CN101181181B - Nutrient canal of intestine for reducing pressure of stomach - Google Patents

Nutrient canal of intestine for reducing pressure of stomach Download PDF

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CN101181181B
CN101181181B CN 200710190529 CN200710190529A CN101181181B CN 101181181 B CN101181181 B CN 101181181B CN 200710190529 CN200710190529 CN 200710190529 CN 200710190529 A CN200710190529 A CN 200710190529A CN 101181181 B CN101181181 B CN 101181181B
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tube
gastric
enteral feeding
inlet
multi
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CN 200710190529
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CN101181181A (en
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马博平
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马博平
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Abstract

The invention relates to a gastric decompression intestinal nutrition tube, which includes: a gastric tube, and the upper end of the gastric tube is provided with a multi-way connector; the upper end of the multi-way connector is the entrance of the gastric tube, and a first side end of the multi-way connector is a gastric decompression orifice, and an adjustable fixed ring and a gastric tube ball bag are respectively arranged on the gastric tube from top to bottom; a gas/water one-way valve is arranged on a second side end of the multi-way connector, and a ball bag gas/water inlet is arranged on the gastric tube in the gastric tube ball bag, wherein the gas/water one-way valve is connected with the ball bag gas/water inlet by a gastric tube ball bag gas/water tube; an intestinal nutrition tube which is inserted in the gastric tube from the entrance of the gastric tube and has the length which is longer than that of the gastric tube is assembled in the gastric tube. The intestinal nutrition tube and the gastric tube are detachable and can be used in combination, and the length of the gastric tube and/or the intestinal nutrition tube can be cut during specific clinical use to meet the requirements of different cases.

Description

胃减压肠营养管 Gastric decompression enteral feeding tube

技术领域 FIELD

[0001] 本发明涉及医疗器械技术领域中的通过胃造口术进行肠营养和胃减压的胃减压肠营养管。 [0001] The present invention relates to a technical field of medical instruments under reduced pressure in the intestine through the stomach the gastrostomy for gastric decompression and enteral nutritional feeding tube.

背景技术 Background technique

[0002] 现有技术中在做食道或胃切除手术时,需要向小肠内插入营养管,并留置数日。 [0002] In the prior art we do, or gastrectomy esophagus, need to insert the feeding tube into the small intestine, and left for several days. 中国专利公开号CN1076125公开了一种“三腔喂养管”,其能同时进行胃减压和肠进食,但是由于其是从鼻腔插入的,病人耐受性差、鼻翼固定效果差(容易滑脱或者吸入)、有严重肺病或者食道疾病的患者不能使用等。 Chinese Patent Publication No. CN1076125 discloses a "three-lumen feeding tube", which is capable of simultaneously gastric decompression and enteral feeds, but because it is inserted from the nasal cavity, poor patient tolerance, poor fixing nose (inhalation easily slip or ), patients with severe lung or esophageal disease can not be used and so on.

[0003] 美国专利文献US5458583公开了一种胃造口术导管,该装置的不足之处在于:该装置仅应用于胃营养,不能进行肠营养。 [0003] U.S. Patent Document US5458583 discloses a gastrostomy catheter, the disadvantage of this device is characterized in: that the apparatus is applied only stomach nutrition, enteral feeding can not be performed.

[0004] 美国专利文献US4685901公开了一种胃肠喂食管,该装置通过一个小孔插入病人的胃中,以进行胃进食或肠进食。 [0004] U.S. Patent Document US4685901 discloses a gastrointestinal feeding tube, the device is inserted into a patient's stomach through the small hole, for feeding the stomach or intestine eating. 该胃肠喂食管的不足之处在于:所公开的胃肠喂食管的功能单一,其中的肠管与胃管不能任意拆开或组合使用,灵活性差,不利于在临床中应变使用。 The inadequacies of gastrointestinal feeding tubes in that: the gastrointestinal feeding tube disclosed single function in which the bowel and stomach not disassemble or any combination of poor flexibility, strain is not conducive to clinical use.

发明内容 SUMMARY

[0005] 本发明所要解决的技术问题是提供一种适用于胃造口术中使用灵活方便并能根据实际情况进行组合使用的胃减压肠营养管。 [0005] The present invention solves the technical problem is to provide a gastrostomy suitable flexible and can be used in combination with a reduced pressure of gastric enteral feeding tube according to the actual situation.

[0006] 为解决上述技术问题,本发明的胃减压肠营养管,包括:胃管,在胃管的上端设有多通接头;多通接头的上端口是胃管入口,在多通接头的第一侧端口是胃减压口,在胃管上由上而下分别设有可调节固定环和胃管球囊;在多通接头的第二侧端口上设有气/水单向阀,在胃管球囊内的胃管上设有球囊进气/水口,气/水单向阀经胃管球囊气/水管与球囊进气/水口相连;胃管内组装有从胃管入口插入胃管且长度大于胃管的肠营养管。 [0006] To solve the above problems, the present invention reduced the gastric enteral feeding tube, comprising: a tube, the upper end of the tube is provided with a multi-way connector; multiway connector port on the inlet tube, the multi-way connector stomach first relief port side port, are provided in the tube from top to bottom, and an adjustable tube fixing balloon ring; with the air / water on a second side check valve port of the multi-way connector , the balloon is provided with inlet / outlet, the air / water-way valve is connected via the air tube balloon / balloon tube and the intake / outlet in the balloon on the tube in the tube; assembled inner tube from the stomach tube inlet tube inserted into the tube and a length greater than the enteral feeding tube.

[0007] 上述技术方案中,还包括从肠营养管的入口端插入肠营养管内的金属导丝。 [0007] In the above aspect, further comprising a guide wire inserted in the metal pipe from the inlet end of the enteral nutritional enteral feeding tube.

[0008] 上述技术方案中,肠营养管的出口端的外壁为葫芦状。 [0008] The foregoing technical solution, the outer wall of the outlet end of the tube for enteral nutritional gourd shape.

[0009] 上述技术方案中,胃管上且临近末端出口处设有3-10个侧孔。 [0009] In the above technical solution, and near the outlet end of the tube is provided with side holes 3-10.

[0010] 上述技术方案中,所述肠营养管的入口端的外壁设有与所述胃管入口相配合的外套;外套的外壁上还设有1-3个凸环。 [0010] In the above technical solution, the outer wall of the inlet end of the enteral feeding tube is provided with an inlet cooperating with said outer tube; an outer wall of the outer sleeve is also provided with a convex ring 1-3.

[0011] 上述技术方案中,所述多通接头的外壁上连接有与胃减压口配合的盖帽;所述肠营养管入口端的外壁上连接有与肠营养管入口相配合的盖帽。 [0011] In the above aspect, the outer wall of the multi-way connector connected to the cap fitting gastric decompression port; an outer wall of the inlet end of the enteral feeding tube is connected to an inlet tube fitted with enteral feeding cap.

[0012] 本发明具有积极的效果:(1)本发明的胃减压肠营养管中,肠营养管与胃管是可拆卸并可组合使用的,在具体临床使用时可以裁剪胃管和/或肠营养管的长度,以满足不同的病例要求。 [0012] The present invention has positive effects: (1) of the present invention reduced the gastric enteral feeding tube, enteral feeding tube and the tube is detachable and can be used in combination, can be used when specific clinical crop and stomach / enteral nutrition or tube length to suit different patients requirements. 采用多通接头的设计使本发明的胃减压肠营养管能同时进行肠进食和胃减压操作;如果病人有胃逆流和呕吐的情况,可以进行肠进食并同时进行胃减压。 Multi-pass the stomach joint design of the invention can be performed under reduced pressure enteral feeding tubes simultaneously fed and intestinal gastric decompression operation; the case if the patient has vomiting and stomach countercurrent, enteral feeds may be performed while the stomach under reduced pressure. 但如果病人胃功能只是稍微有点弱并且无呕吐及胃逆流时,可同时进行肠胃进食,即通过肠营养管和胃减压口分别进行肠进食和胃进食。 However, if the patient is only slightly weaker gastric and no vomiting and gastric countercurrent, the parenteral feeding can be performed simultaneously, i.e. separately enteral feeds and feeding pressure port stomach feeding tube through the gut and stomach. 另外,在使用时,通过气/水单向阀、经胃管球囊气管及球囊进气/水口向胃管球囊充气或水,使其膨胀,以固定胃管在胃内部的位置,防止胃管被不经意地拉出;可调节固定环用于调整相应的位置,使胃管球囊与调节固定环之间相互配合作用,从而使胃造口得到充分密封,并固定本装置的位置,以减轻病人的痛苦。 Further, in use, through an air / water-way valve, the trachea and the balloon of the balloon through the tube inlet / outlet tube to inflate the balloon or water, it expands to a fixed position in the interior of the stomach tube, prevent the tube from being inadvertently pulled out; adjustable fixing ring for adjusting the position corresponding the balloon tube cooperating with the adjustment action between the fixed ring, so that the gastrostomy fully sealed, and fixing the position of the device to alleviate the suffering of patients. 因此,本发明的胃减压肠营养管操作使用更方便、可靠且能减轻病人的痛苦。 Accordingly, the present invention reduced the gastric enteral feeding tube operation more convenient, reliable and can reduce patient suffering. (2)本发明的胃减压肠营养管在使用时,导丝内置于肠营养管中的,以提供足够的力学强度,在内窥镜及活检钳的帮助下使肠营养管很容易地达到十二指肠部位。 (2) of the present invention reduced the gastric enteral feeding tube in use, the guidewire is built into the enteral feeding tube, to provide sufficient mechanical strength, easily intestinal feeding tube with the help of the endoscope and biopsy forceps reach the duodenum. 当确认肠营养管到达指定位置后,即可退出导丝进行肠营养操作。 After confirmation enteral nutrition tube to a specified position to exit the guidewire enteral feeding operation. (3)本发明中,肠营养管的出口端的外壁为葫芦状,在使用时,易于被活检钳夹住,方便了操作。 (3) In the present invention, the outer wall of the outlet end of the feeding tube for enteral gourd-shaped, in use, is easy to live biopsy forceps, to facilitate the operation. (4)本发明中,临近胃管的末端出口处设有3-10个侧孔,用于胃排空或者胃营养。 (4) In the present invention, at the end adjacent the outlet tube is provided with side holes 3-10, or the stomach for gastric emptying nutrition. (5)本发明中,肠营养管的入口端的外壁设有外套,外套的外壁上还设有多个凸环,既可使肠营养管与胃管彼此固定牢固,以减轻病人的痛苦,又能起到密封作用,以防止胃内容物的流出。 (5) In the present invention, the outer wall of the inlet end of the feeding tube is provided with enteric coat, the outer wall of the outer ring is further provided with a plurality of projections, both intestinal and gastric feeding tube firmly fixed to each other to relieve the patient, and can play a seal to prevent outflow of gastric contents.

附图说明 BRIEF DESCRIPTION

[0013] 图1为胃减压肠营养管的装配结构示意图; [0013] FIG. 1 is a schematic diagram for gastric decompression enteral nutrition tube mounting structure;

[0014] 图2为图1中的肠营养管的结构示意图; [0014] FIG. 2 is a schematic view of the enteral feeding tube in Figure 1;

[0015] 图3为图1中的胃管的结构示意图。 [0015] FIG. 3 is a schematic view of the tube of FIG.

具体实施方式 Detailed ways

[0016](实施例1) [0016] (Example 1)

[0017] 见图1-3,本实施例的胃减压肠营养管,包括:胃管1、从胃管1的胃管入口1-1插入胃管1内且长度大于胃管1的肠营养管2和从肠营养管2的入口2-1插入肠营养管2内的金属导丝7。 [0017] Figures 1-3, embodiments of the present embodiment reduced gastric enteral feeding tube comprising: a tube, the tube is inserted into the inlet tube 1 1-1 1 intestinal tube of a length greater than the inner tube 1 the inlet 2 and the feeding tube from 2-1 enteral nutrition tube 2 is inserted in a metal guide wire 7 2 enteral feeding tube.

[0018] 在胃管1上由上而下分别设有可调节固定环6和胃管球囊9 ;在多通接头5的第二侧端口上设有气/水单向阀3,在胃管球囊9内的胃管1上设有球囊进气/水口14,气/ 水单向阀3经胃管球囊气/水管12与球囊进气/水口14相连。 [0018] In the top-down tube 1 are respectively provided with adjustable fixing ring 6 and the balloon tube 9; with the air / water check valve 3, in the stomach on the second port side of the multi-way connector 5 the inner tube 9 is provided with a balloon on the balloon inlet / outlet 14, the air / water-way valve 3 is connected via the air tube balloon / balloon tube 12 and the inlet / outlet 14.

[0019] 在胃管1的上端口上设有多通接头5 ;多通接头5的上端口是胃管入口1-1,在多通接头5的第一侧端是胃减压口4。 [0019] provided at the upper port multiport tube joint 5 1; the multi-way connector port 5 is an inlet tube 1-1, a first side at the end of the multi-way connector 5 is gastric decompression port 4. 胃减压口4的外壁上连接有胃减压盖帽10,胃管入口1-1的外壁上连接有胃管盖帽11,其使用时用于防止胃内容物流出。 Gastric decompression port 4 is connected to the outer wall of the stomach under reduced pressure cap 10, the outer wall of the tube is connected to the inlet tube 1-1 cap 11, when it is used for preventing gastric contents from flowing out.

[0020] 肠营养管与胃管是可拆卸并可组合使用的,在具体临床使用时可以裁剪胃管和/ 或肠营养管的长度,以满足不同的病例要求。 [0020] The enteral feeding tube and the tube is detachable and can be used in combination, can be the specific length of cutting tube clinical use and / or enteral nutrition tube to meet the requirements of different cases. 采用多通接头的设计使本实施例的胃减压肠营养管能同时进行肠进食和胃减压操作;如果病人有胃逆流和呕吐的情况,可以进行肠进食并同时进行胃减压。 The design uses multi-way connector of the present embodiment of the reduced pressure of gastric enteral feeding tube can be fed and intestinal gastric decompression operation simultaneously; if the patient stomach and vomiting in countercurrent, enteral feeds may be performed while the stomach under reduced pressure. 但如果病人胃功能只是稍微有点弱并且无呕吐及胃逆流时,可同时进行肠胃进食(即通过肠营养管和胃减压口分别进行肠进食和胃进食)。 However, if the patient is only slightly weaker gastric and no vomiting and stomach when countercurrent, may be simultaneously fed parenterally (i.e. enteral feeds respectively feeding pressure port through the stomach and intestines and stomach feeding tube).

[0021] 肠营养管2的出口端2-2的外壁13为葫芦状,在使用时,易于被活检钳夹住,方便了操作。 [0021] 2 enteral feeding tube outlet end 13 of the outer wall of a gourd-like 2-2, in use, is easy to live biopsy forceps, to facilitate the operation.

[0022] 临近胃管1的末端出口处1-2设有6个侧孔8,便于胃排空或者胃营养。 [0022] near the outlet end of the tube 1 is provided with six side holes 1-2 8, the stomach or facilitate gastric emptying nutrition.

[0023] 见图2,所述肠营养管2的入口2-1的外壁设有用于与所述胃管入口1-1相配合的外套2-3和与入口2-1相配合的密封盖帽2-5 ;所述外套2-3的外壁上还设有2个凸环2-4,既可使肠营养管与胃管彼此固定牢固,以减轻病人的痛苦,又能防止胃内容物的流出。 [0023] Figure 2, the inlet of the enteral feeding tube 2 is provided with an outer wall 2-1 for sealing cap cooperating with said inlet tube 1-1 inlet and the coat 2-3 2-1 cooperate 2-5; 2-3 of the outer wall of the outer ring is also provided with two convex 2-4, both intestinal and gastric feeding tube firmly fixed to each other, to alleviate the suffering of the patients, but also to prevent the stomach contents outflow.

[0024] 本装置适用于有较完整的胃肠道功能,但生理上不能通过正常的咀嚼和吞咽来进行营养、流质食物和药物摄取的病人使用,包括需要长期胃减压、不能使用经鼻胃/鼻肠置管法的病人(有严重肺部疾病或食道炎等)、以及拒绝鼻胃管饲的病人的经(胃)肠营养。 [0024] The present device is intended for a more complete gastrointestinal function, but can not physiologically normal nutrition to chew and swallow, liquid food and drug uptake patients to use, including long-term gastric decompression can not be used nasally patients with gastric / intestinal nasal catheter method (with esophagitis or other serious lung disease), and the rejection by (stomach) of nasogastric tube feeding enteral feeding of a patient.

[0025] 使用时,先通过胃造口位置测算需要插入病人体内的胃管1长度,裁剪其长度以适应病例需要,紧缩胃管球囊9,将胃管1通过病人的胃造口插入胃中,充胀胃管球囊9,回拉胃管球囊9至紧贴病人胃部内侧,调整体外的可调节固定环6的位置,通过胃管球囊9和可调节固定环6将胃管1固定在病人的腹部。 [0025] In use, the need to first be inserted through the gastrostomy tube position-determining the length of a patient, which cut lengths to accommodate cases require tightening the balloon tube 9, the tube 1 is inserted into the stomach through the patient's stoma stomach , the balloon inflation tube 9, the balloon retraction tube against the patient's stomach 9 to the inside, in vitro adjustable adjustment position fixing ring 6, the balloon through the tube 9 and the stationary ring 6 may be adjusted stomach tube 1 is fixed to the patient's abdomen. 然后将带有导丝7的肠营养管2在内窥镜的辅助下进入病人的十二指肠。 Then with the enteric feeding tube 7 guidewire 2 into the patient's duodenum endoscopically. 最后抽出导丝7,即可准备胃减压或肠营养的步骤,即:通过肠营养管2给予肠营养,通过胃减压口4进行胃减压。 Finally, the guide wire 7 drawn out, to prepare gastric decompression or enteral feeding step of: 2 by administering enteral nutritional enteral feeding tube for gastric decompression port 4 through the stomach under reduced pressure. 需要更换本装置时,肠营养管2可以直接回抽,胃管1需要抽空胃管球囊9后才能取出。 When the present apparatus needs to be replaced, enteral nutrition tube 2 may be directly Withdrawing evacuated tube 1 need to remove the balloon tube 9. 本装置在使用的过程中,退回可调节固定环6就可以对可调节固定环6及胃造口四周进行清洁。 In the present apparatus during use, to return the adjustable fixing ring 6 can be cleaned and adjustably fixed ring 6 gastrostomy four weeks.

Claims (6)

1. 一种胃减压肠营养管,其特征在于:包括胃管(1),在胃管(1)的上端设有多通接头(5);多通接头(5)的上端口是胃管入口(1-1),多通接头(5)的第一侧端口是胃减压口(4),在胃管(1)上由上而下分别设有可调节固定环(6)和胃管球囊(9);在多通接头(5)的第二侧端口上设有气/水单向阀(3),在胃管球囊(9)内的胃管(1)上设有球囊进气/水口(14),气/水单向阀(3)经胃管球囊气/水管(12)与球囊进气/水口(14)相连;胃管(1) 内组装有从胃管入口(1-1)插入胃管(1)且长度大于胃管(1)的肠营养管(2),且肠营养管(2)与胃管(1)彼此可拆卸并可组合使用。 A gastric decompression enteral feeding tube comprising: a tube (1), at the upper end of tube (1) is provided with a multi-way connector (5); multi-way connector port (5) is gastric an inlet tube (1-1), a multi-way connector (5) is a first side port gastric decompression port (4), on the tube (1) are provided with an adjustable top-down fixed ring (6) and balloon tube (9); with air / water-way valve (3) on the side of the second multi-way connector port (5), the balloon tube in the tube (9) provided on (1) the balloon has an intake / outlet (14), air / water-way valve (3) is connected to the gas balloon through the tube / pipe (12) and the balloon inlet / outlet (14); an inner tube (1) is assembled insertion tube from the inlet tube (1-1) (1) and a length greater than the stomach (1) of the enteral feeding tube (2), and the enteral feeding tube (2) and the tube (1) detachably to one another and combination.
2.根据权利要求1所述的胃减压肠营养管,其特征在于:本管还包括从肠营养管(2) 的入口(2-1)插入肠营养管(2)内的金属导丝(7)。 2. stomach according to claim 1 enteral feeding tube under reduced pressure, characterized in that: the main pipe from the inlet further includes an insertion intestinal enteral nutrition tube (2) (2-1) of the feeding tube of metal wire (2) in the (7).
3.根据权利要求1或2所述的胃减压肠营养管,其特征在于:肠营养管(2)的出口端(2-2)的外壁(13)为葫芦状。 3 or the stomach according to claim 1 enteral feeding tube under reduced pressure, characterized in that: an outer wall (13) outlet end (2-2) enteral feeding tube (2) is a gourd-shaped.
4.根据权利要求3所述的胃减压肠营养管,其特征在于:胃管(1)上且临近末端出口处(1-2)设有3-10个侧孔⑶。 According to claim 3, wherein the reduced pressure of gastric enteral feeding tube, characterized in that: the tube (1) and near the end of the outlet (1-2) is provided with side holes 3-10 ⑶.
5.根据权利要求1所述的胃减压肠营养管,其特征在于:所述肠营养管(2)的入口端(2-1)的外壁设有与所述胃管入口(1-1)相配合的外套(2-3);外套(2-3)的外壁上还设有1-3个凸环(2-4)。 The gastric decompression according to claim 1 enteral feeding tube, characterized in that: said enteral feeding tube (2) inlet end (2-1) of the outer wall of the inlet tube (1-1 ) cooperating housing (2-3); an outer wall of the housing (2-3) is further provided with a convex ring 1-3 (2-4).
6.根据权利要求1所述的胃减压肠营养管,其特征在于:所述多通接头(5)的外壁上连接有与胃减压口⑷配合的盖帽(10);所述肠营养管(2)入口端的外壁上连接有与肠营养管入口(2-1)相配合的盖帽(2-5)。 The gastric decompression according to claim 1 enteral feeding tube, characterized in that: an outer wall of the multi-way connector (5) is connected with the stomach reduced pressure cap (10) cooperating ⑷ port; said enteral feeding an outer wall (2) is connected to the inlet pipe end cap (2-5) and the enteral feeding tube inlet (2-1) cooperating.
CN 200710190529 2007-11-30 2007-11-30 Nutrient canal of intestine for reducing pressure of stomach CN101181181B (en)

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CN 200710190529 CN101181181B (en) 2007-11-30 2007-11-30 Nutrient canal of intestine for reducing pressure of stomach

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CN102335097B (en) * 2011-08-03 2014-05-28 纽迪希亚制药(无锡)有限公司 Enteral nutrition instilling tube and method applying same
CN103191515B (en) * 2013-04-12 2015-04-15 浙江曙光科技有限公司 Separable nasal gastric-intestinal tube
CN103495256A (en) * 2013-09-18 2014-01-08 中国人民解放军第二军医大学 Three-cavity stomach tube used for Whipple operation
CN104161676A (en) * 2014-08-19 2014-11-26 周庆 Dual-purpose nasointestinal tube
CN104491977B (en) * 2015-01-05 2017-04-19 浙江曙光科技有限公司 Separable nostril-gastrointestinal tube

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CN1076125A (en) 1992-03-11 1993-09-15 彭淑牖 Synchronously combined catheter for gastric decompression and intestinal nutrition
US5458583A (en) 1993-01-07 1995-10-17 Medical Innovations Corporation Gastrostomy catheter system
CN2695017Y (en) 2004-02-22 2005-04-27 吕军吉 Medical multifunctional stomach intestine catheter
CN2785628Y (en) 2005-01-28 2006-06-07 焦国庆 Double-chamber rhinal feeding pipe for jejunum
CN201139784Y (en) 2007-11-30 2008-10-29 马博平 Stomach pressure reduction sausage nutrient canal

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US4685901A (en) 1984-11-05 1987-08-11 Medical Innovations Corporation Gastro-jejunal feeding device
CN1076125A (en) 1992-03-11 1993-09-15 彭淑牖 Synchronously combined catheter for gastric decompression and intestinal nutrition
US5458583A (en) 1993-01-07 1995-10-17 Medical Innovations Corporation Gastrostomy catheter system
CN2695017Y (en) 2004-02-22 2005-04-27 吕军吉 Medical multifunctional stomach intestine catheter
CN2785628Y (en) 2005-01-28 2006-06-07 焦国庆 Double-chamber rhinal feeding pipe for jejunum
CN201139784Y (en) 2007-11-30 2008-10-29 马博平 Stomach pressure reduction sausage nutrient canal

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