Intelligent monitoring type lung isolation ventilation device and monitoring method

Abstract

The invention discloses an intelligent monitoring type lung isolation ventilation device and a monitoring method.The intelligent monitoring type lung isolation ventilation device comprises a plugging tube, the plugging tube penetrates through a ventilation tube, a plugging cuff is arranged at the near end of the plugging tube, the plugging tube is provided with an exhaust cavity, a plugging tube inflation cavity and a gas monitoring cavity, and the plugging cuff is connected with a first inflation device through the plugging tube inflation cavity; a fixing cuff is arranged at the near end of the ventilation pipe, the ventilation pipe is provided with a ventilation cavity, a ventilation pipe inflation cavity and a visual cavity, the fixing cuff is connected with the second inflation device through the ventilation pipe inflation cavity, a camera connected with the intelligent monitoring device is arranged at the near end in the visual cavity, and a drainage device is arranged in the ventilation pipe in a penetrating mode. The far end of the breather pipe is connected with the multifunctional connector, and the multifunctional connector is used for allowing the plugging pipe and the drainage device to pass through and be adjusted and fixed. Visualization and intelligentization of the lung isolation ventilation process are achieved, displacement and air leakage can be judged online, positioning of the plugging pipe and the ventilation pipe is more accurate, risk correction is more timely, and ventilation safety is better protected.

Description

Technical Field

[0001] The present invention relates to the technical field of medical devices, and particularly relates to an intelligent monitoring type lung isolation ventilation device and a monitoring method. Background Art

[0002] In clinical work, artificial airways are conventionally established by tracheal intubation for ventilation, including unilateral lung isolation ventilation during thoracic surgery. As the most commonly used tool for assisting patients in ventilation with an artificial airway, tracheal intubation can quickly and effectively establish an artificial ventilation airway. However, due to the differences in human anatomical structures and the changes in body positions during the surgical process, difficulties in tracheal intubation, catheter displacement, and air leakage often occur. For patients who require lung isolation ventilation surgery such as lung cancer, esophageal cancer, and mediastinal tumors, during the clinical intubation process, the proximal end of the bronchial intubation needs to be placed into one side of the patient's lung, and positioning and blocking are implemented at the bronchial orifice below the tracheal carina. Finally, the bronchial catheter cuff is inflated, fixed, and blocked, blocking and isolating the affected lung, providing ventilation function for the healthy lung, preventing the affected lung from contaminating the healthy lung, and ensuring the surgical operation position required by the affected lung.

[0003] In addition, there are usually the following several methods for clinical application of bronchial intubation for one-lung ventilation: (1) Traditional bronchial blocker: Judging whether the blocking is successful by auscultating the breath sounds of both lungs. After the doctor successfully performs tracheal intubation, the affected lung is blocked, and the blocking is judged to be successful by auscultating the breath sounds of both lungs until there is no undulation of the chest wall and the breath sounds disappear in the affected lung. This blocking process is a blind probing operation, relying entirely on clinical experience, with great difficulty and a high failure rate; (2) Fiberoptic bronchoscope-assisted judgment: Using a fiberoptic bronchoscope to assist the bronchial blocker in blocking the affected lung. Although the operation can be carried out under the guidance of visual technology, improving the blocking success rate, during the surgical process, body position changes and surgical operations are likely to cause the displacement of the blocker cuff, resulting in the failure of lung isolation and air leakage, and it is necessary to use a fiberoptic bronchoscope again to assist in blocking the affected lung, bringing great trouble to clinical work; (3) Application of a bronchial visual blocker: Although the visual bronchial blocker is simple to operate and can monitor the displacement function of the blocker in real time, it cannot timely judge the blocking effect of the blocker, the air leakage caused by the displacement of the cuff position during the operation, and the pressure change of the blocker cuff.

[0004] The Chinese utility model patent with the announcement number CN216566247U discloses a catheter-visible bronchial occluder, which includes an occluding tube, a tracheal catheter, a micro camera, a visible handle, a display device and a video connection cable; the occluding tube and the inclined front end tube wall of the tracheal catheter are connected, the tube body is designed with double cavities, and the head end has an occluding tube balloon connected to an occluding tube inflation valve to inflate and deflate the occluding tube balloon. Through the visualization positioning of the occluder, intraoperative oxygen supply is carried out while continuous visualization monitoring is performed. Although visualization occlusion is achieved, the connection between the occluding tube and the tracheal catheter cannot quickly and portably adjust the position of the occluding cuff after displacement, and cannot timely control and correct the displacement risk during the process of lung isolation ventilation. Therefore, during the occlusion process of the affected lung, while ensuring the occlusion effect, it is necessary to monitor the intubation displacement and air leakage in real time and correct them in a timely and effective manner to further improve the success rate of the lung isolation ventilation operation and ensure the safety of patients. Summary of the Invention

[0005] The purpose of the present invention is to overcome the above-mentioned shortcomings of the prior art, ensure the occlusion effect of the occluder during the process of lung isolation ventilation, visually monitor the occlusion situation and displacement situation in real time and correct them in a timely manner, and provide an intelligent monitoring type lung isolation ventilation device and monitoring method.

[0006] In order to achieve the above purpose, the present invention adopts the following technical solutions: An intelligent monitoring type lung isolation ventilation device, which includes an occluding tube, a ventilation tube, a multi-functional joint and an intelligent monitoring device; The occluding tube passes through the ventilation tube, a sealing cuff is arranged at the proximal end of the occluding tube, the occluding tube is provided with an exhaust cavity, an occluding tube inflation cavity and a gas monitoring cavity, a first gas monitoring port is arranged at the proximal end of the gas monitoring cavity, and a first inflation port is opened on the occluding tube inflation cavity located inside the sealing cuff. The distal end of the occluding tube is connected to a first joint, and the first joint is provided with an occluding branch, an inflation side branch and a gas monitoring side branch. The occluding branch is connected to an occluding catheter, the inflation side branch is connected to a first inflation device, the gas monitoring cavity is communicated with the gas monitoring side branch, a second gas monitoring port is arranged at the distal end of the gas monitoring side branch, and a gas monitoring cap is arranged at the second gas monitoring port; A fixed cuff is arranged at the proximal end of the ventilation tube. The ventilation tube is provided with a ventilation cavity, a ventilation tube inflation cavity and a visual cavity. A second inflation port is opened on the ventilation tube inflation cavity inside the fixed cuff. The fixed cuff is connected to a second inflation device arranged at the distal end through the ventilation tube inflation cavity. A camera is arranged at the proximal end inside the visual cavity. A drainage device is also arranged inside the ventilation tube. The drainage device is used for draining the accumulated fluid in the trachea. The distal end of the ventilation tube is connected to a multi-functional joint. The multi-functional joint is used for passing through and adjusting and fixing the occluding tube and the drainage device; the intelligent monitoring device is connected to the camera, and the intelligent monitoring device is used for displaying and processing the images collected by the camera.

[0007] The ventilation device of the present invention fixes the position of the ventilation tube through a fixed cuff, sets the blocking tube in the ventilation cavity of the ventilation tube, collects the image inside the trachea by setting a camera, and realizes the real-time monitoring of the gas concentration in the affected lung through the gas monitoring cavity, so as to quickly guide the endotracheal tube for intubation and correct it in time after displacement and air leakage, reduce the injury during the intubation of the airway mucosa, improve the success rate of intubation and bronchial occlusion, and can observe the situation of gastroesophageal reflux or airway secretions in real time to ensure the patency of the airway. The blocking tube and the drainage device are slidably adjusted and stably positioned through the multi-functional connector, which can be adjusted and positioned in a timely and portable manner for the blocking tube and drain the effusion, while stabilizing the distal collateral branch to ensure the stability of the device.

[0008] Preferably, the blocking tube passes through the ventilation cavity of the ventilation tube. Since the ventilation cavity is located in the center, the blocking tube passing through the ventilation cavity is more conducive to positioning and occlusion.

[0009] Preferably, the ventilation tube is further provided with a flushing cavity, a flushing port is arranged at the proximal end of the flushing cavity, and the flushing cavity is used for installing a flushing device.

[0010] Preferably, a drainage branch is arranged on the multi-functional connector, the drainage branch is connected with the drainage device, and the drainage device includes a drainage tube, a protective sleeve, a drainage joint and a sealing cover; a drainage tube fixing cap is arranged at the distal end of the drainage branch, the drainage tube fixing cap is connected with the protective sleeve, the drainage tube is arranged in the ventilation cavity and passes through the drainage tube fixing cap to be connected with the distal drainage joint; the drainage tube fixing cap is used for directionally sliding and positioning and fixing the drainage tube, the drainage joint is connected with the sealing cover, and a drainage port is arranged at the proximal end of the drainage tube.

[0011] The effusion at the bronchial orifice is drained in time through the drainage device, effectively reducing the risk of aspiration during ventilation, and preventing nosocomial infection by setting a protective sleeve.

[0012] Preferably, a blocking side branch and a ventilation side branch are further arranged on the multi-functional connector, the blocking side branch is used for passing the blocking tube, a blocking tube fixing cap is connected at the port of the blocking side branch, the blocking tube fixing cap is fixedly connected with the blocking tube, the blocking tube fixing cap is used for directionally sliding and positioning and fixing the blocking tube, and the port of the ventilation side branch is set as a standard ventilation port.

[0013] Preferably, the blocking tube is made of nylon material and has a Shore hardness of greater than or equal to 100 degrees; the ventilation tube is made of PVC or TPU material, and the Shore hardness range is 70-95 degrees; the drainage tube 3 is made of PVC material, and the Shore hardness range is 50-80 degrees. By differentiating the materials and structural strengths of the blocking tube and the ventilation tube, the toughness and anti-bending ability of the blocking tube are effectively improved, the anti-displacement effect is improved, and it is effectively ensured that the flexibility of the ventilation tube is stronger than that of the blocking tube, with higher plasticity and better ventilation effect; at the same time, the blocking tube is arranged inside the ventilation tube, and its inner diameter is smaller, which can reduce intubation injury and continuous compression injury.

[0014] Preferably, a reinforcing cuff is provided on the blocking cuff, and the reinforcing cuff is used to fix the blocking cuff on the blocking tube. By providing the reinforcing cuff, the proximal end of the blocking tube can be fully constrained, effectively reducing the risks of air leakage and glue opening and falling off of the blocking cuff.

[0015] Preferably, the intelligent monitoring device is connected to the visual control device, and the visual control device includes a data line, a data connector and a control handle. The control handle is used to control the camera to collect and transmit data to the intelligent monitoring device. The data connector is connected to the camera through the data line, and the data connector is used to plug in the control handle, and the control handle is connected to the intelligent monitoring device.

[0016] Preferably, the control handle is wirelessly connected to the intelligent monitoring device. The control handle includes a control circuit, and the control circuit is respectively connected to a built-in power supply, a shooting button and a first wireless transmission module. The intelligent monitoring device includes a control main board, and the control main board is respectively connected to a display and a second wireless transmission module. The first wireless transmission module is connected to the second wireless transmission module.

[0017] The present invention realizes the visualization and intelligentization of the lung isolation ventilation process, reduces the injury during the clinical intubation process, has more accurate positioning, more timely risk correction, and can better protect the ventilation safety.

[0018] An intelligent monitoring type lung isolation monitoring method includes the following steps: Construct a target detection model, and use the standard image of the carina structure, the standard image of the blocking cuff and the standard distance data of the blocking cuff to train the target detection model to obtain the trained target detection model. The trained target detection model includes a carina structure model, a blocking cuff model and a distance model. The carina structure model is used to extract the position characteristics of the carina structure, the blocking cuff model is used to extract the position characteristics of the blocking cuff, and the distance model is used to detect the distance characteristics of the blocking cuff; Real-time collect the real-time images of the carina structure and the occlusion balloon to be monitored, and obtain the real-time distance data of the occlusion balloon. Analyze the real-time image of the carina structure according to the carina structure model to obtain the carina structure monitoring information. Analyze the real-time image of the occlusion balloon according to the occlusion balloon model to obtain the occlusion balloon monitoring information. Calculate the distance of the occlusion balloon in the real-time image of the occlusion balloon according to the distance model to obtain the real-time distance and distance monitoring information of the occlusion balloon. Conduct a comprehensive evaluation of the carina structure monitoring information, the occlusion balloon monitoring information, and the distance monitoring information to obtain the final monitoring result.

[0019] The method of the present invention can, according to the images collected in the bronchus, monitor the position and distance changes of the occlusion tube and the ventilation tube in real time, and give real-time alarm prompts to guide clinicians to adjust in time, and timely correct the risk of displacement during the process of pulmonary isolation ventilation, realizing the intelligent management during the process of pulmonary isolation ventilation. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] The present invention will be further described in detail below with reference to the drawings: Figure 1 is a schematic structural diagram of the device of the present invention; Figure 2 is a schematic structural diagram of the occlusion tube of the device of the present invention; Figure 3 is a schematic structural diagram of the ventilation tube of the device of the present invention; Figure 4 is a schematic cross-sectional structural diagram of the device of the present invention; Figure 5 is a schematic structural diagram of the multi-functional joint of the device of the present invention; Figure 6 is a schematic structural diagram of the ventilation four-way joint of the device of the present invention; Figure 7 is a schematic structural diagram of the wired connection between the intelligent monitoring device and the visual control device of the device of the present invention; Figure 8 is a schematic diagram of the clinical application of the device of the present invention; Figure 9 is a flowchart of the method of the present invention; Figure 10 is a schematic diagram of the standard image of the occlusion balloon collected by the method of the present invention.

[0021] Description of the drawing reference numerals: 1 - plugging tube, 111 - exhaust cavity, 1111 - plugging tube exhaust port, 112 - plugging tube inflation cavity, 1121 - first inflation port, 113 - gas monitoring cavity, 1131 - first gas monitoring port, 12 - plugging cuff, 121 - reinforcing cuff sleeve, 13 - first inflation device, 131 - first inflation tube, 132 - first indicating airbag, 133 - first inflation valve, 14 - first connector, 143 - inflation side branch, 145 - plugging branch, 146 - gas monitoring side branch, 1462 - second gas monitoring port, 15 - plugging catheter, 151 - plugging tube extension tube, 152 - plugging tube adapter, 16 - gas monitoring cap, 2 - ventilation tube, 211 - ventilation cavity, 212 - ventilation tube inflation cavity, 2121 - second inflation port, 213 - flushing cavity, 2131 - flushing port, 214 - visual cavity, 22 - camera, 23 - fixing cuff, 24 - second inflation device, 241 - second inflation tube, 242 - second indicating airbag, 243 - second inflation valve, 25 - flushing device, 251 - flushing tube, 252 - flushing connector, 26 - visual control device, 261 - data line, 262 - data connector, 263 - control handle, 27 - connecting tube, 3 - multi-functional connector, 31 - ventilation four-way connector, 312 - standard ventilation port, 313 - drainage tube fixing port, 314 - plugging tube fixing port, 32 - drainage device, 321 - drainage tube, 3211 - first drainage port, 3212 - second drainage port, 3213 - third drainage port, 322 - protective sleeve, 323 - drainage connector, 324 - sealing cap, 33 - drainage tube fixing cap, 34 - plugging tube fixing cap, 4 - intelligent monitoring device, 41 - second wireless transmission module. Detailed implementation manners

[0022] As Figure 1 shown, an intelligent monitoring type lung isolation ventilation device provided by the present invention includes a plugging tube 1, a ventilation tube 2 and an intelligent monitoring device 4. As Figure 2As shown, the blocking tube 1 passes through the ventilation tube 2, and a blocking cuff 12 is provided at the proximal end of the blocking tube 1, and a reinforcing cuff 121 is provided on the blocking cuff 12, and the reinforcing cuff 121 is used to fix the blocking cuff 12 on the blocking tube 1. The blocking tube 1 is provided with an exhaust cavity 111, a blocking tube inflation cavity 112 and a gas monitoring cavity 113. A blocking tube exhaust port 1111 is provided at the proximal end of the exhaust cavity 111. A first gas monitoring port 1131 is provided at the proximal end of the gas monitoring cavity 113, and a first inflation port 1121 is provided on the blocking tube inflation cavity 112 located inside the blocking cuff 12. The distal end of the blocking tube 1 is connected to the first joint 14, and a blocking branch 145, an inflation side branch 143 and a gas monitoring side branch 146 are provided on the first joint 14. In this embodiment, the first joint 14 adopts a blocking tube four-way joint. The blocking branch 145 is connected to the blocking catheter 15, and the blocking catheter 15 includes a blocking tube extension tube 151 and a blocking tube connector 152. The blocking tube 1, the blocking branch 145 and the blocking catheter 15 provide clinical isolation and blocking functions for the affected lung. The inflation side branch 143 is connected to the first inflation device 13, and the first inflation device 13 includes a first inflation tube 131, a first indicator airbag 132 and a first inflation valve 133. The gas monitoring cavity 113 is connected to the gas monitoring side branch 146, and a second gas monitoring port 1462 is provided at the distal end of the gas monitoring side branch 146, and a gas monitoring cap 16 is provided at the second gas monitoring port 1462. The gas monitoring cavity 113 and the gas monitoring side branch 146 are used to circulate CO2, which is convenient for real-time monitoring of the CO2 concentration of the affected lung.

[0023] like Figure 3 and Figure 4 As shown, a fixed cuff 23 is provided at the proximal end of the ventilation tube 2, and the ventilation tube 2 is provided with a ventilation cavity 211, a ventilation tube inflation cavity 212, a visual cavity 214 and a flushing cavity 213, and a multi-cavity integrated extrusion molding method is adopted. A drainage device 32 is passed through the ventilation tube 2. In this embodiment, the blocking tube 1 and the drainage device 32 are both arranged in the ventilation cavity 211. Since the ventilation cavity is located in the center, it is more conducive to positioning and blocking for the blocking tube to pass through the ventilation cavity. In addition, the blocking tube 1 can also be separately set in other cavities in the ventilation tube 2 to achieve a blocking effect.

[0024] In this embodiment, the drainage device 32 is used to drain the accumulated fluid in the trachea. A second inflation port 2121 is provided on the ventilation tube inflation cavity 212 located inside the fixed cuff 23, and the fixed cuff 23 is connected to a second inflation device 24 arranged at the distal end through the ventilation tube inflation cavity 212. The second inflation device 24 includes a second inflation tube 241, a second indicator airbag 242 and a second inflation valve 243. A camera 22 is provided at the proximal end of the visual cavity, and the camera 22 can observe the anatomical structure and position of the airway in real time, and monitor foreign matter and fluid accumulation in real time. The camera 22 is connected to the intelligent monitoring device 4, and the intelligent monitoring device 4 is used to display and process the images collected by the camera 22.

[0025] The proximal end of the flushing cavity 213 is provided with a flushing port 2131. The flushing cavity 213 is used to install the flushing device 25. The flushing device 25 includes a flushing tube 251 and a flushing joint 252. The flushing port 2131 is used to flush the dirt on the camera 22 in a timely manner. The distal end of the ventilation tube 2 is connected with an adapter tube 27, and the distal end of the adapter tube 27 is connected with the multi-functional joint 3. As Figure 5 and Figure 6 shown, the multi-functional joint 3 includes a ventilation four-way joint 31 and a drainage branch, a blocking side branch and a ventilation side branch provided on the ventilation four-way joint 31. The blocking side branch is used to block the tube 1 through the blocking tube. A blocking tube fixing port 314 is provided on the blocking side branch, and the blocking tube fixing port 314 is connected with a blocking tube fixing cap 34. The port of the ventilation side branch is set as a standard ventilation port 312. The standard ventilation port 312 is used to match with an anesthesia machine to realize the artificial ventilation function. The blocking tube 1 is fixedly connected with the blocking tube fixing cap 34, and the blocking tube fixing cap 34 is used for directional sliding and positioning and fixing the blocking tube 1. The drainage branch is connected with the drainage device 32. The drainage device 32 includes a drainage tube 321, a protective sleeve 322, a drainage joint 323 and a sealing cover 324. The distal end of the drainage branch is provided with a drainage tube fixing port 313, and the drainage tube fixing port 313 is connected with a drainage tube fixing cap 33. The drainage tube fixing cap 33 is connected with the protective sleeve 322. By setting the protective sleeve, the occurrence of nosocomial infection can be effectively prevented, and the clinical use frequency and time of the drainage tube 321 can be increased. The drainage tube 321 is arranged in the ventilation cavity 211 and passes through the drainage tube fixing cap 33 and is connected with the distal drainage joint 323; the drainage tube fixing cap 33 is used for directional sliding and fixing the drainage tube 321, that is, sliding the drainage tube 321 can realize the drainage function of the proximal end of the ventilation cavity 211 and the accumulated fluid at the carina of the airway. The drainage joint 323 is connected with the sealing cover 324. The proximal end of the drainage tube 321 is provided with a drainage port. Specifically, the drainage port can be set at a position where the proximal end ≤ 15 mm. The drainage port includes an asymmetrically arranged first drainage port 3211, a second drainage port 3212 and a third drainage port 3213. An artificial airway is effectively established through the ventilation tube 2 to realize the functions of visible intubation of the airway, oxygen supply ventilation and intraoperative visible monitoring. Through the multi-functional joint 3, the blocking tube 1 and the drainage device 32 are slidably adjusted and stably positioned, so that the blocking tube 1 can be adjusted conveniently and timely and the accumulated fluid can be drained, and at the same time, the distal side branch is stabilized to ensure the stability of the device.

[0026] The blocking tube 1 is made of nylon material and has a Shore hardness of greater than or equal to 100 degrees; the ventilation tube 2 is made of PVC or TPU material, and the Shore hardness ranges from 70 to 95 degrees; the drainage tube 3 is made of PVC material, and the Shore hardness ranges from 50 to 80 degrees. By differentiating the blocking tube 1 and the ventilation tube 2 in terms of materials and structural strength, the toughness and anti-bending ability of the blocking tube are effectively improved, the anti-displacement effect is enhanced, and it is ensured that the flexibility of the ventilation tube is stronger than that of the blocking tube, with higher plasticity and better ventilation effect; at the same time, the inner diameter of the blocking tube 1 is smaller, which can reduce intubation injury and continuous compressive injury.

[0027] The intelligent monitoring device 4 is connected to the visual control device 26. The visual control device 26 includes a data line 261, a data connector 262, and a regulation handle 263. The regulation handle 263 is used to control the camera 22 to collect and transmit data to the intelligent monitoring device 4. The data connector 262 is connected to the camera 22 through the data line 261. The data connector 262 is used to plug in the regulation handle 263, and the regulation handle 263 is connected to the intelligent monitoring device 4. Specifically, the regulation handle 263 is connected to the intelligent monitoring device 4 by wire or wirelessly. When connected by wire, as Figure 7 shown. When the regulation handle 263 is wirelessly connected to the intelligent monitoring device 4, the regulation handle 263 includes a control circuit, and the control circuit is respectively connected to a built-in power supply, a shooting button, and a first wireless transmission module. The intelligent monitoring device 4 includes a control main board, and the control main board is respectively connected to a display and a second wireless transmission module 41. The first wireless transmission module is connected to the second wireless transmission module 41.

[0028] In this embodiment, as Figure 8 shown. During specific use, the clinician first inserts the proximal end of the ventilation tube 2 into the patient's airway and fixes the position through the fixing cuff 23. Then, the proximal end of the blocking tube 1 is inserted into the ventilation cavity 211 of the ventilation tube 2, placed at a specified position in the patient's bronchus, and the blocking tube 1 is fixed by the blocking tube fixing cap 34 on the multi-functional joint 3 to prevent its distal end from moving. The affected side of the lung is isolated and blocked by the blocking cuff 12. The camera 22 collects the images of the blocking cuff 12 and the bronchial carina in real time, and transmits the collected data to the intelligent monitoring device 4 through the visual control device 26. The intelligent monitoring device 4 displays the collected images in real time and monitors the air leakage and displacement of the blocking cuff 12. When the camera 3 is soiled and blocks the line of sight and cannot collect normally, it is flushed through the flushing device 25. After the intelligent monitoring device 4 monitors that the blocking cuff 12 has shifted, the blocking tube 1 is adjusted by adjusting the blocking tube fixing cap 34. At the same time, the blocking cuff 12 is further fixed by inflating and deflating through the first inflating device 13, and the blocking cuff 12 is adjusted in a timely manner. The drainage tube 321 is slid by adjusting the drainage tube fixing cap 33 to realize the drainage of the proximal end of the ventilation cavity 211 and the effusion of the bronchial carina, avoiding the risks of intraoperative lung isolation displacement and aspiration.

[0029] The ventilation device of the present invention fixes the position of the ventilation tube 2 through the fixed cuff 23, arranges the blocking tube 1 in the ventilation cavity 211 of the ventilation tube 2, collects the images inside the trachea through the camera 3, and realizes the real-time monitoring of the CO2 gas concentration in the diseased lung through the gas monitoring cavity 113. It can quickly guide the tracheal catheter for intubation and correct it in time after displacement and air leakage, reduce the damage during the intubation process of the airway mucosa, improve the success rate of intubation and bronchial occlusion, and can observe the situation of gastroesophageal reflux or airway secretions in real time to ensure the patency of the airway.

[0030] As Figure 9 shown, the present invention also provides an intelligent monitoring type lung isolation monitoring method, including the following steps: In this embodiment, a target detection model is constructed. The standard images of the carina structure, the standard images of the occluding cuff, and the standard distance data of the occluding cuff are used to train the target detection model respectively to obtain the trained target detection model. The trained target detection model includes a carina structure model, an occluding cuff model, and a distance model. The carina structure model is used to extract the position characteristics of the carina structure, the occluding cuff model is used to extract the position characteristics of the occluding cuff, and the distance model is used to detect the distance characteristics of the occluding cuff. In this embodiment, as Figure 10 shown, the standard image of the carina structure or the standard image of the occluding cuff is the image of the carina structure or the image of the occluding cuff 12 obtained by the camera 22 when the ventilation device is in the standard position judged by the doctor, and is obtained after processing and annotation. The processing method includes optimizing the image and data enhancement. Annotation is used to obtain the position information of the carina structure and the occluding cuff 12. According to the standard image of the occluding cuff, the distance between the camera 22 and the occluding cuff 12 is annotated to obtain the standard distance data of the occluding cuff. Another implementation is that the standard image of the carina structure, the standard image of the occluding cuff, and the standard distance data of the occluding cuff all come from the historical data set, which will not be elaborated in the present invention.

[0031] Real-time collect the real-time images of the carina structure and the real-time images of the occluding cuff to be monitored, and obtain the real-time distance data of the occluding cuff 12. Analyze the real-time images of the carina structure according to the carina structure model to obtain the carina structure monitoring information, analyze the real-time images of the occluding cuff according to the occluding cuff model to obtain the occluding cuff monitoring information, calculate the distance of the occluding cuff 12 in the real-time images of the occluding cuff according to the distance model to obtain the real-time distance and distance monitoring information of the occluding cuff 12, and comprehensively evaluate the carina structure monitoring information, the occluding cuff monitoring information, and the distance monitoring information to obtain the final monitoring result.

[0032] Specifically, the comprehensive evaluation includes: judging the confidence level of the detected target overlapping position area, comparing and analyzing the candidate box positions of the real-time image of the carina structure obtained by detection with the candidate box positions of the standard image of the carina structure, comparing and analyzing the candidate box positions of the real-time image of the occluding balloon obtained by detection with the candidate box positions of the standard image of the occluding balloon, comparing and analyzing the real-time distance data of the detected occluding balloon 12 with the standard distance data, and determining the final monitoring result. When the final monitoring result exceeds the set threshold, an alarm signal or a prompt alarm message is issued.

[0033] The specific process is as follows. The camera 22 captures the real-time image of the carina structure to be monitored and the real-time image of the occluding balloon in real time, and obtains the real-time distance data of the occluding balloon 12 through the intelligent monitoring device 4. The intelligent monitoring device 4 performs a comparison and analysis on the real-time image of the carina structure collected in real time and the standard image of the carina structure based on the carina structure model, or performs a comparison and analysis on the real-time image of the occluding balloon collected in real time and the standard image of the occluding balloon based on the occluding balloon model, or performs a comparison and analysis on the real-time distance data of the occluding balloon 12 and the standard distance data based on the distance model. When the real-time image of the carina structure or the real-time image of the occluding balloon collected in real time changes compared with the standard image of the carina structure or the standard image of the occluding balloon and does not exceed the set threshold, that is, when the image recognition overlapping area is relatively high, it is judged that there is no displacement and no foreign object enters the field of view; on the contrary, when the change exceeds the set threshold, that is, when the overlapping area is relatively low, it is judged that there is a displacement or a foreign object; or when the real-time data changes compared with the standard data and exceeds the set threshold, the final monitoring result is output and the alarm system is activated to issue an alarm signal or a prompt alarm message to prompt the medical staff to make timely corrections.

[0034] The method of the present invention can monitor the position and distance changes of the occluding tube and the ventilation tube in real time, and give an alarm prompt in real time to guide the clinician to make timely adjustments and correct the risk of displacement during the pulmonary isolation ventilation process in a timely manner.

[0035] The above is only a preferred embodiment of the present invention, but the protection scope of the present invention is not limited thereto. Any change or replacement that can be easily thought of by those skilled in the art within the technical scope disclosed by the present invention should be covered by the protection scope of the present invention. Therefore, the protection scope of the present invention should be subject to the protection scope defined by the claims.

Claims

1. An intelligent monitoring type lung isolation ventilation device, characterized in that, It includes a blocking tube, a ventilation tube, a multi-functional joint, and an intelligent monitoring device; The blocking tube passes through the ventilation tube. A blocking cuff is provided at the proximal end of the blocking tube. The blocking tube is provided with an exhaust cavity, a blocking tube inflation cavity, and a gas monitoring cavity. A first gas monitoring port is provided at the proximal end of the gas monitoring cavity. A first inflation port is opened on the blocking tube inflation cavity located inside the blocking cuff. The distal end of the blocking tube is connected to a first joint. The first joint is provided with a blocking branch, an inflation side branch, and a gas monitoring side branch. The blocking branch is connected to a blocking catheter. The inflation side branch is connected to a first inflation device. The gas monitoring cavity communicates with the gas monitoring side branch. A second gas monitoring port is provided at the distal end of the gas monitoring side branch. A gas monitoring cap is provided at the second gas monitoring port; A fixing cuff is provided at the proximal end of the ventilation tube. The ventilation tube is provided with a ventilation cavity, a ventilation tube inflation cavity, and a visual cavity. A second inflation port is opened on the ventilation tube inflation cavity inside the fixing cuff. The fixing cuff is connected to a second inflation device provided at the distal end through the ventilation tube inflation cavity. A camera is provided at the proximal end inside the visual cavity. A drainage device is also provided inside the ventilation tube. The drainage device is used for draining the accumulated fluid in the trachea. The distal end of the ventilation tube is connected to a multi-functional joint. The multi-functional joint is used for passing through, adjusting, and fixing the blocking tube and the drainage device; The intelligent monitoring device is connected to the camera. The intelligent monitoring device is used for displaying and processing the images collected by the camera.

2. The intelligent monitoring type lung isolation ventilation device according to claim 1, wherein The blocking tube passes through the ventilation cavity of the ventilation tube.

3. The intelligent monitoring type lung isolation ventilation device according to claim 1, characterized in that, The ventilation tube is also provided with a flushing cavity. A flushing port is provided at the proximal end of the flushing cavity. The flushing cavity is used for installing a flushing device.

4. The intelligent monitoring type lung isolation ventilation device according to claim 1, wherein, The multi-functional joint is provided with a drainage branch. The drainage branch is connected to the drainage device. The drainage device includes a drainage tube, a protective sleeve, a drainage joint, and a sealing cap; A drainage tube fixing cap is provided at the distal end of the drainage branch. The drainage tube fixing cap is connected to the protective sleeve. The drainage tube is arranged in the ventilation cavity and passes through the drainage tube fixing cap to be connected to the drainage joint at the distal end; The drainage tube fixing cap is used for sliding and positioning the drainage tube. The drainage joint is connected to the sealing cap. A drainage port is provided at the proximal end of the drainage tube.

5. The intelligent monitoring type lung isolation ventilation device according to claim 4, characterized in that, The multi-functional joint is also provided with a blocking side branch and a ventilation side branch. The blocking side branch is used for passing through the blocking tube. A blocking tube fixing cap is connected to the port of the blocking side branch. The blocking tube fixing cap is fixedly connected to the blocking tube. The blocking tube fixing cap is used for sliding and positioning the blocking tube. The port of the ventilation side branch is set as a standard ventilation port.

6. The intelligent monitoring type lung isolation ventilation device according to claim 1, wherein, The blocking tube is made of nylon material and the Shore hardness is greater than or equal to 100 degrees; The ventilation tube is made of PVC or TPU material, and the Shore hardness range is 70-95 degrees; The drainage tube 3 is made of PVC material, and the Shore hardness range is 50-80 degrees.

7. The intelligent monitoring type lung isolation ventilation device according to claim 1, characterized in that, The blocking cuff is provided with a reinforcing cuff sleeve. The reinforcing cuff sleeve is used for fixing the blocking cuff on the blocking tube.

8. The intelligent monitoring type lung isolation ventilation device according to claim 1, characterized in that, The intelligent monitoring device is connected to the visual control device. The visual control device includes a data line, a data connector, and a control handle. The control handle is used to control the camera to collect and transmit data to the intelligent monitoring device. The data connector is connected to the camera through the data line. The data connector is used to plug in the control handle, and the control handle is connected to the intelligent monitoring device.

9. The intelligent monitoring type lung isolation ventilation device according to claim 8, characterized in that, The control handle is wirelessly connected to the intelligent monitoring device. The control handle includes a control circuit, and the control circuit is respectively connected to a built-in power supply, a shooting button, and a first wireless transmission module. The intelligent monitoring device includes a control main board, and the control main board is respectively connected to a display and a second wireless transmission module. The first wireless transmission module is connected to the second wireless transmission module.

10. An intelligent monitoring type lung isolation monitoring method, characterized in that, It includes the following steps: Construct a target detection model. Use the standard images of the carina structure, the standard images of the occluding balloon, and the standard distance data of the occluding balloon to train the target detection model to obtain the trained target detection model. The trained target detection model includes a carina structure model, an occluding balloon model, and a distance model. The carina structure model is used to extract the position characteristics of the carina structure. The occluding balloon model is used to extract the position characteristics of the occluding balloon. The distance model is used to detect the distance characteristics of the occluding balloon. Real-time collect the real-time images of the carina structure and the occluding balloon to be monitored, and obtain the real-time distance data of the occluding balloon. Analyze the real-time image of the carina structure according to the carina structure model to obtain the carina structure monitoring information. Analyze the real-time image of the occluding balloon according to the occluding balloon model to obtain the occluding balloon monitoring information. Calculate the distance of the occluding balloon in the real-time image of the occluding balloon according to the distance model to obtain the real-time distance and distance monitoring information of the occluding balloon. Make a comprehensive evaluation of the carina structure monitoring information, the occluding balloon monitoring information, and the distance monitoring information to obtain the final monitoring result.

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