Summary of the invention
The purpose of this utility model is to overcome the deficiencies in the prior art, a kind of visual double lumen endobronchial tube is provided, can adjust catheter position and Real Time Observation patient two pulmonary ventilation situations and air flue endocrine, blood, pus situation of change at any time, so that in time liquid in the sucking-off air flue guarantees airway patency.
The technical scheme that provides according to this utility model, described visual double lumen endobronchial tube, comprise endotracheal tube, the end of described endotracheal tube is connected with the main bronchus conduit, at the sheathed tubular connector in the upper end of described endotracheal tube, two chambeies about adapter inside is provided with small baffle adapter is separated into; Be provided with dividing plate in endotracheal tube inside, the inner chamber of endotracheal tube is separated into the first equal chamber and second chamber, the upper end of described dividing plate is connected with small baffle, and the lower end of dividing plate is connected with the medial wall of main bronchus conduit; Feature is: the image capture device that is provided with the view data of the place ahead that is used to gather the main bronchus conduit and and arranged on left and right sides on described main bronchus conduit medial wall, luminaire is installed on image capture device, and the outfan of described image capture device is connected with the input of image capture device by cable; Described image capture device is connected with power supply by power line with luminaire.
Be provided with piped cavity at the middle part of described dividing plate, be provided with the passage that is communicated with described cavity in small baffle, described passage is communicated with the tube wall of adapter.Described cable and power line are arranged in the cavity.
One end of described cable is connected with the outfan of image capture device, and the other end of cable is connected with the input of the image output device of outside through the cavity at dividing plate middle part and the passage of small baffle inside; One end of described power line is connected with luminaire with image capture device, and the other end of power line is connected with the power supply of outside through the cavity at dividing plate middle part and the passage of small baffle inside.
Described image capture device is a minisize pick-up head.Sheathed left connection tube of difference and right connection tube in the left and right chamber of described adapter.
Be provided with tracheal tampon in described endotracheal tube lower end, on the main bronchus conduit, be provided with main bronchus cover capsule.Left tubule and right tubule are set respectively on described endotracheal tube, and described left tubule and right tubule are communicated with main bronchus cover capsule and tracheal tampon respectively.On the top of described left tubule and right tubule first inflatable cuff and second inflatable cuff are set respectively.On the sidewall of main bronchus conduit, be provided with side opening.
Visual double lumen endobronchial tube described in the utility model has not only kept the functionality advantage of traditional double lumen endobronchial tube, and by can accurately locating by means of the minisize pick-up head that is located at catheter proximal end, realized that can carry out two lungs according to circumstances down calmly isolates, simultaneously simple to operate, even under the situation that the patient body position changes, also can adjust catheter position and Real Time Observation patient two pulmonary ventilation situations and air flue endocrine, blood, pus situation of change at any time, so that in time liquid in the sucking-off air flue guarantees airway patency.
The specific embodiment
The utility model is described in further detail below in conjunction with concrete accompanying drawing.
As Fig. 1 ~ shown in Figure 3: visual double lumen endobronchial tube comprisesendotracheal tube 1,image capture device 2,luminaire 3,cable 4, dividingplate 5,image output device 6,power line 7,power supply 8, main bronchus conduit 9,adapter 10, small baffle 11,left connection tube 12,right connection tube 13,first chamber 14,second chamber 15,tracheal tampon 16, main bronchus sheathedcatheter capsule 17,left tubule 18,right tubule 19, firstinflatable cuff 20, secondinflatable cuff 21,side opening 22 etc.
This utility model comprisesendotracheal tube 1, the end ofendotracheal tube 1 is connected with main bronchus conduit 9, the sheathedtubular connector 10 in the upper end ofendotracheal tube 1, two chambeies aboutadapter 10 inside are provided with small baffle 11adapter 10 is separated into, sheathedleft connection tube 12 andright connection tube 13 respectively in the left and right chamber ofadapter 10; Be provided with dividingplate 5 inendotracheal tube 1 inside, the inner chamber ofendotracheal tube 1 is separated into the firstequal chamber 14 andsecond chamber 15, the upper end of described dividingplate 5 is connected with small baffle 11, and the lower end of dividingplate 5 is connected with the medial wall of main bronchus conduit 9;
On described main bronchus conduit 9 medial walls, be provided with theimage capture device 2 of the view data of the place ahead that is used to gather main bronchus conduit 9 and and arranged on left and right sides,luminaire 3 is installed onimage capture device 2, and the outfan of describedimage capture device 2 is connected with the input ofimage capture device 2 bycable 4; Describedimage capture device 2 is connected withpower supply 8 bypower line 7 withluminaire 3;
Be provided with piped cavity at the middle part of dividingplate 5, be provided with the passage that is communicated with described cavity in small baffle 11, described passage is communicated with the tube wall ofadapter 10; Describedcable 4 andpower line 7 are arranged in the cavity;
One end of describedcable 4 is connected with the outfan ofimage capture device 2, and the other end ofcable 4 is connected with the input of theimage output device 6 of outside through the cavity at dividingplate 5 middle parts and the passage of small baffle 11 inside; One end of describedpower line 7 is connected withluminaire 3 withimage capture device 2, and the other end ofpower line 7 is connected with thepower supply 8 of outside through the cavity at dividingplate 5 middle parts and the passage of small baffle 11 inside;
Describedimage capture device 2 is a minisize pick-up head; Be provided withtracheal tampon 16 inendotracheal tube 1 lower end, on main bronchus conduit 9, be provided with main bronchussheathed catheter capsule 17;Left tubule 18 andright tubule 19 are set respectively onendotracheal tube 1, describedleft tubule 18 andright tubule 19 are communicated with main bronchus sheathedcatheter capsule 17 andtracheal tampon 16 respectively, and firstinflatable cuff 20 and secondinflatable cuff 21 are set respectively on the top ofleft tubule 18 andright tubule 19; On the sidewall of main bronchus conduit 9, be provided with side opening 22.
Visual double lumen endobronchial tube operation is as follows: after the catheter proximal end paraffin oil is smeared, hand-held conduit is along the laryngoscope direction, catheter proximal end is sent into glottis, core is led in extraction, observe the endotracheal tube front position byimage output device 6, push aheadendotracheal tube 1 along tracheal wall, when occurring left and right sides main bronchus opening on the display screen, adjust main bronchus conduit 9 preceding extreme directions, main bronchus conduit 9 head ends are sent into the homonymy main bronchus, main bronchus sheathedcatheter capsule 17 andtracheal tampon 16 inflations respectively, gap around closes ducts and the trachea, whether ready for mechanical ventilation, it is accurate to observe main bronchus conduit 9 positions byimage output device 6 at last, has or not main bronchus sheathedcatheter capsule 17 to stop up the tracheorrhaphy prong, main bronchus conduit 9 head ends inserted dark, main bronchus sheathedcatheter capsule 17 has stopped up the generation of situations such as lobar bronchi opening, so that in time adjust catheter position, guarantee that [isolates fully, prevent to pour in down a chimney the generation of phenomenon.
This utility model in use, be provided withimage capture device 2 image of its left and right sides, the place ahead is gathered by main bronchus conduit 9 medial walls are set, that can watchendotracheal tube 1 front position byimage output device 6 and air flue, by carrying out accurate in locating by means ofimage capture device 2, can calmly down according to circumstances realize the isolation of two lungs, simultaneously simple to operate, even under the situation that the patient body position changes, also can adjust catheter position and Real Time Observation patient two pulmonary ventilation situations and air flue endocrine at any time, blood, the pus situation of change, so that in time liquid in the sucking-off air flue guarantees airway patency.