CN105879202A - PICC (Peripherally Inserted Central Catheter) - Google Patents

PICC (Peripherally Inserted Central Catheter) Download PDF

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Publication number
CN105879202A
CN105879202A CN201610203304.7A CN201610203304A CN105879202A CN 105879202 A CN105879202 A CN 105879202A CN 201610203304 A CN201610203304 A CN 201610203304A CN 105879202 A CN105879202 A CN 105879202A
Authority
CN
China
Prior art keywords
transfusion
flush pipe
peripherally inserted
inserted central
central catheter
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201610203304.7A
Other languages
Chinese (zh)
Inventor
马燕兰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chinese PLA General Hospital
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201610203304.7A priority Critical patent/CN105879202A/en
Publication of CN105879202A publication Critical patent/CN105879202A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M25/0028Multi-lumen catheters with stationary elements characterized by features relating to at least one lumen located at the proximal part of the catheter, e.g. alterations in lumen shape or valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0074Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/0037Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M2025/0073Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow

Abstract

The invention relates to a PICC (Peripherally Inserted Central Catheter) which comprises an infusion tube and a flushing pipe, wherein the infusion tube is used for transmitting drug, and a notch is formed at the front end of the infusion tube so as to output the drug; the flushing pipe is used for transmitting flushing fluid; the flushing pipe surrounds the infusion tube and is arranged outside the infusion tube at a preset interval; at least one kerf is formed on the pipe wall of the flushing pipe; the kerf is opened under the action of an internal pressure, so that the flushing fluid rushes out to flush the periphery of the PICC; the front end of the flushing pipe is connected to the front end of the infusion tube.

Description

Peripherally inserted central catheter
Technical field
The present invention relates to medical instruments field, be specifically related to a kind of peripherally inserted central catheter.
Background technology
Peripherally inserted central catheter (PICC) as chemotherapy of tumors and the important path of parenteral nutrition, Have become as the medical apparatus and instruments of the central vein catheter use of a kind of maturation, safety.Because it is simple to operate, peace Entirely, puncture success rate high, can use the long period, reduce patient and puncture misery, be easily accepted by patients Advantage, is widely applied clinically.But, extensive along with PICC is applied, mechanical phlebitis, The report of the complication such as thrombosis, conduit abjection increases increasingly, and wherein conduit dependency thrombosis is to have a strong impact on One of common complication of PICC safe handling.Conduit dependency thrombosis refers to the blood vessel wall at conduit place and leads The thrombi that pipe outer wall is formed, comes off and can cause the severe complications such as pulmonary infarction, very harmful.Prior art In, for the formation of anti-tampon, it is common that coat anti-thrombogenic coatings at conduit outer wall.
Summary of the invention
In view of the above problems, it is desirable to provide the peripheral vein of a kind of antithrombotic effectively is inserted Central venous catheter.
The peripherally inserted central catheter of the present invention, comprising: tube for transfusion and flush pipe;Described defeated Liquid pipe is used for transmitting medicine, and described tube for transfusion front end is formed with otch, to be exported by medicine;Described flush pipe For transmitting flushing liquor;Described flush pipe is provided at predetermined intervals at described tube for transfusion around described tube for transfusion Outside;Being formed with at least one joint-cutting on the tube wall of described flush pipe, described joint-cutting is in its natural state Closure state, opens when internal pressure is more than external pressure so that described flushing liquor is flushed to outside and rinses The periphery of described peripherally inserted central catheter;The front end of described flush pipe is connected to described tube for transfusion Outside.
Preferably, described joint-cutting being longitudinally formed along described flush pipe.
Preferably, described joint-cutting is parallel to the longitudinal axis of described flush pipe.
Preferably, described joint-cutting is predetermined angular with the longitudinal axis of described flush pipe.
Preferably, described joint-cutting is 90 ° of angles with the outer tangent plane of described flush pipe.
Preferably, described joint-cutting and the outer tangent plane of described flush pipe are in the angle less than 90 °.
Preferably, breeches joint is farther included;Described breeches joint includes flush-through connection and infusion connector, Described flush-through connection connects with flush pipe, and described infusion connector connects with described tube for transfusion.
Preferably, being detachably connected with syringe on described flush-through connection, described syringe is for institute State injection flushing liquor in flush pipe;Described syringe includes piston head, piston rod, handle;Described piston head In its bottom, ultrasonic transducer is installed.
Preferably, the electric connection line of described ultrasonic transducer extends to outside via the inside of piston rod.
Preferably, handle shape has the hollow bulb of depression, is further provided with switch, and described switch is arranged on institute In the hollow bulb of the depression stating handle.
Owing to the peripherally inserted central catheter of the present invention includes the flush pipe around tube for transfusion setting, Make flushing liquor can rinse the thrombosis being attached to peripherally inserted central catheter periphery via joint-cutting Deposit, continues, discontinuously or periodically rinsing also can the formation of the most anti-tampon.
Accompanying drawing explanation
Fig. 1 is the structural representation of the peripherally inserted central catheter of the present invention;
Fig. 2 is the structural representation of breeches joint;
Fig. 3 is the cross sectional representation of breeches joint;
Fig. 4 is the schematic cross-section of the peripherally inserted central catheter mid portion of the present invention;
Fig. 5 a, Fig. 5 b are the position view of joint-cutting and the longitudinal direction of flush pipe;
Fig. 6 a, Fig. 6 b are that the joint-cutting of first kind of way is closed and schematic diagram when opening;
Fig. 7 a, Fig. 7 b are that the joint-cutting of the second way is closed and schematic diagram when opening;
Fig. 8 is the structural representation of the syringe of the peripherally inserted central catheter for the present invention.
Detailed description of the invention
Below, in conjunction with Fig. 1-8, the peripherally inserted central catheter of invention is described in detail.
The peripherally inserted central catheter of the present invention, it includes tube for transfusion 22 and flush pipe 23.Defeated Liquid pipe 22 is used for transmitting medicine, and tube for transfusion 22 front end is formed with otch 30, to be exported by medicine.Flush pipe 23 are used for transmitting flushing liquor;Flush pipe 23 is provided at predetermined intervals at tube for transfusion 22 around tube for transfusion 22 Outside.At least one joint-cutting 21 it is formed with on the wall of flush pipe 23;Joint-cutting 21 is under the effect of internal pressure Open so that flushing liquor is outside and rinse during peripheral vein inserts by the internal flush pipe 23 that is flushed to of flush pipe 23 The periphery of venae cordis conduit.The front end of flush pipe 23 is connected to the outside of tube for transfusion 22 so that flush pipe 23 The most whole covering tube for transfusion 22;Flush pipe 23 at least covers the 2/3 of tube for transfusion 22 total length.Preferably, Joint-cutting 21 is 3 or more than 3, lays respectively at the upper, middle and lower of flush pipe 23.
The otch 30 of tube for transfusion 22 uses three-dimensional valve structure.The joint-cutting 21 of flush pipe 23 uses valve to tie Structure.
The otch 30 of tube for transfusion 22 not drawing blood, not infusion medicine time be in natural enclosing state, effectively Control blood backflow;When medical personnel draw blood, the inner chamber of tube for transfusion 22 forms negative pressure, otch 30 Open owing to negative pressure can concave, so that blood enters tube for transfusion 22.At medical personnel's infusion medicine Time, the inner chamber of tube for transfusion 22 forms malleation, and otch 30 is due to malleation meeting convex, and medicinal liquid is smoothly via cutting Mouth 30 flows out.When irrigating catheter, flushing liquor (preferably normal saline or distilled water for injection) is at pressure Open the joint-cutting 21 of flush pipe 23 under effect and wash away embedding peripheral veins into central veins via joint-cutting 21 outflow The outer wall (the namely outer wall of flush pipe 23) of conduit and blood vessel wall, stop platelet adhesion, anti-tampon Formed.After pressure removes, joint-cutting 21 closes automatically, prevents blood back flow.
Breeches joint 10 includes that flush-through connection and infusion connector, flush-through connection connect with flush pipe 23, transfusion Joint connects with tube for transfusion 22.Breeches joint 10 specifically include rinse seat 11, transfusion seat 15, pad 12, Glue valve 13, glue valve liner 14, flushing needle tubing 16, Transfusion needle pipe 17.By rinsing needle tubing 16 and transfusion needle Flush pipe 23 and tube for transfusion 22 are connected on Y type infusion connector by pipe 17.Pad 12, glue valve 13, glue Valve liner 14 is the usual structure of forward joint, and pad 12 and glue valve liner 14 form direct draught and just can open The joint-cutting opened;Merely just use for reference in the present invention, in case Hemostatic Oral Liquid is by flush pipe 22 adverse current.
Breeches joint 10 can also be to be integrally formed with tube for transfusion 22 and flush pipe 23.Now, Transfusion needle pipe 16 parts being formed as tube for transfusion 22, rinse needle tubing 17 and are formed as a part for flush pipe 23.
The otch 30 of tube for transfusion 22, it is preferably normal to the outer surface of tube for transfusion 22 and cuts cutting of formation Seam.Tube for transfusion 22 intrinsic pressure more than external pressure time, i.e. output medicine time, otch 30 is outwardly and opens.Defeated The external pressure of liquid pipe 22 is more than time intrinsic pressure, and when i.e. drawing blood, otch 30 caves inward and opens.In naturalness Under, otch 30 is closed.
The joint-cutting 21 of flush pipe 23, it can be similar to otch 30 and be perpendicular to the outer surface of flush pipe and formed, As shown in Fig. 6 a, Fig. 6 b.Can also be as shown in Fig. 7 a, Fig. 7 b, the oblique formation of joint-cutting 21, i.e. joint-cutting 21 is at an acute angle with the longitudinal vertical plane of flush pipe 23, or with the outer tangent plane of flush pipe 23 in less than 90 ° Angle.Joint-cutting 21 can be linear, it is also possible to is arc line type or wave line style.Cutting of oblique formation Seam 21 is conducive to the flushing liquor gone out to form the eddy current of the outer wall around peripherally inserted central catheter, Be conducive to removing the thrombosis deposit of pipe outer wall.
Joint-cutting 21 can be to be formed along the longitudinal axis being parallel to flush pipe 23 of flush pipe 23, As shown in Figure 5 a, it is also possible to be to be predetermined angular relative to the longitudinal axis of flush pipe 23, such as 5 °, 10°、15°、20°、25°、30°、35°、40°、45°。
Forming the situation of multiple joint-cuttings 21, the longitudinal axis of each joint-cutting 21 and flush pipe 23 in Angle can be identical, it is also possible to is to differ.
General syringe or flusher can be connected as flushing liquor injection device on flush-through connection, it is possible to To connect special syringe.This special syringe includes piston head 43, piston rod 44, handle 46.Live Chock plug 43 is provided with ultrasonic transducer 42 in its bottom, to produce ultrasound wave.Ultrasonic transducer 42 Electric connection line 45 extends to outside via the inside of piston rod 44.Handle 46 shape has the hollow bulb of depression, In the hollow bulb of the depression that switch 48 is arranged on handle.The opening 47 of the hollow bulb of depression is used for so that using Person can have access to switch 48.Switch 48 is preferably button type switches.It is arranged in depressed part and is conducive to preventing Only maloperation.The joint 41 of syringe is for being connected with flush-through connection.Ultrasonic transducer 42 is common Electronic installation, its principle and function are not repeating.
When using above-mentioned special syringe, flushing liquor pours under pressure in blood vessel, rinses simultaneously Liquid is also loaded with ultrasound wave, utilizes the effect of ultrasound wave to be carried out, be obviously enhanced elimination effect.
During use, it is possible to use flusher is lasting, discontinuously or be periodically rinsed, it is to avoid blood is tangible Composition adheres to, it is to avoid the formation of thrombosis.

Claims (10)

1. a peripherally inserted central catheter, it is characterised in that including: tube for transfusion and flush pipe;
Described tube for transfusion is used for transmitting medicine, and described tube for transfusion front end is formed with otch, to be exported by medicine;
Described flush pipe is used for transmitting flushing liquor;
Described flush pipe is provided at predetermined intervals in the outside of described tube for transfusion around described tube for transfusion;Described punching Washing and be formed with at least one joint-cutting on the tube wall of pipe, described joint-cutting is in closure state in its natural state, Open when internal pressure is more than external pressure so that described flushing liquor is flushed to outside and rinses described peripheral vein Insert the periphery of central venous catheter;The front end of described flush pipe is connected to the outside of described tube for transfusion.
2. peripherally inserted central catheter as claimed in claim 1, it is characterised in that cut described in: Seam being longitudinally formed along described flush pipe.
3. peripherally inserted central catheter as claimed in claim 2, it is characterised in that cut described in: Seam is parallel to the longitudinal axis of described flush pipe.
4. peripherally inserted central catheter as claimed in claim 2, it is characterised in that cut described in: Seam is predetermined angular with the longitudinal axis of described flush pipe.
5. peripherally inserted central catheter as claimed in claim 1, it is characterised in that cut described in: Seam is 90 ° of angles with the outer tangent plane of described flush pipe.
6. peripherally inserted central catheter as claimed in claim 1, it is characterised in that cut described in: The outer tangent plane of seam and described flush pipe is in the angle less than 90 °.
7. peripherally inserted central catheter as claimed in claim 1, it is characterised in that: further Including breeches joint;Described breeches joint includes flush-through connection and infusion connector, described flush-through connection and flushing Pipe connects, and described infusion connector connects with described tube for transfusion.
8. peripherally inserted central catheter as claimed in claim 1, it is characterised in that: described Being detachably connected with syringe on flush-through connection, described syringe rinses for injecting in described flush pipe Liquid;Described syringe includes piston head, piston rod, handle;Described piston head is provided with ultrasonic in its bottom Wave transducer.
9. peripherally inserted central catheter as claimed in claim 8, it is characterised in that: described super The electric connection line of acoustic wave transducer extends to outside via the inside of piston rod.
10. peripherally inserted central catheter as claimed in claim 9, it is characterised in that: handle Shape has the hollow bulb of depression, is further provided with switch, and described switch is arranged in the depression of described handle In sky portion.
CN201610203304.7A 2016-04-01 2016-04-01 PICC (Peripherally Inserted Central Catheter) Pending CN105879202A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610203304.7A CN105879202A (en) 2016-04-01 2016-04-01 PICC (Peripherally Inserted Central Catheter)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610203304.7A CN105879202A (en) 2016-04-01 2016-04-01 PICC (Peripherally Inserted Central Catheter)

Publications (1)

Publication Number Publication Date
CN105879202A true CN105879202A (en) 2016-08-24

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112190818A (en) * 2020-10-12 2021-01-08 于涛 Can avoid heterotypic PICC pipe of pipe to put into frame
WO2023026279A1 (en) * 2021-08-24 2023-03-02 FISHER, Michal Peripherally inserted central catheters (picc) and methods of use thereof technical field
WO2023179316A1 (en) * 2022-03-21 2023-09-28 深圳微创踪影医疗装备有限公司 Medical catheter and system

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201791225U (en) * 2010-09-20 2011-04-13 牛丽君 Peripherally inserted central venous catheter
CN202086924U (en) * 2011-04-11 2011-12-28 华中科技大学同济医学院附属同济医院 Central vein duct with cuff
CN202096579U (en) * 2010-12-01 2012-01-04 天健医疗科技(苏州)有限公司 One-piece peripherally inserted central catheter
CN202223720U (en) * 2011-08-12 2012-05-23 吴林元 Positive-pressure needleless connection type peripherally inserted central catheter
US20120136341A1 (en) * 2009-01-29 2012-05-31 Appling William M Multilumen Catheters and Method of Manufacturing
CN202920790U (en) * 2012-12-07 2013-05-08 叶向红 PICC (Peripherally Inserted Central Catheter) capable of externally flushing lumen
CN205626695U (en) * 2016-04-01 2016-10-12 马燕兰 Peripherally inserted central catheter

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120136341A1 (en) * 2009-01-29 2012-05-31 Appling William M Multilumen Catheters and Method of Manufacturing
CN201791225U (en) * 2010-09-20 2011-04-13 牛丽君 Peripherally inserted central venous catheter
CN202096579U (en) * 2010-12-01 2012-01-04 天健医疗科技(苏州)有限公司 One-piece peripherally inserted central catheter
CN202086924U (en) * 2011-04-11 2011-12-28 华中科技大学同济医学院附属同济医院 Central vein duct with cuff
CN202223720U (en) * 2011-08-12 2012-05-23 吴林元 Positive-pressure needleless connection type peripherally inserted central catheter
CN202920790U (en) * 2012-12-07 2013-05-08 叶向红 PICC (Peripherally Inserted Central Catheter) capable of externally flushing lumen
CN205626695U (en) * 2016-04-01 2016-10-12 马燕兰 Peripherally inserted central catheter

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112190818A (en) * 2020-10-12 2021-01-08 于涛 Can avoid heterotypic PICC pipe of pipe to put into frame
WO2023026279A1 (en) * 2021-08-24 2023-03-02 FISHER, Michal Peripherally inserted central catheters (picc) and methods of use thereof technical field
WO2023179316A1 (en) * 2022-03-21 2023-09-28 深圳微创踪影医疗装备有限公司 Medical catheter and system

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Effective date of registration: 20190201

Address after: No. 28, Fuxing Road, Haidian District, Beijing

Applicant after: General Hospital of Chinese PLA

Address before: No. 28, Fuxing Road, Haidian District, Beijing

Applicant before: Ma Yanlan

WD01 Invention patent application deemed withdrawn after publication
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20160824