Endobronchial Tubes

WhatsApp Order

Endobronchial Tubes are specialized double-lumen endotracheal tubes designed for selective lung ventilation and isolation during thoracic surgery, management of massive hemoptysis, and bronchopleural fistulas. The dual-lumen design allows independent ventilation of each lung, enabling surgical access, infection control, and airway protection. Essential for thoracic surgery, anesthesiology, and critical care, they provide safe, effective single-lung ventilation with proper placement confirmed by fiberoptic bronchoscopy.

Categories: ANESTHESIA AND RESPIRATORY EQUIPMENT, Airway Management Tags: Bronchial Catheter, DLT, Double-Lumen Tube, Endobronchial Tube, Lung Isolation, Single-Lung Ventilation, Thoracic Surgery

Description

Endobronchial Tubes

PRIMARY CLINICAL & DIAGNOSTIC USES

1. Selective Lung Ventilation for Thoracic Surgery

Primary Use: Provides selective ventilation of one lung while allowing the other lung to be collapsed during thoracic surgical procedures including lobectomy, pneumonectomy, esophagectomy, and video-assisted thoracoscopic surgery. The double-lumen tube design allows independent ventilation of the left and right lungs.
How it helps: For the thoracic surgeon and anesthesiologist, endobronchial tubes enable optimal surgical access by selectively deflating the lung on the operative side while maintaining ventilation to the contralateral lung—providing a clear surgical field and protecting the healthy lung from contamination. For the patient undergoing thoracic surgery, this technology allows for minimally invasive approaches, reduces operative time, and minimizes the risk of complications associated with single-lung ventilation.

2. Isolation of the Lung for Infection Control

Primary Use: Isolates a lung affected by infection, hemorrhage, or massive abscess to prevent spillage of infectious material or blood into the healthy lung during surgical or therapeutic procedures.
How it helps: For the thoracic surgeon and anesthesiologist, endobronchial tubes provide a critical barrier that contains infectious or hemorrhagic material within the diseased lung—protecting the healthy lung from contamination and preventing life-threatening aspiration. For the patient with severe pulmonary infection or massive hemoptysis, this isolation can be life-saving, allowing for definitive treatment while preserving respiratory function.

3. Management of Bronchopleural Fistula

Primary Use: Used to manage bronchopleural fistulas by selectively isolating the affected bronchus, preventing air leak into the pleural space and maintaining adequate ventilation.
How it helps: For the critical care team and thoracic surgeon, endobronchial tubes provide a means of managing this challenging complication—sealing off the fistulous communication and allowing the pleural space to heal. For the patient with a bronchopleural fistula, proper tube placement can prevent respiratory compromise and facilitate healing without additional surgical intervention.

4. Facilitation of Bronchoscopic Procedures

Primary Use: Provides a conduit for passage of fiberoptic bronchoscopes for diagnostic and therapeutic procedures, including lavage, biopsy, and laser therapy, while maintaining ventilation.
How it helps: For the interventional pulmonologist, endobronchial tubes allow simultaneous access for bronchoscopic instruments and maintenance of ventilation—enabling complex airway interventions without interrupting gas exchange. For the patient undergoing bronchoscopic procedures, this means safer, more efficient interventions with continuous respiratory support.

5. Management of Massive Hemoptysis

Primary Use: Used in the emergency management of massive hemoptysis to isolate the bleeding lung and prevent aspiration of blood into the contralateral airway.
How it helps: For the emergency physician and critical care team, endobronchial tube placement provides immediate airway protection in life-threatening hemoptysis—containing the bleeding source and maintaining a patent airway for ventilation. For the patient with massive hemoptysis, this intervention can be life-saving, preventing asphyxiation and allowing time for definitive treatment.

SECONDARY & SUPPORTIVE USES

1. Difficult Airway Management: Used in complex airway scenarios where conventional endotracheal intubation is challenging or where selective ventilation is required for airway control.

2. Tracheobronchial Trauma: Provides airway stabilization and selective ventilation in patients with traumatic injury to the tracheobronchial tree.

3. Lung Transplantation: Used during lung transplantation procedures to selectively ventilate the transplanted lung while the native lung is managed.

4. Pulmonary Lavage: Facilitates whole-lung lavage in patients with pulmonary alveolar proteinosis by allowing sequential lavage of one lung while the other is ventilated.

5. Thoracic Trauma: Used in the acute management of thoracic trauma where lung isolation is required to prevent contamination or manage air leaks.

6. Pediatric Applications: Smaller endobronchial tubes are available for pediatric thoracic surgery and airway management in children.

KEY PRODUCT FEATURES

1. BASIC IDENTIFICATION ATTRIBUTES

Device Type: A specialized double-lumen endotracheal tube designed for selective lung ventilation and isolation.
Designation: Endobronchial Tube, Double-Lumen Tube, DLT, Bronchial Catheter, Carlens Tube, Robertshaw Tube.
Key Components:
- Dual Lumens: Separate channels for ventilation of each lung (tracheal lumen and bronchial lumen).
- Bronchial Cuff: Inflatable cuff that seals the bronchus of the ventilated lung.
- Tracheal Cuff: Inflatable cuff that seals the trachea, preventing air leak and aspiration.
- Bronchial Tip: Extended tip designed to enter the main bronchus (left or right specific).
- Pilot Balloons: Color-coded balloons for monitoring cuff inflation.
- Radiopaque Markers: Positioned to confirm correct placement under fluoroscopy or X-ray.
- Connectors: Standard 15 mm connectors for ventilator circuits.

2. TECHNICAL & PERFORMANCE PROPERTIES

Sizes: 26 Fr to 41 Fr for adults; pediatric sizes available.
Lumen Diameter: Varies by size; sufficient for passage of fiberoptic bronchoscope.
Cuff Types: High-volume, low-pressure cuffs to minimize tracheal and bronchial injury.
Material: Medical-grade polyvinyl chloride (PVC) or silicone.
Radiopacity: Embedded markers for radiographic confirmation.
Direction: Left-sided or right-sided configuration based on intended placement.
Sterility: Ethylene oxide or gamma irradiation sterilized.

3. PHYSICAL & OPERATIONAL PROPERTIES

Construction: Flexible but kink-resistant tubing; smooth surface for atraumatic insertion.
Color Coding: Blue for tracheal cuff, white or clear for bronchial cuff.
Length: 28-40 cm depending on size.
Markings: Depth markings at 1 cm intervals for accurate placement.
Packaging: Sterile, single-use; individually packaged.

4. SAFETY & COMPLIANCE ATTRIBUTES

Regulatory Status: Class II medical device regulated by FDA.
Biocompatibility: Materials safe for airway contact.
Cuff Safety: High-volume, low-pressure cuffs reduce risk of mucosal ischemia.
Latex-Free: Manufactured without natural rubber latex.

5. STORAGE & HANDLING ATTRIBUTES

Storage: Store in a clean, dry location at room temperature.
Sterility Maintenance: Do not use it if the package is opened, damaged, or wet.
Expiration: Check expiration date before use; do not use after expiration.
Single-Use Only: Intended for single patient use only; do not resterilize or reuse.

6. LABORATORY & CLINICAL APPLICATIONS

Primary Application: Selective lung ventilation and isolation for thoracic surgery, massive hemoptysis, and bronchopleural fistula management.
Clinical Role: Essential equipment in thoracic surgery, anesthesiology, and critical care settings.

SAFETY HANDLING PRECAUTIONS

1. SAFETY PRECAUTIONS

Confirm Placement: Verify correct position with fiberoptic bronchoscopy after intubation.
Cuff Inflation: Inflate cuffs to minimal occluding volume; monitor cuff pressures.
Tube Security: Secure tube after confirming placement to prevent dislodgement.
Position Monitoring: Monitor for signs of tube migration, obstruction, or malposition.
Suctioning: Suction both lumens as needed to maintain patency.
Deflation Prior to Removal: Deflate cuffs completely before extubation.

2. FIRST AID MEASURES

Tube Displacement: If tube is displaced, manually ventilate patient; remove tube; reintubate as needed.
Cuff Rupture: If cuff ruptures, consider tube replacement if the seal cannot be maintained.
Obstruction: If lumen is obstructed, attempt to suction; consider tube replacement if patency cannot be restored.

3. FIRE FIGHTING MEASURES

Flammability: Plastic components are combustible; an oxygen-enriched environment increases fire risk.
Extinguishing Media: For electrical fire, use CO₂ or dry chemical extinguisher.

Endobronchial Tubes

Endobronchial Tubes

PRIMARY CLINICAL & DIAGNOSTIC USES

1. Selective Lung Ventilation for Thoracic Surgery

2. Isolation of the Lung for Infection Control

Primary Use: Isolates a lung affected by infection, hemorrhage, or massive abscess to prevent spillage of infectious material or blood into the healthy lung during surgical or therapeutic procedures.

3. Management of Bronchopleural Fistula

Primary Use: Used to manage bronchopleural fistulas by selectively isolating the affected bronchus, preventing air leak into the pleural space and maintaining adequate ventilation.

4. Facilitation of Bronchoscopic Procedures

Primary Use: Provides a conduit for passage of fiberoptic bronchoscopes for diagnostic and therapeutic procedures, including lavage, biopsy, and laser therapy, while maintaining ventilation.

5. Management of Massive Hemoptysis

Primary Use: Used in the emergency management of massive hemoptysis to isolate the bleeding lung and prevent aspiration of blood into the contralateral airway.

SECONDARY & SUPPORTIVE USES

1. Difficult Airway Management: Used in complex airway scenarios where conventional endotracheal intubation is challenging or where selective ventilation is required for airway control.

2. Tracheobronchial Trauma: Provides airway stabilization and selective ventilation in patients with traumatic injury to the tracheobronchial tree.

3. Lung Transplantation: Used during lung transplantation procedures to selectively ventilate the transplanted lung while the native lung is managed.

4. Pulmonary Lavage: Facilitates whole-lung lavage in patients with pulmonary alveolar proteinosis by allowing sequential lavage of one lung while the other is ventilated.

5. Thoracic Trauma: Used in the acute management of thoracic trauma where lung isolation is required to prevent contamination or manage air leaks.

6. Pediatric Applications: Smaller endobronchial tubes are available for pediatric thoracic surgery and airway management in children.

1. BASIC IDENTIFICATION ATTRIBUTES

Device Type: A specialized double-lumen endotracheal tube designed for selective lung ventilation and isolation.

Designation: Endobronchial Tube, Double-Lumen Tube, DLT, Bronchial Catheter, Carlens Tube, Robertshaw Tube.

Key Components:

Dual Lumens: Separate channels for ventilation of each lung (tracheal lumen and bronchial lumen).

Bronchial Cuff: Inflatable cuff that seals the bronchus of the ventilated lung.

Tracheal Cuff: Inflatable cuff that seals the trachea, preventing air leak and aspiration.

Bronchial Tip: Extended tip designed to enter the main bronchus (left or right specific).

Pilot Balloons: Color-coded balloons for monitoring cuff inflation.

Radiopaque Markers: Positioned to confirm correct placement under fluoroscopy or X-ray.

Connectors: Standard 15 mm connectors for ventilator circuits.

2. TECHNICAL & PERFORMANCE PROPERTIES

Sizes: 26 Fr to 41 Fr for adults; pediatric sizes available.

Lumen Diameter: Varies by size; sufficient for passage of fiberoptic bronchoscope.

Cuff Types: High-volume, low-pressure cuffs to minimize tracheal and bronchial injury.

Material: Medical-grade polyvinyl chloride (PVC) or silicone.

Radiopacity: Embedded markers for radiographic confirmation.

Direction: Left-sided or right-sided configuration based on intended placement.

Sterility: Ethylene oxide or gamma irradiation sterilized.

3. PHYSICAL & OPERATIONAL PROPERTIES

Construction: Flexible but kink-resistant tubing; smooth surface for atraumatic insertion.

Color Coding: Blue for tracheal cuff, white or clear for bronchial cuff.

Length: 28-40 cm depending on size.

Markings: Depth markings at 1 cm intervals for accurate placement.

Packaging: Sterile, single-use; individually packaged.

4. SAFETY & COMPLIANCE ATTRIBUTES

Regulatory Status: Class II medical device regulated by FDA.

Biocompatibility: Materials safe for airway contact.

Cuff Safety: High-volume, low-pressure cuffs reduce risk of mucosal ischemia.

Latex-Free: Manufactured without natural rubber latex.

5. STORAGE & HANDLING ATTRIBUTES

Storage: Store in a clean, dry location at room temperature.

Sterility Maintenance: Do not use it if the package is opened, damaged, or wet.

Expiration: Check expiration date before use; do not use after expiration.

Single-Use Only: Intended for single patient use only; do not resterilize or reuse.

6. LABORATORY & CLINICAL APPLICATIONS

Primary Application: Selective lung ventilation and isolation for thoracic surgery, massive hemoptysis, and bronchopleural fistula management.

Clinical Role: Essential equipment in thoracic surgery, anesthesiology, and critical care settings.

1. SAFETY PRECAUTIONS

Confirm Placement: Verify correct position with fiberoptic bronchoscopy after intubation.

Cuff Inflation: Inflate cuffs to minimal occluding volume; monitor cuff pressures.

Tube Security: Secure tube after confirming placement to prevent dislodgement.

Position Monitoring: Monitor for signs of tube migration, obstruction, or malposition.

Suctioning: Suction both lumens as needed to maintain patency.

Deflation Prior to Removal: Deflate cuffs completely before extubation.

2. FIRST AID MEASURES

Tube Displacement: If tube is displaced, manually ventilate patient; remove tube; reintubate as needed.

Cuff Rupture: If cuff ruptures, consider tube replacement if the seal cannot be maintained.

Obstruction: If lumen is obstructed, attempt to suction; consider tube replacement if patency cannot be restored.

3. FIRE FIGHTING MEASURES

Flammability: Plastic components are combustible; an oxygen-enriched environment increases fire risk.

Extinguishing Media: For electrical fire, use CO₂ or dry chemical extinguisher.

Related products

BRANDS

FOLLOW US