A kind of esophagus throat two-chamber closed vent conduit
Technical field
This utility model relates to a kind of medical apparatus and instruments, is specifically related to a kind of esophagus throat two-chamber closed vent conduit.
Background technology
All the time, in all kinds of bottleneck throats such as polyp of vocal cord, trachea and bronchoscopy, trachea and foreign body in bronchus removal surgery, full gastropathy people operation and tracheal bronchus are performed the operation, its traditional method is to keep implementing operation technique in patient's the situation of autonomous respiration under local anaesthesia or light anaesthesia, and is aided with high frequency ventilation and is unlikely to anoxia to guarantee the patient.But thereby the operation technique stimulation tends to cause the especially increase operation risks such as agitation, laryngospasm, trachea and bronchospasm of infant of patient, and brings a lot of inconvenience for patient's operation technique, has limited the visual field of operation technique.Especially in trachea and foreign body in bronchus removal surgery, because patient's deficiency of flaccid muscles causes tracheascope to insert difficulty, throat and tunica mucosa tracheae damage, add operation technique and the shared passage of anesthesia ventilation, patient's breathing inconvenience control causes patient's anoxia asphyxia.In addition, patient's gastric content from backwards flowing mistake is inhaled the risk that has more increased operation in the art, even jeopardizes patient's life.So, for fear of laryngospasm, trachea and bronchospasm and the suction of gastric content from backwards flowing mistake occur in this type of operation, guarantee patient's oxygen for, general anesthesia with mechanical ventilation and increase the operation visual field of operation, many experts and scholars have carried out long-term research and probe, in order to increase the safety of such operation.
The utility model content
The purpose of this utility model is to provide a kind of esophagus throat two-chamber closed vent conduit, mainly solves the problem of patient Yi Fasheng laryngospasm, trachea and bronchospasm in the operation of all kinds of bottleneck throats and tracheal bronchus.
For this reason, this utility model adopts following technical scheme:
A kind of esophagus throat two-chamber closed vent conduit comprises bottleneck throat airway and esophagus respiratory conduit, and described bottleneck throat airway includes an inlet and an outlet; Described esophagus respiratory conduit is positioned at the bottleneck throat airway, and the one end stretches out from the entrance of bottleneck throat airway below and form its entrance, and the other end stretches out from the exit of bottleneck throat airway and forms its outlet.
The outlet top of described bottleneck throat airway is provided with the bottleneck throat air bag, and described bottleneck throat air bag is coated on the bottleneck throat airway and airtight setting; The outlet top of described esophagus respiratory conduit is provided with esophageal balloon, and described esophageal balloon is coated on the esophagus respiratory conduit and airtight setting; Described bottleneck throat air bag is communicated with bottleneck throat air bag air injection pipe, and described esophageal balloon is communicated with the esophageal balloon air injection pipe.
Described bottleneck throat air bag air injection pipe is positioned at the bottleneck throat airway, and the one end is connected with the bottleneck throat air bag, and the other end stretches out from the entrance below of bottleneck throat airway; Described esophageal balloon air injection pipe is positioned at the esophagus respiratory conduit, and the one end is connected with esophageal balloon, and the other end stretches out from the entrance below of esophagus respiratory conduit.
The entrance below of described bottleneck throat airway is provided with the ventilation interface.
The cross section of described bottleneck throat airway is oblong, and its porch is provided with triple channel unidirectional valve seal operation medicated cap.
Be arranged with adjustable catheter anchoring system on the described bottleneck throat airway, this catheter anchoring system is positioned at below the esophagus respiratory duct entry extended position and can moves up and down along the bottleneck throat airway.
The outside of described catheter anchoring system is provided with the hard bite-block.
The position that mechanical ventilation for the benefit of, described bottleneck throat airway are positioned at bottleneck throat air bag below is provided with the ventilation side opening.
For increasing the operation technique area, make things convenient for operation technique, the outlet of described bottleneck throat airway is the diagonal cut joint shape.
Described bottleneck throat airway is crooked to be arranged, and its angle of bend is greater than 90 ° and less than 160 °, more to meet the anatomical physiology of human body bottleneck throat.
This utility model bottleneck throat airway both can guarantee mechanical ventilation, can carry out operation technique again, particularly can be used as the passage of foreign body in the trachea and bronchus removal of foreign body, and open surgical field of view and sufficient operating walk way is provided; Can insert stomach tube by the esophagus respiratory conduit.The bottleneck throat air bag is used for the sealing bottleneck throat; Esophageal balloon is used for the sealing esophagus, can avoid the mistake of backflowing of gastric juice to inhale and forms an airtight space with the bottleneck throat air bag, is beneficial to the mechanical ventilation of general anesthesia, can make the patient finish operation in dark anesthesia situation and checks, has increased the safety of operation.
The beneficial effects of the utility model are: the problem of effectively having avoided patient Yi Fasheng laryngospasm, trachea and bronchospasm in the operation of all kinds of bottleneck throats and tracheal bronchus; For the patient provides open surgical field of view and sufficient operating walk way; The gastric content from backwards flowing mistake of having avoided causing because of operation is inhaled; Guaranteed that patient's oxygen supplies and general anesthesia with mechanical ventilation; Significantly increased operation safety.
Description of drawings
Fig. 1 is structural representation of the present utility model;
Fig. 2 is A of the present utility model section partial enlarged drawing;
Fig. 3 is B of the present utility model section partial enlarged drawing;
Fig. 4 is the structural representation of this utility model triple channel unidirectional valve seal operation medicated cap.
The specific embodiment
Shown in Fig. 1-4, a kind of esophagus throat two-chamber closed vent conduit comprises bottleneck throat airway 1 and esophagus respiratory conduit 2, and bottleneck throat airway 1 comprises entrance 101 and outlet 102; Esophagus respiratory conduit 2 is positioned at bottleneck throat airway 1, and the one end stretches out from entrance 101 belows of bottleneck throat airway 1 and form its entrance 201, and the other end stretches out from the outlet 102 of bottleneck throat airway 1 and forms its outlet 202; Outlet 101 tops of bottleneck throat airway 1 are provided with bottleneck throat air bag 3, and bottleneck throat air bag 3 is coated on the bottleneck throat airway 1 and airtight setting; Outlet 202 tops of esophagus respiratory conduit 2 are provided with esophageal balloon 4, and esophageal balloon 4 is coated on the esophagus respiratory conduit 2 and airtight setting; Bottleneck throat air bag 3 is communicated with bottleneck throat air bag air injection pipe 5, and bottleneck throat air bag air injection pipe 5 is positioned at bottleneck throat airway 1, and the one end is connected with bottleneck throat air bag 3, and the other end stretches out from entrance 101 belows of bottleneck throat airway 1; Esophageal balloon 4 is communicated with esophageal balloon air injection pipe 6, and esophageal balloon air injection pipe 6 is positioned at esophagus respiratory conduit 2, and the one end is connected with esophageal balloon 4, and the other end stretches out from the below of the entrance 201 of esophagus respiratory conduit 1;
Entrance 101 belows of bottleneck throat airway 1 are provided with ventilation interface 7; The cross section of bottleneck throat airway 1 is oblong, and its entrance 101 places are provided with triple channel unidirectional valve seal operation medicated cap 8; Also be arranged with adjustable catheter anchoring system 9 on the bottleneck throat airway 1, catheter anchoring system 9 is positioned at below esophagus respiratory duct entry 201 extended positions and can moves up and down along bottleneck throat airway 1; Catheter anchoring system 9 can radially realizing pine and tight, can be realized moving up and down in the situation of pine, to adapt to different patients' respiratory tract structure; The outside of catheter anchoring system 9 is provided with hard bite-block 10; The position that bottleneck throat airway 1 is positioned at bottleneck throat air bag 3 belows offers ventilation side opening 11; The outlet 102 of bottleneck throat airway 1 is the diagonal cut joint shape; Bottleneck throat airway 1 crooked the setting, and its angle of bend is greater than 90 ° and less than 160 °.
The process of utilizing this utility model to perform the operation is as follows: at first the patient is carried out conventional general anesthesia induction, after the mask oxygen inhalation denitrification 3min, make its head be in " with the nasil flavor " position, insert laryngoscope and appear glottis, then hold this utility model esophagus throat two-chamber closed vent conduit and enter from the right side in oral cavity to hold the brush pen shape, esophagus respiratory conduit 2 is inserted esophagus, and the outlet 102 of bottleneck throat airway 1 is aimed at glottis but is not entered the distance that glottis keeps about 0.5-2.0cm.Then the laryngoscope of decorporating is inflated to good seal by esophageal balloon air injection pipe 6 and bottleneck throat air bag air injection pipe 5 with esophageal balloon 4 and bottleneck throat air bag 3; The interface 7 of will ventilating connects anesthetic machine, the auscultation respiratory murmur determine errorless after, insert stomach tube by esophagus respiratory conduit 2 and carry out gastrointestinal decompression.Insert branchofiberoscope by the patient by triple channel unidirectional valve seal operation medicated cap 8 again and again adjust this utility model position to operation technique convenient (adjusting again after make sure to keep in mind to find time bottleneck throat air bag and the esophageal balloon), fix bottleneck throat airway 1 by adjustable catheter anchoring system 9 at last, the patient bites with the teeth hard bite-block 10 with A/C fixture 9, and then realizes of the present utility model fixing; Then the interface 7 of will ventilating connects respirator, and the row mechanical ventilation, by triple channel unidirectional valve seal operation medicated cap 8 implantation surgery apparatuses, is performed the operation under the guiding of branchofiberoscope to guarantee the confession of patient's oxygen.Keep a close eye on the seal of each parts in the art, tightly monitor vital sign.
In addition, this utility model is made by Dow corning 100% silica gel and medical macromolecular materials, and is nontoxic non-stimulated.Be difficult for kinking, and ability suffers oppression.Particularly hard bite-block 10 and adjustable catheter anchoring system 9 use special medical macromolecular materials to make, and anti-pressure ability is strong, can not cause the conduit compressive deformation, guarantees enough ventilation and working place.With the sterilization of epoxy hexane, limit disposable use, use rear destruction.