter of the occlusion catheter main body 1 is 3mm, and internal diameter is less than
1.5mm。
The total length of the occlusion catheter main body 1 is set as by further preferably embodiment according to the actual configuration of human body
70mm, different patients, which can be realized, to be used.
Referring to Figures 1 and 2, further preferably embodiment, the occlusion catheter connector 6 deviate from closure pipe main body 1
The joint of bend loss 11 is provided with buckle 8, and buckle 8 can be used for the straight pipe 12 of plugging pipe joint 6 and occlusion catheter main body 1
It fixes, improves the structural stability of plugging pipe joint 6, plugging pipe joint 6 when practical operation is avoided to be subjected to displacement.
Working principle: when carrying out the closure of right lung bronchus, the bend loss of the first cuff 2 and the second cuff 3 will be provided with
In the right lung bronchus of 11 insertion patients, and the first cuff 2 and the second cuff 3 is made to be located at right inferior lobar bronchus and the right side
In lung at superior lobar branch tracheae, by the first cuff charge valve 4 and the second sleeve bag gas-filling valve 5 respectively to the first cuff 2 and second set
Inflation in capsule 3, until carrying out subsequent procedures operation after right lung bronchus is blocked completely；Since the second cuff 3 is in inflated condition
It (is not arranged symmetrically relative to bend loss 12 that its lower volume for being located at 11 inside of bend loss, which accounts for 3/4ths of total volume,
), so that the effect that the second cuff 3 blocks superior lobar branch tracheae in right lung is more preferable.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations；Although
Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used
To modify the technical solutions described in the foregoing embodiments or equivalent replacement of some of the technical features；
And these are modified or replaceed, technical solution of various embodiments of the present invention that it does not separate the essence of the corresponding technical solution spirit and
Range.
Claims (7)
1. a kind of novel clamp presses filled-type double cuff bronchial occlusive device, it is characterized in that: including occlusion catheter main body (1), first
Cuff (2), the second cuff (3), the first cuff charge valve (4) and the second sleeve bag gas-filling valve (5), the occlusion catheter main body (1)
Occlusion catheter main body (1) is divided into straight pipe (11) and bend loss (12), first cuff (2) and to curving by one end
Two cuffs (3) are respectively arranged in the bend loss (11) of occlusion catheter main body (1), and pass through occlusion catheter main body (1) and setting
It is connected in the first cuff charge valve (4) of straight pipe (12) with the second sleeve bag gas-filling valve (5)；
First cuff (2) is located at envelope under the end of occlusion catheter main body (1), the second cuff (3) inflated condition
Volume on the inside of the bend loss (11) of stifled catheter main body (1) accounts for 3/4ths of the second cuff (3) total volume.
2. novel clamp according to claim 1 presses filled-type double cuff bronchial occlusive device, it is characterized in that: further including blocking
Catheter connecting joint (6), the occlusion catheter connector (6) are three-way connection, the straight pipe (12) of the occlusion catheter main body (1)
Across two connectors of occlusion catheter connector (6), another connector of the occlusion catheter connector (6) connects as gas supply end
It is connected to screwed pipe (7), after the first cuff charge valve (4) and the second sleeve bag gas-filling valve (5) are located at occlusion catheter connector (6)
Side.
3. novel clamp according to claim 1 presses filled-type double cuff bronchial occlusive device, it is characterized in that: the first set
The volume ratio of capsule (2) and the second cuff (3) is 2/3:1, and spacing between the two is 2mm.
4. novel clamp according to claim 1 presses filled-type double cuff bronchial occlusive device, it is characterized in that: the closure is led
The length of the bend loss (11) of pipe main body (1) is 4cm, and the angle between bend loss (11) and straight pipe (12) is 150 °.
5. novel clamp according to claim 1 presses filled-type double cuff bronchial occlusive device, it is characterized in that: the closure is led
The outer diameter of pipe main body (1) is 3mm, and internal diameter is less than 1.5mm.
6. novel clamp according to claim 1 presses filled-type double cuff bronchial occlusive device, it is characterized in that: the closure is led
The total length of pipe main body (1) is 70mm.
7. novel clamp according to claim 2 presses filled-type double cuff bronchial occlusive device, it is characterized in that: the closure is led
Pipe connector (6) is provided with buckle (8) away from the joint for the bend loss (11) for blocking pipe main body (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910252273.8A CN109965929B (en) | 2019-03-29 | 2019-03-29 | Novel clamping and pressing filling type double-cuff bronchus occluder |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910252273.8A CN109965929B (en) | 2019-03-29 | 2019-03-29 | Novel clamping and pressing filling type double-cuff bronchus occluder |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109965929A true CN109965929A (en) | 2019-07-05 |
| CN109965929B CN109965929B (en) | 2024-08-27 |
Family
ID=67081710
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910252273.8A Active CN109965929B (en) | 2019-03-29 | 2019-03-29 | Novel clamping and pressing filling type double-cuff bronchus occluder |
Country Status (1)
| Country | Link |
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| CN (1) | CN109965929B (en) |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5766151A (en) * | 1991-07-16 | 1998-06-16 | Heartport, Inc. | Endovascular system for arresting the heart |
| US6048331A (en) * | 1996-05-14 | 2000-04-11 | Embol-X, Inc. | Cardioplegia occluder |
| CN202490299U (en) * | 2012-02-17 | 2012-10-17 | 高宏 | One-lung ventilation protector |
| CN104383630A (en) * | 2014-11-26 | 2015-03-04 | 林红 | Bronchial occluder with double bags |
| CN205287165U (en) * | 2015-12-25 | 2016-06-08 | 陈宇 | Modular double -end bronchus plugging device |
| CN206183321U (en) * | 2016-08-23 | 2017-05-24 | 付建峰 | Bronchia blocking device |
| CN207384585U (en) * | 2017-02-20 | 2018-05-22 | 烟台毓璜顶医院 | A kind of multi-functional bronchial occlusion device |
| CN108478912A (en) * | 2018-04-25 | 2018-09-04 | 广州医科大学附属第医院 | A kind of novel double-ball capsule zipper form trachea cannula conduit |
| CN210009085U (en) * | 2019-03-29 | 2020-02-04 | 谢斌 | Novel clamping pressure filling type double-cuff bronchial occluder |
-
2019
- 2019-03-29 CN CN201910252273.8A patent/CN109965929B/en active Active
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5766151A (en) * | 1991-07-16 | 1998-06-16 | Heartport, Inc. | Endovascular system for arresting the heart |
| US6048331A (en) * | 1996-05-14 | 2000-04-11 | Embol-X, Inc. | Cardioplegia occluder |
| CN202490299U (en) * | 2012-02-17 | 2012-10-17 | 高宏 | One-lung ventilation protector |
| CN104383630A (en) * | 2014-11-26 | 2015-03-04 | 林红 | Bronchial occluder with double bags |
| CN205287165U (en) * | 2015-12-25 | 2016-06-08 | 陈宇 | Modular double -end bronchus plugging device |
| CN206183321U (en) * | 2016-08-23 | 2017-05-24 | 付建峰 | Bronchia blocking device |
| CN207384585U (en) * | 2017-02-20 | 2018-05-22 | 烟台毓璜顶医院 | A kind of multi-functional bronchial occlusion device |
| CN108478912A (en) * | 2018-04-25 | 2018-09-04 | 广州医科大学附属第医院 | A kind of novel double-ball capsule zipper form trachea cannula conduit |
| CN210009085U (en) * | 2019-03-29 | 2020-02-04 | 谢斌 | Novel clamping pressure filling type double-cuff bronchial occluder |
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| Publication number | Publication date |
|---|---|
| CN109965929B (en) | 2024-08-27 |
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