阅读说明：本技术 一种纤维支气管镜呼吸道末梢洁净装置 (Clean device of fiberoptic bronchoscope respiratory track tip ) 是由 钱建民 于 2021-01-12 设计创作，主要内容包括：一种纤维支气管镜呼吸道末梢洁净装置,其特征是：它包括：控制主机(8)、注水装置(7)、痰液回收装置(9)、操作手柄(13)和主插入管(15),该主插入管(15)的一端插入患者支气管中,该主插入管(15)的外管(5)中集成有冲水管(2)、吸液管(1)和外管弯曲钢丝；在主插入管(15)插人患者支气管内的一端的中心设有吸液孔,该吸液孔与吸液管(1)相贯通,吸液孔的周围安装有内窥镜镜头(4)和照明光源(3),镜头(4)的数据线穿过主插入管(15)和操作手柄(13)与内镜主机(10)电气连接,照明光源(3)通过导线与操作手柄(13)上的电源电气连接；在主插入管(15)插人患者支气管内的一端的周围设有喷水孔,喷水孔与冲水管(2)相连通。本发明具有清洁效果好,使用方便的优点。(The utility model provides a clean device of fiberoptic bronchoscope respiratory track tip which characterized by: it includes: the sputum recovery device comprises a control host (8), a water injection device (7), a sputum recovery device (9), an operating handle (13) and a main insertion tube (15), wherein one end of the main insertion tube (15) is inserted into a bronchus of a patient, and a flushing tube (2), a pipette (1) and an outer tube bending steel wire are integrated in an outer tube (5) of the main insertion tube (15); a liquid suction hole is formed in the center of one end, inserted into a patient bronchus, of the main insertion pipe (15), the liquid suction hole is communicated with the liquid suction pipe (1), an endoscope lens (4) and an illumination light source (3) are installed around the liquid suction hole, a data line of the lens (4) penetrates through the main insertion pipe (15) and the operating handle (13) to be electrically connected with the endoscope host (10), and the illumination light source (3) is electrically connected with a power supply on the operating handle (13) through a lead; the periphery of one end of the main insertion pipe (15) inserted in the patient bronchus is provided with a water spraying hole which is communicated with the flushing pipe (2). The invention has the advantages of good cleaning effect and convenient use.)

1. The utility model provides a clean device of fiberoptic bronchoscope respiratory track tip which characterized by: it includes:

the control host (8) is used for controlling the water injection of the water injection device (7) and the work of a negative pressure generator of the sputum recovery device (9) so as to timely inject water to the periphery of the bronchus for flushing and suck the sputum and the wastewater generated by flushing into the sputum recovery device (9);

the water injection device (7) is controlled by the control host (8), the inlet end of the water injection device (7) is communicated with the water source (6) through a pipeline, and the outlet of the water injection device is communicated with a water injection port on the operating handle (13) through a pipeline;

the sputum recovery device (9) consists of a negative pressure pump and a recovery tank, the negative pressure pump is controlled by a control host (8), the negative pressure pump is connected with a negative pressure generation cavity of the recovery tank through a negative pressure pipe, and a liquid inlet of the recovery tank is communicated with a liquid outlet on an operating handle (13) through a pipeline;

the operating handle (13) is provided with a shifting wheel (12), a waste liquid outlet and a water filling port, the shifting wheel (12) is connected with a steel wire, the steel wire is connected with the far end of the main insertion tube (15), and the full-angle observation of the endoscope lens (4) is realized by controlling the bending deformation of the far end of the main insertion tube (15);

the main insertion pipe (15) is rotatably arranged on the operating handle (13) at one end, the other end of the main insertion pipe is used for being inserted into a bronchus of a main patient, a flushing pipe (2), a liquid suction pipe (1) and an outer pipe bending steel wire are integrated in an outer pipe (5) of the main insertion pipe (15), and the flushing pipe (2) and the liquid suction pipe (1) are respectively communicated with a water filling port and a waste liquid outlet on the operating handle (13); one end of the outer pipe bending steel wire is connected with the outer pipe at the insertion end of the main insertion pipe (15), and the other end of the outer pipe bending steel wire is connected with an operation key on the operation handle (13); a liquid suction hole is formed in the center of one end, inserted into a patient bronchus, of the main insertion pipe (15), the liquid suction hole is communicated with the liquid suction pipe (1), an endoscope lens (4) and an illumination light source (3) are installed around the liquid suction hole, a data line of the lens (4) penetrates through the main insertion pipe (15) and the operating handle (13) to be electrically connected with the endoscope host (10), and the illumination light source (3) is electrically connected with a power supply on the operating handle (13) through a lead; the periphery of one end of the main insertion pipe (15) inserted in the patient bronchus is provided with water spray holes which are communicated with the flushing pipe (2), and the included angle between the axis of the water spray holes and the axis of the main insertion pipe (15) is more than 0 degree and less than theta and less than 120 degrees.

2. The apparatus of claim 1, wherein the apparatus comprises: the head end of the main insertion pipe (15) is in a truncated cone shape, and the flushing pipe (2) adopts a lateral spray washing mode; the included angle between the axis of the water spray hole and the axis of the main insert pipe (15) is more than 15 degrees and less than 90 degrees.

3. The apparatus according to claim 1, wherein the apparatus comprises: the flushing pipe (2) and the pipette (1) are arranged independently rather than being used for one pipe.

4. The apparatus of claim 1, wherein the apparatus comprises: the flushing mode of the flushing pipe (2) and the suction mode of the liquid suction pipe (1) are controlled by the control host (8), and the working modes comprise three modes, namely, flushing and suction are carried out simultaneously; secondly, the control host (8) controls the flushing time T for flushing, and the flushing is started to carry out T after the flushing reaches a certain time₁Time of attraction, and T is slightly larger than T₁（T>T₁) (ii) a And thirdly, the suction after the flushing and the suction after the flushing are respectively carried out.

5. The apparatus of claim 1, wherein the apparatus comprises: the flushing pipe (2) and the pipette (1) are respectively arranged, the flushing pipe (2) is arranged around the pipette (1), and the outlet end of the flushing pipe (2) is communicated with the water spray holes around the end part of the main insertion pipe (15).

6. The apparatus of claim 1, wherein the apparatus comprises: the water-saving flushing device is characterized in that the pipette (1) is located in the center of the flushing pipe (2), an inlet of the pipette (1) is communicated with a liquid suction hole in the end portion of the main insertion pipe (15), the flushing pipe (2) is communicated with a water inlet of a water distribution ring arranged in the end portion of the main insertion pipe (15) of the water outlet, and a water outlet of the water distribution ring is communicated with water spray holes around the end portion of the main insertion pipe (15).

7. The apparatus of claim 1, wherein the apparatus comprises: the endoscope host (10) is connected with a display.

8. The apparatus of claim 1, wherein the apparatus comprises: operating handle (13) on install rotating button (14), main insert tube (15) pass through rotating button (14) install on operating handle (13), stir rotating button (14), main insert tube (15) can do the reciprocal gyration of set angle.

Technical Field

The invention relates to a medical instrument, in particular to a surgical instrument for cleaning a respiratory tract, and specifically relates to a fiberbronchoscope respiratory tract tip cleaning device.

Background

The bronchoscope is generally used in bronchial examination, sputum suction and cleaning operations, and plays a role in removing sputum emboli and sputum and cleaning the airway of a patient, and the common sputum suction operation mode is to flush water first and then perform liquid suction operation. The flushing mode is that water is directly filled to the front. The flushing and sputum suction share one channel. The traditional method for cleaning the respiratory tract by the fiberbronchoscope has the following clinical pain points: 1) thick or dry sputum adhered to bronchial mucosa is difficult to clean or suck out quickly, so that the ventilation function is seriously affected, and even the life of a patient is threatened; 2) the product structure and the operation performance are not enough to remove inflammatory secretion or foreign matters at the periphery of the respiratory tract; 3) the product design of the traditional fiber bronchoscope only adopts a working mode of flushing and then sucking, can not quickly clean the respiratory tract, has long time consumption and obviously increases the operation risk; 4) when the sputum suction device is operated, water is flushed firstly and then the fluid is sucked, and the flushing and the fluid sucking share one tube cavity, so that the sputum suction pipeline is easily polluted, and potential safety hazards such as suffocation of patients are easily caused. Therefore, the existing product is difficult to thoroughly and quickly clean the sputum adhered to the peripheral bronchus in the deep part, has large operation risk and wastes time and labor relatively. Therefore, the clinical urgent need is to innovate and design a device that can wash and wash respiratory mucosa and inhale phlegm effectively fast to can clear up respiratory peripheral secretion through quick siphon effect.

Disclosure of Invention

The invention aims to design a device capable of being washed quickly aiming at the defects of the existing endobronchial endoscope device.

The technical scheme of the invention is as follows:

the utility model provides a clean device of fiberoptic bronchoscope respiratory track tip which characterized by: it includes:

the control host machine 8 is used for controlling the water injection of the water injection device 7 and the work of the negative pressure generator of the sputum recovery device 9 so as to timely inject water to the periphery of the bronchus for flushing and suck sputum and waste water generated by flushing into the sputum recovery device 9;

the water injection device 7 is controlled by the control host 8, the inlet end of the water injection device 7 is communicated with the water source 6 through a pipeline, and the outlet of the water injection device is communicated with a water injection port on the operating handle 13 through a pipeline;

the sputum recovery device 9 consists of a negative pressure pump and a recovery tank, the negative pressure pump is controlled by the control host 8, the negative pressure pump is connected with a negative pressure generating cavity of the recovery tank through a negative pressure pipe, and a liquid inlet of the recovery tank is communicated with a liquid outlet on the operating handle 13 through a pipeline;

an operating handle 13, the operating handle 13 is equipped with the thumb wheel 12, waste liquid outlet and water filling port, the thumb wheel 12 couples to steel wire, the steel wire couples to distal end of the main insertion tube 15, realize the full angle observation of the endoscope lens 4 through controlling the bending deformation of the distal end of the main insertion tube 15;

a main insertion tube 15, one end of the main insertion tube 15 is rotatably installed on the operation handle 13, the other end is used for being inserted into the bronchus of the main patient, a flushing tube 2, a pipette 1 and an outer tube bending steel wire are integrated in the outer tube 5 of the main insertion tube 15, and the flushing tube 2 and the pipette 1 are respectively communicated with a water filling port and a waste liquid outlet on the operation handle 13; one end of the outer pipe bending steel wire is connected with the outer pipe at the insertion end of the main insertion pipe 15, and the other end of the outer pipe bending steel wire is connected with an operation key on the operation handle 13; a liquid suction hole is formed in the center of one end, inserted into a patient bronchus, of the main insertion tube 15, the liquid suction hole is communicated with the liquid suction tube 1, an endoscope lens 4 and an illumination light source 3 are installed around the liquid suction hole, a data line of the lens 4 penetrates through the main insertion tube 15 and the operating handle 13 to be electrically connected with the endoscope host 10, and the illumination light source 3 is electrically connected with a power supply on the operating handle 13 through a lead; the periphery of one end of the main insertion tube 15 inserted into the patient bronchus is provided with water spray holes which are communicated with the flushing tube 2, and the included angle between the axis of the water spray holes and the axis of the main insertion tube 15 is more than 0 degree and less than theta and less than 120 degrees.

The head end of the main insertion pipe 15 is in a truncated cone shape, and the flushing pipe 2 adopts a lateral spray washing mode; the included angle between the axis of the water spray hole and the axis of the main insertion pipe 15 is more than 15 degrees and less than 90 degrees.

The flushing pipe 2 and the pipette 1 are arranged independently of each other, and are not used for one pipe.

The flushing mode of the flushing pipe 2 and the suction mode of the pipette 1 are controlled by the control host 8, and the working modes include three modes, namely flushing and suction are carried out simultaneously; secondly, the control host 8 controls the flushing time T for flushing, and the flushing is started to carry out T after the flushing reaches a certain time₁Time of attraction, and T is slightly larger than T₁（T>T₁) (ii) a And thirdly, the suction after the flushing and the suction after the flushing are respectively carried out.

The flushing pipe 2 and the pipette 1 are respectively arranged, the flushing pipe 2 is arranged around the pipette 1, and the outlet end of the flushing pipe 2 is communicated with the water spray holes around the end part of the main insertion pipe 15.

The water-saving flushing device is characterized in that the pipette 1 is positioned in the center of the flushing pipe 2, an inlet of the pipette 1 is communicated with a liquid suction hole at the end part of the main insertion pipe 15, the flushing pipe 2 is communicated with a water inlet of a water distribution ring arranged in the end part of the main insertion pipe 15, and a water outlet of the water distribution ring is communicated with water spray holes around the end part of the main insertion pipe 15.

The endoscope host 10 is connected with a display.

The operating handle 13 is provided with a rotary button 14, the main insertion pipe 15 is arranged on the operating handle 13 through the rotary button 14, and the main insertion pipe 15 can rotate back and forth at a set angle by stirring the rotary button 14.

The operating handle is held by hand, the pulling steel wire is driven by the adjusting thumb wheel 12 to be connected with the head end of the endoscope to bend towards one direction, and the bronchial tube in the opposite direction is driven by adjusting the bending part of the thumb wheel 12 towards the opposite direction to bend. The purpose of probing the bronchus is achieved.

The invention has the beneficial effects that:

the invention adopts an integrated flushing and sucking type, the bending device is controlled by holding the handle, the flushing and sucking are divided into different tube cavities, the tube walls are laterally flushed, and the water flow is divergently flushed to the mucosa of the trachea, thereby solving the problem that the mucosa can not be flushed to clean the bronchus under pressure because the water is directly injected into the airway in the past. Because the flushing and the suction are respectively controlled by the independent channels, different operation modes such as simultaneous flushing and suction, staggered flushing and suction, siphon flushing and suction and the like can be conveniently and flexibly adopted, and the aims of efficiently and quickly cleaning the respiratory tract and effectively cleaning the respiratory tract tip are fulfilled. The operation is time-saving and labor-saving, no secondary sputum pollution is caused, the operation time can be obviously shortened, and the operation risk of clearing the bronchofiberscope respiratory tract inflammatory secretion is reduced.

The pulse type and intermittent flushing is controlled by a control host 8 (comprising a host and software), and the flushing direction is adjustable. The problem of the easy air flue suffocation that arouses of continuous water injection washing is solved, the visual air flue of selecting to wash of being furnished with endoscope head, be furnished with the biopsy pore and can clean in time phlegm embolus patient. The head of the head is easy to operate by a doctor and is designed in a truncated cone shape, so that the narrow and small bronchus in the cavity can be cleaned more easily, the water flow is sprayed obliquely, and sputum on the bronchial wall can be cleaned more thoroughly

The invention has simple structure, safety, stability and reliability

The invention can also cause the water flushed into the lung bubbles to lose pressure instantly and enter the pipette quickly by controlling the water injection and suction time, thereby realizing the cleaning of mucus in the alveolus and saving the life of patients with severe pneumonia. The problem that effective lung air bubble mucus cleaning cannot be carried out at present is solved.

Drawings

Fig. 1 is a schematic perspective view of the present invention.

Fig. 2 is a schematic diagram of a head-end main insert tube structure according to the present invention.

Fig. 3 is a schematic plan view of the head end surface of the present invention.

FIG. 4 is a graph showing pumping times for the second mode of operation of the present invention.

FIG. 5 is a schematic view of the bougie portion of the present invention entering the bronchial tube for suction and bending.

FIG. 6 is a schematic view of an endoscopic irrigation integrated configuration of the present invention.

Fig. 7 is a schematic cross-sectional structure of fig. 6.

Detailed Description

The invention is further described below with reference to the figures and examples.

As shown in fig. 1-7.

A respiratory tract fiber bronchial tip cleaning device comprises:

the control host machine 8 is used for controlling the water injection of the water injection device 7 and the work of the negative pressure generator of the sputum recovery device 9 so as to timely inject water to the periphery of the bronchus for flushing and suck sputum and waste water generated by flushing into the sputum recovery device 9; the control host 8 is mainly composed of a conventional control circuit and software, can be realized by adopting the prior art, is the core of the whole cleaning device, and all functions need to be realized through the control host, particularly the control of the instantaneous loss of pressure of the alveolus needs to be realized by means of the software. The operation modes include three modes, namely, flushing and sucking simultaneously; secondly, the control host 8 controls the flushing time T for flushing, and the flushing is started to carry out T after the flushing reaches a certain time₁Time of attraction, as shown in FIG. 4, and T is slightly greater than T₁（T>T₁) (ii) a And thirdly, the suction after the flushing and the suction after the flushing are respectively carried out.

The water injection device 7 is controlled by the control host 8, the inlet end of the water injection device 7 is communicated with the water source 6 through a pipeline, and the outlet of the water injection device is communicated with a water injection port on the operating handle 13 through a pipeline; in practice, the water source 6 may be a saline solution supplied by the suspension mechanism shown in fig. 1, or may be implemented by other existing saline solution supplying devices.

The sputum recovery device 9 consists of a negative pressure pump and a recovery tank, the negative pressure pump is controlled by the control host 8, the negative pressure pump is connected with a negative pressure generating cavity of the recovery tank through a negative pressure pipe, and a liquid inlet of the recovery tank is communicated with a liquid outlet on the operating handle 13 through a pipeline; in specific implementation, the recovery tank can be a single large tank, or a combined tank formed by connecting a plurality of small tanks in series as shown in fig. 1, and the connection mode between the combined tanks is a conventional technology and can be realized by referring to fig. 1 or the existing mode.

An operating handle 13, the operating handle 13 is equipped with the thumb wheel 12, waste liquid outlet and water filling port, the thumb wheel 12 couples to steel wire, the steel wire couples to distal end of the main insertion tube 15, realize the full angle observation of the endoscope lens 4 through controlling the bending deformation of the distal end of the main insertion tube 15; the operation handle 13 is a key part for connecting all parts of the cleaning device, is also a tool for operation of an operator, and is more an adapter for various pipelines and circuits, and the specific structure of the operation handle can be designed and manufactured by adopting the prior art according to the requirements of the invention and the requirements of pipelines, circuit trend, joint structure, water resistance and electric leakage resistance.

The main insertion pipe 15 is the core of innovation of the invention, and on one hand, the main insertion pipe 15 separates the traditional flushing and nitrogen suction pipelines, and on the other hand, the flushing direction is changed, and the traditional flushing along the pipeline axis in parallel is changed into flushing at a certain angle, so that the flushing water can be ensured to flush the wall of the main trachea or the bronchial tube, and the cleaning effect is improved. One end of a main insertion tube 15 is rotatably mounted on the operating handle 13 and the other end is used for insertion into the bronchus of the main patient, and a flush tube 2, a pipette 1 and an outer tube bending wire are integrated in the outer tube 5 of the main insertion tube 15, as shown in fig. 2, 6 and 7. The flushing pipe 2 and the pipette 1 are respectively communicated with a water injection port and a waste liquid outlet on the operating handle 13; one end of an outer pipe bending steel wire (not shown in the figure) is connected with the outer pipe at the insertion end of the main insertion pipe 15, and the other end is connected with an operation button on the operation handle 13; a liquid suction hole is formed in the center of one end, inserted into a patient bronchus, of the main insertion tube 15 and is communicated with the liquid suction tube 1, an endoscope lens 4 and an illumination light source 3 are installed around the liquid suction hole, a data line of the lens 4 penetrates through the main insertion tube 15 and the operating handle 13 to be electrically connected with the endoscope host 10, the endoscope host 10 is connected with a display, and the illumination light source 3 is electrically connected with a power supply on the operating handle 13 through a lead; the periphery of one end of the main insertion tube 15 inserted into the patient bronchus is provided with water spray holes which are communicated with the flushing tube 2, and the included angle between the axis of the water spray holes and the axis of the main insertion tube 15 is more than 0 degree and less than theta and less than 120 degrees. The head end of the main insertion pipe 15 is preferably designed into a truncated cone shape as shown in fig. 2 and 6, and the flushing pipe 2 adopts a side-direction spray washing mode; the included angle between the axis of the water spray hole and the axis of the main insertion pipe 15 is more than 15 degrees and less than 90 degrees. In specific implementation, the flushing pipe 2 and the pipette 1 may be arranged as shown in fig. 6 and 7, respectively, and the flushing pipe 2 is arranged around the pipette 1, and the outlet end of the flushing pipe 2 is communicated with the water spray holes around the end of the main insertion pipe 15. The water suction pipe 1 can also be positioned at the center of the flushing pipe 2, the inlet of the water suction pipe 1 is communicated with the liquid suction hole at the end part of the main insertion pipe 15, the flushing pipe 2 is communicated with the water inlet of the water distribution ring arranged in the end part of the main insertion pipe 15 of the water outlet, and the water outlet of the water distribution ring is communicated with the water spray holes around the end part of the main insertion pipe 15.

The operating handle 13 is provided with a rotary button 14, the main insertion pipe 15 is arranged on the operating handle 13 through the rotary button 14, and the main insertion pipe 15 can rotate back and forth at a set angle by stirring the rotary button 14.

The operating handle is held by hand, the pulling steel wire is driven by the adjusting thumb wheel 12 to be connected with the head end of the endoscope to bend towards one direction, and the bent part of the pulling steel wire is adjusted towards the opposite direction to drive the steel wire to bend towards the bronchus in the opposite direction, so that the purpose of detecting the bronchus is achieved, as shown in fig. 5.

When the endoscope host 10 works, images collected by the lens 4 are processed. The endoscope operating handle 13 is held, and the front end of the endoscope main insertion tube 15 is bent and adjusted by controlling the thumb wheel 12, so that the purpose of probing and diagnosing the bronchus 5 and flushing and sucking sputum is achieved. The control host machine 8 is used for controlling sputum suction and washing, and the negative pressure suction button 11 is pressed to control the pipette 1 to suck the sputum; the control host machine 8 washes the flushing pipe 2, and the rotary button 14 is rotated to rotate the flushing pipe 2 to achieve the control of rotating the inner lens end, so that the flushing water can wash the surface of the whole pipe wall.

The parts not involved in the present invention are the same as or can be implemented using the prior art.