CN106512119A - Fixing device for hemodialysis internal jugular central venous catheter - Google Patents

Fixing device for hemodialysis internal jugular central venous catheter Download PDF

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Publication number
CN106512119A
CN106512119A CN201611039565.6A CN201611039565A CN106512119A CN 106512119 A CN106512119 A CN 106512119A CN 201611039565 A CN201611039565 A CN 201611039565A CN 106512119 A CN106512119 A CN 106512119A
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CN
China
Prior art keywords
central venous
neck
venous catheter
fixing device
fixing
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
CN201611039565.6A
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Chinese (zh)
Inventor
张庆芳
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.)
Harbin Engineering University
Harbin Medical University
Original Assignee
Harbin Medical University
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 Harbin Medical University filed Critical Harbin Medical University
Priority to CN201611039565.6A priority Critical patent/CN106512119A/en
Publication of CN106512119A publication Critical patent/CN106512119A/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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1621Constructional aspects thereof
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0206Holding devices, e.g. on the body where the catheter is secured by using devices worn by the patient, e.g. belts or harnesses
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0253Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives
    • A61M2025/026Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives where the straps are releasably secured, e.g. by hook and loop-type fastening devices
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0286Holding devices, e.g. on the body anchored in the skin by suture or other skin penetrating devices

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention provides a fixing device for a hemodialysis internal jugular central venous catheter. The fixing device is characterized in that neck fixing bands are arranged at an intersection (Y-shaped intersection) of a main catheter of the hemodialysis internal jugular central venous catheter and branch catheters at artery and vein ends, tail ends of two sides of each neck fixing bands can be fixedly combined with each other after encircling the neck of a human body by a circle, and a fixing sheet is further arranged at a catheter skin access in the main catheter according to different ranges of cathetering depths of the human body. The fixing device has the advantages that the hemodialysis internal jugular central venous catheter can be fixed to the neck skin access by the aid of the fixing sheet, the neck fixing bands are combined with the fixing sheet, accordingly, effects of fixing the hemodialysis internal jugular central venous catheter can be jointly realized, body suffering and psychological stress due to discharge and falling of suture lines and forced repeated suturing can be prevented, and problems of accidental falling of existing catheters due to repeated suturing, bleeding, infection, continuous expansion of wound at existing catheter skin inlets and tissue proliferation due to unstable fixing of the existing catheters and the like can be solved.

Description

The fixing device of central venous catheter in hemodialysis neck
Technical field
The present invention relates to central venous catheter in hemodialysis neck.
Background technology
In recent years, the prevalence of end stagerenaldisease has obvious ascendant trend, wherein, the state of an illness of most of patient needs blood Purification treatment, and in neck, central vein catheter is clinically most widely used provisional hemodialysis path, has saved countless trouble The life of person.
The fixed form of existing central vein dialysis catheter is as shown in figure 1, the leading insertion of body 1 patient's internal jugular vein Afterwards, the suture wings 2 dominated on body 1 are sutured in patient's skin of neck by suture, sequentially form fixation, but this fixed form There is shortcoming and defect.
First, in neck, central vein catheter is fixed by the suture of suture wings suture, and this fixed form can not Central venous catheter is firmly fixed to into patient's cervical region, with suture tell line loosen, come off, multiple cervical region dressing, connection Elasticity of drawing and patient skin itself in dialysis pipeline, dialysis procedure etc. all causes central venous catheter quiet in neck The position movement of arteries and veins, causes the skin wound that conduit enters cervical region constantly to expand, bigger cicatrix will be produced so after tube drawing, It is also the major reason of central venous catheter Hematogenous infection generation simultaneously.
Secondly as suture wings suture is fixed, it is difficult to thorough disinfection suture wings and leads skin to central vein pipe enter during dressing The skin side of the skin and central venous catheter of mouth, oozing of blood, sepage provide chance for microbial growth in localized clusters.
Furthermore, occur that suture is told line from tissue and come off after suture fixes a period of time, so as to there is central vein The risk that conduit comes off, causes patient's bleeding, or even jeopardizes patient vitals, and part is deviate from by mistake by some patients as de- pipe is alarmed Conduit send vein back to and cause infection, medical worker often in regular dressing find suture come off, because have continue dialyse Need and suture is repeated, as this multiple suture, and suture cause hamartoplasia to the stimulation organized, at the center of pulling out After duct of Arantius, many places cicatrix is left in cervical region, had a strong impact on the cervical region aesthetic appearance of patient.
In addition to above reason, patient during band pipe due to fearing conduit abjection, bleeding and rest of fully cannot sleeping, from And the huge body pain of patient and stress are caused during Provisional Center duct of Arantius application.
The content of the invention
To overcome central venous catheter application suture wings in existing hemodialysis neck to fix insecure, easily repeatedly tell line and Come off to suture, cause central vein pipe surprisingly to deviate from, cause bleeding, the risk of infection, and repeatedly suture and cause cervical region Many places cicatrix and the shortcomings of thus bring huge mental pressure to patient, the invention provides central vein dialysis in a kind of neck The fixing device of conduit, it can be fixedly secured central venous catheter, it is to avoid repeatedly suture, formed many places cicatrix, conduit come off, Infection, so as to reducing that patient's body is painful and psychological pressure, reducing medical emergency risk, mitigate the Jing of country and medical insurance Ji burden.
For achieving the above object, the technical solution used in the present invention is:
The fixing device of central venous catheter in a kind of hemodialysis neck, it is characterised in that:Central vein is led in the neck The leading body of pipe is provided with cervical region fixing band with arterial end brasnch conduct, the intersection of vein end brasnch conduct, and the cervical region is solid The both-side ends for determining band can be combined with each other after one week fixation around cervical region, the end and the cervical region fixing band of leading body it Between conduit skin porch be additionally provided with stator.
The fixing device of central venous catheter in described hemodialysis neck, wherein:The two ends of the cervical region fixing band It is provided with magic tape.
The fixing device of central venous catheter in described hemodialysis neck, wherein:The stator and leading body Material is identical.
The fixing device of central venous catheter in described hemodialysis neck, wherein:The stator is and main pipe The circular lamellar body of body by integral forming.
The fixing device of central venous catheter in described hemodialysis neck, wherein:Based on the external diameter of the stator The twice of catheter body external diameter.
The fixing device of central venous catheter in described hemodialysis neck, wherein:The cervical region fixing band can not be stretched Contracting.
Compared with prior art, the invention has the advantages that:In neck, central venous catheter is fixed by stator In cervical region, prevent conduit in the movement of porch, the fixing band that the Y types intersection of conduit is provided with can be fully solid by whole body Due to cervical region, then, cervical region fixing band is combined with stator, plays a part of jointly central venous catheter in fixed neck, can Avoid the body pain and mental pressure that line comes off and is forced multiple suture being told due to suture, can also avoid what is thus brought Conduit surprisingly comes off, bleeding, infection, and conduit fixes continuous expansion and the tissue of loosely caused conduit skin porch wound The problems such as hypertrophy.
Description of the drawings
Fig. 1 is the structural representation of central venous catheter in existing neck;
Fig. 2 is the structural representation of central venous catheter in the hemodialysis neck of present invention offer.
Description of reference numerals:1- dominates body;2- suture wings;3- cervical region fixing bands;4- stators;A- arterial ends branch leads Pipe;V- vein end brasnch conducts.
Specific embodiment
As shown in Fig. 2 being the fixing device of central venous catheter in the hemodialysis neck of present invention offer, being will be existing Suture wings in neck in central venous catheter replace with cervical region fixing band 3, and the cervical region fixing band 3 is fixed on central vein in neck Leading body 1 and arterial end brasnch conduct A, the intersection of vein end brasnch conduct V of conduit, and the cervical region fixing band 3 Both-side ends have can after cervical region one week the mutual magic tape of bonding again, according to the different range of human body catheterization depth, The conduit skin porch of the diverse location between the end of leading body 1 and the cervical region fixing band 3 is additionally provided with stator 4, the stator 4 is, and leading body 1 integrally formed circular lamellar body identical with 1 material of leading body, and its external diameter is leading The twice of 1 external diameter of body.
When use, after patient's cervical region determines catheter insertion site, by guiding pin implantation seal wire, entered with expansion sheath Row expansion, along seal wire direction one little otch of cut at the cervical region duct entry of patient, by central vein in the neck The leading body 1 of conduit inserts internal jugular vein along seal wire, and when stator 4 is delivered to neck contacts, stator 4 is sent by otch Enter in patient's hypodermis, then skin incision sutured with suture, cervical region fixing band 3 cements fixation around to patient's nape, Now in neck, the whole body of central venous catheter makes a concerted effort to be fixed on patient's cervical region by stator 4 and cervical region fixing band 3.The seam Line is dismountable after skin incision closure.When central venous catheter in neck is extracted, cervical region fixing band 3 is opened, at stator 4 A little otch is made in Jing local anesthesia, then extracts central venous catheter in stator 4 and neck together.
It is described above to be merely exemplary for the purpose of the present invention, and it is nonrestrictive, and those of ordinary skill in the art understand, In the case of without departing from spirit and scope defined herein, can many modifications may be made, change or equivalent, but fall within Within protection scope of the present invention.

Claims (6)

1. in a kind of hemodialysis neck central venous catheter fixing device, it is characterised in that:The central venous catheter in the neck Leading body (1) and arterial end brasnch conduct (A), the intersection of vein end brasnch conduct (V) be provided with cervical region fixing band (3), The both-side ends of the cervical region fixing band (3) can be combined with each other after one week fixation around cervical region, the end of leading body (1) with Conduit skin porch between the cervical region fixing band (3) is additionally provided with stator (4).
2. in hemodialysis neck according to claim 1 central venous catheter fixing device, it is characterised in that:It is described The two ends of cervical region fixing band (3) are provided with magic tape.
3. in hemodialysis neck according to claim 1 central venous catheter fixing device, it is characterised in that:It is described Stator (4) is identical with the material of leading body (1).
4. in hemodialysis neck according to claim 1 central venous catheter fixing device, it is characterised in that:It is described Stator (4) is and the integrally formed circular lamellar body of leading body (1).
5. in hemodialysis neck according to claim 4 central venous catheter fixing device, it is characterised in that:It is described The twice of catheter body (1) external diameter based on the external diameter of stator (4).
6. in hemodialysis neck according to claim 1 central venous catheter fixing device, it is characterised in that:It is described Cervical region fixing band (3) is non-telescoping.
CN201611039565.6A 2016-11-21 2016-11-21 Fixing device for hemodialysis internal jugular central venous catheter Pending CN106512119A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201611039565.6A CN106512119A (en) 2016-11-21 2016-11-21 Fixing device for hemodialysis internal jugular central venous catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201611039565.6A CN106512119A (en) 2016-11-21 2016-11-21 Fixing device for hemodialysis internal jugular central venous catheter

Publications (1)

Publication Number Publication Date
CN106512119A true CN106512119A (en) 2017-03-22

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Application Number Title Priority Date Filing Date
CN201611039565.6A Pending CN106512119A (en) 2016-11-21 2016-11-21 Fixing device for hemodialysis internal jugular central venous catheter

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CN (1) CN106512119A (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080045894A1 (en) * 2006-08-18 2008-02-21 Angiodynamics, Inc. Catheter retention assembly and method of use
CN203354987U (en) * 2013-07-09 2013-12-25 广东百合医疗科技有限公司 Long-term-retention hematodialysis catheter
US20150141925A1 (en) * 2012-05-16 2015-05-21 Spindial S P A Non-temporary central cenous catheter for use in haemodialysis
CN204485042U (en) * 2015-03-19 2015-07-22 舒英 The Improvement type conduit of hemodialysis patients related infection can be prevented
CN204684309U (en) * 2015-05-22 2015-10-07 南京医科大学第一附属医院 A kind of hemodialysis internal jugular vein conduit fixed-guard
CN206508315U (en) * 2016-11-21 2017-09-22 哈尔滨医科大学 The fixing device of CVC in haemodialysis neck

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080045894A1 (en) * 2006-08-18 2008-02-21 Angiodynamics, Inc. Catheter retention assembly and method of use
US20150141925A1 (en) * 2012-05-16 2015-05-21 Spindial S P A Non-temporary central cenous catheter for use in haemodialysis
CN203354987U (en) * 2013-07-09 2013-12-25 广东百合医疗科技有限公司 Long-term-retention hematodialysis catheter
CN204485042U (en) * 2015-03-19 2015-07-22 舒英 The Improvement type conduit of hemodialysis patients related infection can be prevented
CN204684309U (en) * 2015-05-22 2015-10-07 南京医科大学第一附属医院 A kind of hemodialysis internal jugular vein conduit fixed-guard
CN206508315U (en) * 2016-11-21 2017-09-22 哈尔滨医科大学 The fixing device of CVC in haemodialysis neck

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Application publication date: 20170322

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