CN104998339A - Retrograde gastric tube - Google Patents
Retrograde gastric tube Download PDFInfo
- Publication number
- CN104998339A CN104998339A CN201510460333.7A CN201510460333A CN104998339A CN 104998339 A CN104998339 A CN 104998339A CN 201510460333 A CN201510460333 A CN 201510460333A CN 104998339 A CN104998339 A CN 104998339A
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- stomach tube
- tube body
- nutrient canal
- retrograde
- jejunal nutrient
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Abstract
The invention discloses a retrograde gastric tube comprising a gastric tube body which can be inserted into the stomach through a jejunum ostomy opening, a jejunum nutrition tube which can be inserted into the jejunum, and an expander capsule tube body. An expander capsule which can be expanded and fixed at the jejunum ostomy opening is formed on the expander capsule tube body. A first channel through which nutrient solution can be transmitted to the jejunum is formed in the jejunum nutrition tube, and a second channel through which liquid can be transmitted to the expander capsule is formed in the expander capsule tube body. A main channel allowing liquid to flow out and an auxiliary channel allowing the jejunum nutrition tube to movably pass through are formed in the gastric tube body, the main channel and the auxiliary channel are arranged in parallel, and the side wall of the gastric tube body is provided with holes which are communicated with the auxiliary channel and allow the two ends of the jejunum nutrition tube to go out. The expander capsule tube body sleeves the gastric tube body. The jejunum nutrition tube is fixed to the gastric tube body through a fixing buckle. Stimulation and damage of the retrograde gastric tube to nasal mucosa during installation can be avoided, and patients' pain can be relieved; and the jejunum nutrition tube can be assembled and disassembled, so that the retrograde gastric tube is more flexible in use.
Description
Technical field
thisinvention relates to a kind of stomach tube, especially relates to a kind of stomach tube that drives in the wrong direction, belongs to technical field of medical instruments.
Background technology
At present, known stomach tube is a flexible pipe, and head is sealed rubber plug, the foot section brought side opening.Stomach tube is inserted by nostril, arrives stomach via pharyngeal by esophagus, multiplex come gastrointestinal decompression, enteral nutrition input or treatment digestive tract hemorrhage.The malignant tumor such as the esophageal carcinoma clinically after ablation, need conventional placement per nasal gastrointestinal decompression tube and jejunal nutrient canal.Can produce nasal mucosa through nasal intubation and stimulate and damage, intubate makes esophagostenosis, more easily causes and blocks and inflammation, thus has an impact to quality of life of patient, post-operative recovery and even disease prognosis.
Summary of the invention
Invention, in order to overcome the deficiencies in the prior art, provides one without the need to inserting human body through nose, avoids producing to nasal mucosa the retrograde stomach tube stimulating and damage.
To achieve these goals, the present invention is by the following technical solutions: a kind of stomach tube that drives in the wrong direction, comprise by jejunum stoma mouth insert gastric stomach tube body, to be connected on stomach tube body and the jejunal nutrient canal in jejunum can be inserted and be connected to the expansion capsule body on stomach tube body, expansion capsule body forms the expansible expansion capsule being fixed on jejunum stoma mouth place; Form the first passage that can transmit nutritional solution to jejunum in jejunal nutrient canal, being formed in expansion capsule body can to the second channel of expansion capsule fluid transfer; Form a main channel supplying gastric liquid to flow out and in described stomach tube body for the removable subaisle worn of jejunal nutrient canal, this main channel and subaisle be arranged in parallel, and stomach tube body sidewall is provided with and is communicated with subaisle and supplies the perforate that jejunal nutrient canal two ends pass respectively; Described expansion capsule body is sheathed on stomach tube vitro; Jejunal nutrient canal is fixed by fixing buckle and stomach tube body.Retrograde stomach tube of the present invention uses by jejunum stoma mouth, avoids stomach tube per nasal insert and produce stimulation and damage to nasal mucosa, alleviates patient suffering, improve the quality of life of patient to a certain extent; Expansion capsule body can be expanded after being filled with liquid, and then makes stomach tube be fixed on jejunum stoma mouth place, and stomach tube body can discharge the liquid of gastric, and nutrient input can be delivered in jejunum by jejunal nutrient canal; Main channel can go out for gastric liquid stream, the degree of depth that adjustment jejunal nutrient canal inserts can be moved in subaisle simultaneously, fixing buckle can be used for the fixing of jejunal nutrient canal, also can extract while stomach tube body normally uses or insert jejunal nutrient canal, facilitate the dismounting of jejunal nutrient canal, make the use of retrograde stomach tube more flexibly, conveniently.
Further, form the sacculus being communicated with main channel bottom one end of described stomach tube body insertion gastric, this sacculus is provided with some inlet openings flowed into for gastric liquid.This sacculus can locate the degree of depth that stomach tube inserts, and judges whether successfully to put pipe, while ensureing stomach tube drainage effect, reduces stomach tube and to drive in the wrong direction the difficulty inserted, and also reduce the damage to intestinal wall and coat of the stomach when stomach tube inserts.
Further, the inwall of described jejunal nutrient canal is provided with unidirectional valve, and this unidirectional valve has the end be obliquely installed along transfusion direction.This unidirectional valve can ensure the one-way flow of nutritional solution in jejunal nutrient canal.
Further, described expansion capsule (31) ovalize.In a state of use, expansion capsule be horizontally disposed ellipse, effectively can reduce taking of space in abdomen, the sense of discomfort of minimizing patient.
Further, described stomach tube body (1) and jejunal nutrient canal (2) are provided with the scale that can calculate intubating length.Be convenient to the degree of depth confirming inlet pipe in operation process, stomach tube generally inserts 45cm, and jejunal nutrient canal generally inserts 15cm.
Further, described stomach tube body is positioned at subaisle and forms arc guiding wall near two tappings, this arc guiding wall is provided with the groove of opening towards subaisle, being provided with in this groove can free rolling ball or roller, this ball or roller have can when jejunal nutrient canal moves the rolling surface that roll relative to jejunal nutrient canal outer wall.The bootable jejunal nutrient canal of this arc guiding wall passes or penetrates subaisle, and ball or roller can moving and roll with jejunal nutrient canal, and then the sliding friction between jejunal nutrient canal and stomach tube body is converted into rolling friction, and then reducing frictional resistance, convenient jejunal nutrient canal moves dismounting.
Further, described expansion capsule body can move up and down and be sheathed on stomach tube vitro, and expansion capsule body is linked by locating ring and connects stomach tube body.This degree of depth arranging removable expansion capsule body and then regulate stomach tube to insert, use the use of different rising crowd, subject range is wider.
Further, described expansion capsule top is provided with the elongated edge being adjacent to stomach tube vitro wall, stomach tube vitro wall is distributed with some draw-in grooves along its length, and described location latch closure internal ring is provided with the arc protuberance that can insert through elongated edge in draw-in groove, and this locating ring fastener has can the two ends of snapping mutually.After this is arranged on expansion capsule moves, the arc protuberance of location latch closure can insert in draw-in groove through elongated edge, realizes fixing of expansion capsule and stomach tube body; And this draw-in groove is along stomach tube body length directional spreding, and then can adapt to expand capsule fixing at diverse location; And collar extension two ends, location can snapping mutually, convenient dismounting of locating latch closure; The structure of this setting is simple, easily realizes.
Further, described jejunal nutrient canal feed liquor one end outer wall is distributed with some cannelures along its length, and ringwise, the internal ring of fixing buckle forms the bulge loop that can insert in cannelure to described fixing buckle, and fixing buckle has can the two ends of snapping mutually.This setting can adjust the degree of depth that jejunal nutrient canal inserts as required, and then adapts to the use of different building shape crowd; And described cannelure and fixing buckle can adapt to fixing when different insertion depth of jejunal nutrient canal, buckle two ends can snapping mutually, and structure simply, is connected firmly, easy accessibility.
In sum, the stimulation to nasal mucosa and damage can be avoided when the present invention can install, alleviate patient suffering; Dismounting can also be carried out to jejunal nutrient canal, use more flexible.
Accompanying drawing explanation
Fig. 1 is the structural representation of invention;
Fig. 2 is a portion enlarged drawing of Fig. 1;
Fig. 3 be in Fig. 1 A-A to sectional view;
Fig. 4 is locating ring buckle structure schematic diagram of the present invention;
Fig. 5 is fixing buckle structure schematic diagram of the present invention.
Detailed description of the invention
In order to make those skilled in the art person better understand scheme of the invention, below in conjunction with the accompanying drawing in inventive embodiments, clear, complete description is carried out to the technical scheme in inventive embodiments.
As Figure 1-5, a kind of stomach tube that drives in the wrong direction, comprises stomach tube body 1, jejunal nutrient canal 2 and expansion capsule body 3.Described stomach tube body 1 inserts gastric by jejunum stoma mouth, jejunal nutrient canal 2 is connected on stomach tube body 1, jejunal nutrient canal 2 can insert in jejunum, and described expansion capsule body 3 is connected on stomach tube body 1, and expansion capsule body 3 forms the expansible expansion capsule 31 being fixed on jejunum stoma mouth place.
Concrete, form first passage 21 in described jejunal nutrient canal 2, jejunal nutrient canal 2 carries nutritional solution by first passage 21 to jejunum.Form second channel 32 in described expansion capsule body 3, expansion capsule body 3 to expansion capsule 31 fluid transfer by second channel 32, can be expanded after expansion capsule is filled with liquid, and then can be fixed on jejunum stoma mouth place.Preferably, expansion capsule 31, in a state of use in horizontally disposed ellipse, effectively can reduce taking of space in abdomen, reduce the sense of discomfort of patient.
Form main channel 11 and a subaisle in described stomach tube body 1, this main channel 11 and subaisle be arranged in parallel, and main channel 11 is flowed out for gastric liquid, and jejunal nutrient canal 2 is arranged in subaisle movably.Described stomach tube body 1 sidewall is provided with two perforates being communicated with subaisle, and jejunal nutrient canal 2 two ends pass two perforates respectively; Described expansion capsule body 3 is sheathed on outside stomach tube body 1, and namely this expansion capsule body 3 ringwise, and described second channel 32 is circular passage; Described jejunal nutrient canal 2 is fixed by fixing buckle 6 and stomach tube body 1.Concrete, as shown in Figure 2 and Figure 4, described jejunal nutrient canal 2 feed liquor one end outer wall is distributed with some cannelures 22 along its length, described fixing buckle 6 ringwise, the internal ring of fixing buckle 6 is formed can be selected to insert the bulge loop 61 in cannelure 22, fixing buckle 6 has can the two ends 62,63 of snapping mutually, and two ends 62,63 cooperation of this location latch closure 4 is provided with the first recess and the first protuberance.The junction, two ends that this bulge loop 61 is positioned at this fixing buckle 6 forms a breach.As preferably, as shown in Figure 2, the inwall of described jejunal nutrient canal 2 is provided with unidirectional valve 23, this unidirectional valve 23 is 4, and be uniformly distributed along jejunal nutrient canal 2 inwall one circle, certainly, set quantity also can design according to individual demand, and this unidirectional valve 23 has the end be obliquely installed along transfusion direction.When nutritional solution transports from the external world to jejunum direction, unidirectional valve 23 end is near jejunal nutrient canal 2 inwall, and nutritional solution can normal transmission; And when nutritional solution moving direction is when outwardly direction is transported from jejunum, then unidirectional valve 23 end is mobile in the middle of jejunal nutrient canal 2, and then superpose mutually, stop the adverse current of nutritional solution.
Moreover, sacculus 13 is formed bottom one end that described stomach tube body 1 inserts gastric, this sacculus 13 is communicated with main channel 11, this sacculus 13 is provided with some inlet openings 14 flowed into for gastric liquid, and the quantity of this inlet opening can design as required, and sacculus 13 increases the setting area of inlet opening 14, and then increase liquid inlet volume, simultaneously its spherical outer wall makes the insertion of stomach tube body 1 be more prone to, and can also reduce the contact area of stomach tube body 1 and intestinal, coat of the stomach, and then reduces the damage to intestinal, coat of the stomach.Stomach tube body 1 inserts one end of gastric, referred to here as the end of stomach tube body 1, also namely sacculus 13, inlet opening 14 place place adopt the material that hardness is larger to make, in order to when placing stomach tube in Rhizoma Atractylodis Macrocephalae, operator can clear and definite touched position be also the end of stomach tube across intestinal tube, thus raising is driven in the wrong direction, stomach tube puts tube efficiency and success rate.
Stomach tube body 1 and jejunal nutrient canal 2 are provided with the scale that can calculate intubating length.Be convenient to the degree of depth confirming inlet pipe in operation process, stomach tube generally inserts 45cm, and jejunal nutrient canal generally inserts 15cm.
In addition, described stomach tube body 1 is positioned at subaisle and forms arc guiding wall 15, this arc guiding wall 15 is arranged near two tappings, the ring-shaped section and ring-shaped of this arc guiding wall 15, and this arc guiding wall 15 bends to arc along its length, and then bootable jejunal nutrient canal 2 is naturally turned and is passed or penetrate two perforates when inserting jejunal nutrient canal 2.Described arc guiding wall 15 is provided with the groove of opening towards subaisle 12, this groove arcuately guiding wall 15 1 circle is uniformly distributed, being provided with in this groove can free rolling ball or roller 16, the shape of this groove and ball or roller 16 adapt, and three point two of ball or roller 16 is positioned at groove, ball or roller 16 expose 1/3rd can with jejunal nutrient canal 2 wall contacts, this ball or roller 16 have smooth rolling surface, this rolling surface can roll relatively with jejunal nutrient canal 2 outer wall when jejunal nutrient canal 2 moves, and then make insertion or extract jejunal nutrient canal 2 to be more prone to.Be arranged to ball in the present embodiment, and when in groove arrange be roller time, insertion jejunal nutrient canal 2 time, roller can roll relatively with jejunal nutrient canal 2 outer wall.
Preferably, described expansion capsule body 3 can move up and down and be sheathed on outside stomach tube body 1, and this expansion capsule body 3 is located between two perforates, and expansion capsule body 3 connects stomach tube body 1 by location latch closure 4.Concrete, as shown in Figures 2 and 3, described expansion capsule body 3 top is provided with the elongated edge 31 being adjacent to stomach tube body 1 outer wall, stomach tube body 1 outer wall is distributed with some draw-in grooves 5 along its length, and this draw-in groove 5 is extended along stomach tube body 1 circumference, is equipped with arc protuberance 41 in described location latch closure 4, this arc protuberance 41 can insert in draw-in groove 5 through elongated edge 31, this location latch closure 4 has can the two ends 42,43 of snapping mutually, and the two ends 42,43 of this location latch closure coordinate and are provided with the second recess and the second protuberance.
During use, liquid injects liquid by expansion capsule body 3 to expansion capsule 31, makes expansion capsule 31 form the ellipsoid shape liquid capsule that can be fixed on fistulization oral place, makes fistulation more stable; Nutritional solution enters jejunum from jejunal nutrient canal 2, thus completes jejunal nutrition, and the used time can not extract jejunal nutrient canal 2 yet, keeps the normal use of stomach tube body 1 simultaneously.Gastric juice can enter stomach tube body 1 from the inlet opening of stomach tube body 1 one end, and then discharges stomach tube body 1 from the other end of stomach tube body 1.Also move along expansion capsule body 3 degree of depth that stomach tube body 1 adjusts stomach tube body 1 insertion in use procedure; Also can move along stomach tube body 1 degree of depth that jejunal nutrient canal 2 adjusts jejunal nutrient canal 2 insertion.In addition, described sacculus 13 can also locate the degree of depth that stomach tube body 1 inserts, and judges whether successfully to put pipe, the stomach tube that drives in the wrong direction enters through jejunum stoma mouth, can simplify and put pipe flow journey, and avoid through nasal intubation the stimulation of nasal mucosa and damage, alleviate patient suffering, improve the quality of life of patient to a certain extent.
Obviously, described embodiment is only a part of embodiment of invention, instead of whole embodiments.Based on the embodiment in invention, those of ordinary skill in the art are not making the every other embodiment obtained under creative work prerequisite, all should belong to the scope of invention protection.
Claims (9)
1. a retrograde stomach tube, it is characterized in that: comprise by jejunum stoma mouth insert gastric stomach tube body (1), be connected to the upper and expansion capsule body (3) that can insert the jejunal nutrient canal (2) in jejunum and be connected on stomach tube body (1) of stomach tube body (1), expansion capsule body (3) is upper forms the expansible expansion capsule (31) being fixed on jejunum stoma mouth place; Form the first passage (21) that can transmit nutritional solution to jejunum in jejunal nutrient canal (2), being formed in expansion capsule body (3) can to the second channel (32) of expansion capsule (31) fluid transfer; A main channel (11) supplying gastric liquid to flow out and one is formed for jejunal nutrient canal (2) the removable subaisle worn in described stomach tube body (1), this main channel (11) and subaisle be arranged in parallel, and stomach tube body (1) sidewall is provided with and is communicated with subaisle and the perforate passed respectively for jejunal nutrient canal (2) two ends; Described expansion capsule body (3) is sheathed on stomach tube body (1) outward; Jejunal nutrient canal (2) is fixed with stomach tube body (1) by fixing buckle (6).
2. retrograde stomach tube according to claim 1, it is characterized in that: form the sacculus (13) being communicated with main channel (11) bottom one end of described stomach tube body (1) insertion gastric, this sacculus (13) is provided with some inlet openings (14) flowed into for gastric liquid.
3. retrograde stomach tube according to claim 1, is characterized in that: the inwall of described jejunal nutrient canal (2) is provided with unidirectional valve (23), and this unidirectional valve (23) has the end be obliquely installed along transfusion direction.
4. retrograde stomach tube according to claim 1, is characterized in that: described expansion capsule (31) ovalize.
5. retrograde stomach tube according to claim 1, is characterized in that: on described stomach tube body (1) and jejunal nutrient canal (2), be provided with the scale that can calculate intubating length.
6. retrograde stomach tube according to claim 1, it is characterized in that: described stomach tube body (1) is positioned at subaisle and forms arc guiding wall (15) near two tappings, this arc guiding wall (15) is provided with the groove of opening towards subaisle (12), being provided with in this groove can free rolling ball or roller (16), this ball or roller (16) have can when jejunal nutrient canal (2) is mobile the rolling surface that roll relative to jejunal nutrient canal (2) outer wall.
7. retrograde stomach tube according to claim 1, is characterized in that: described expansion capsule body (3) can move up and down and be sheathed on stomach tube body (1) outward, and expansion capsule body (3) connects stomach tube body (1) by location latch closure (4).
8. retrograde stomach tube according to claim 5, it is characterized in that: described expansion capsule body (3) top is provided with the elongated edge (31) being adjacent to stomach tube body (1) outer wall, stomach tube body (1) outer wall is distributed with some draw-in grooves (5) along its length, be equipped with in described location latch closure (4) and can pass elongated edge (31) and insert arc protuberance (41) in draw-in groove (5), this location latch closure (4) has can the two ends (42,43) of snapping mutually.
9. retrograde stomach tube according to claim 1, it is characterized in that: described jejunal nutrient canal (2) feed liquor one end outer wall is distributed with some cannelures (22) along its length, described fixing buckle (6) ringwise, the internal ring of fixing buckle (6) forms the bulge loop (61) that can insert in cannelure (22), and fixing that buckle (6) has can the two ends (62,63) of snapping mutually.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510460333.7A CN104998339B (en) | 2015-07-30 | 2015-07-30 | Drive in the wrong direction stomach tube |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510460333.7A CN104998339B (en) | 2015-07-30 | 2015-07-30 | Drive in the wrong direction stomach tube |
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| Publication Number | Publication Date |
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| CN104998339A true CN104998339A (en) | 2015-10-28 |
| CN104998339B CN104998339B (en) | 2018-02-06 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510460333.7A Active CN104998339B (en) | 2015-07-30 | 2015-07-30 | Drive in the wrong direction stomach tube |
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| CN (1) | CN104998339B (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107198571A (en) * | 2016-03-15 | 2017-09-26 | 深圳市擎源医疗器械有限公司 | Trigeminal Semilunar Ganglion compressorium |
| CN112755302A (en) * | 2021-01-26 | 2021-05-07 | 洛阳市中心医院（郑州大学附属洛阳中心医院） | A enema auxiliary device for nursing of intestines and stomach are made a mouthful |
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| CN103191515A (en) * | 2013-04-12 | 2013-07-10 | 浙江曙光科技有限公司 | Separable nasal gastric-intestinal tube |
| CN104225767A (en) * | 2014-10-22 | 2014-12-24 | 林新颖 | Zipper type gastric tube |
| CN205108687U (en) * | 2015-07-30 | 2016-03-30 | 胡坚 | Stomach tube drives in wrong direction |
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2015
- 2015-07-30 CN CN201510460333.7A patent/CN104998339B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201370777Y (en) * | 2009-03-03 | 2009-12-30 | 阚彤 | Separable nasogastric and nasointestinal tube |
| CN201453799U (en) * | 2009-04-16 | 2010-05-12 | 陈锦华 | Bag-type elastic gastric-intestinal pressure-reducing nutrition tube |
| CN202052182U (en) * | 2011-03-18 | 2011-11-30 | 苏州大学 | Gastrointestinal casing |
| CN103191515A (en) * | 2013-04-12 | 2013-07-10 | 浙江曙光科技有限公司 | Separable nasal gastric-intestinal tube |
| CN104225767A (en) * | 2014-10-22 | 2014-12-24 | 林新颖 | Zipper type gastric tube |
| CN205108687U (en) * | 2015-07-30 | 2016-03-30 | 胡坚 | Stomach tube drives in wrong direction |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107198571A (en) * | 2016-03-15 | 2017-09-26 | 深圳市擎源医疗器械有限公司 | Trigeminal Semilunar Ganglion compressorium |
| CN112755302A (en) * | 2021-01-26 | 2021-05-07 | 洛阳市中心医院（郑州大学附属洛阳中心医院） | A enema auxiliary device for nursing of intestines and stomach are made a mouthful |
| CN112755302B (en) * | 2021-01-26 | 2022-02-25 | 洛阳市中心医院（郑州大学附属洛阳中心医院） | A enema auxiliary device for nursing of intestines and stomach are made a mouthful |
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| Publication number | Publication date |
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| CN104998339B (en) | 2018-02-06 |
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Inventor after: Hu Jian Inventor after: Cao Longxiang Inventor after: Zhang Li Inventor after: Lv Yingying Inventor before: Hu Jian Inventor before: Cao Longxiang Inventor before: Zhang Li |
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