CN108324575A - Middle alimentary canal implant road instrument and its quick method for implantation - Google Patents
Middle alimentary canal implant road instrument and its quick method for implantation Download PDFInfo
- Publication number
- CN108324575A CN108324575A CN201810358214.4A CN201810358214A CN108324575A CN 108324575 A CN108324575 A CN 108324575A CN 201810358214 A CN201810358214 A CN 201810358214A CN 108324575 A CN108324575 A CN 108324575A
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- Prior art keywords
- hollow pipeline
- pipe
- alimentary canal
- instrument
- road
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- 239000007943 implant Substances 0.000 title claims abstract description 46
- 238000002513 implantation Methods 0.000 title claims abstract description 29
- 238000000034 method Methods 0.000 title claims description 17
- 229920000297 Rayon Polymers 0.000 claims abstract description 7
- 239000003292 glue Substances 0.000 claims abstract description 7
- 210000002784 stomach Anatomy 0.000 claims description 16
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 14
- 239000010936 titanium Substances 0.000 claims description 14
- 229910052719 titanium Inorganic materials 0.000 claims description 14
- 238000005452 bending Methods 0.000 claims description 9
- 210000001198 duodenum Anatomy 0.000 claims description 9
- 230000000694 effects Effects 0.000 claims description 9
- 210000003128 head Anatomy 0.000 claims description 9
- 210000000214 mouth Anatomy 0.000 claims description 6
- 206010002091 Anaesthesia Diseases 0.000 claims description 4
- 230000037005 anaesthesia Effects 0.000 claims description 4
- 238000000338 in vitro Methods 0.000 claims description 4
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- 239000011505 plaster Substances 0.000 claims description 3
- 210000001187 pylorus Anatomy 0.000 claims description 3
- 210000003065 pyriform sinus Anatomy 0.000 claims description 3
- 230000000740 bleeding effect Effects 0.000 abstract description 11
- 210000001331 nose Anatomy 0.000 abstract description 6
- 210000000936 intestine Anatomy 0.000 abstract description 4
- 210000002850 nasal mucosa Anatomy 0.000 abstract description 3
- 210000003928 nasal cavity Anatomy 0.000 description 8
- 239000003814 drug Substances 0.000 description 6
- 229940079593 drug Drugs 0.000 description 6
- 238000001802 infusion Methods 0.000 description 6
- 210000001630 jejunum Anatomy 0.000 description 5
- 210000004379 membrane Anatomy 0.000 description 5
- 239000012528 membrane Substances 0.000 description 5
- 235000015097 nutrients Nutrition 0.000 description 5
- 230000036407 pain Effects 0.000 description 5
- 208000000592 Nasal Polyps Diseases 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
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- 238000001727 in vivo Methods 0.000 description 3
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- 238000007711 solidification Methods 0.000 description 3
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- 230000000638 stimulation Effects 0.000 description 3
- 238000012790 confirmation Methods 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000001681 protective effect Effects 0.000 description 2
- 238000004804 winding Methods 0.000 description 2
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- 102000008186 Collagen Human genes 0.000 description 1
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- 206010067482 No adverse event Diseases 0.000 description 1
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- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000002729 catgut Substances 0.000 description 1
- 210000000080 chela (arthropods) Anatomy 0.000 description 1
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- 238000007911 parenteral administration Methods 0.000 description 1
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- 238000003786 synthesis reaction Methods 0.000 description 1
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- 238000002627 tracheal intubation Methods 0.000 description 1
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- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0003—Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/003—Means for fixing the tube inside the body, e.g. balloons, retaining means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0069—Tubes feeding directly to the intestines, e.g. to the jejunum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1053—Stomach
- A61M2210/1057—Duodenum
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Pulmonology (AREA)
- Otolaryngology (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a kind of middle alimentary canal implant road instruments, include with proximally and distally flexible elastic hollow pipeline and be fixed on hollow pipeline distance distal end 15~30cm at least one fixing line, the head end of the fixing line penetrates outside pipe in pipe, it is pierced by out of pipe after one section of inside pipe wall cabling, wear in return pipe and formed outside pipe a single line ring again after one section of pipe outer wall cabling, then the tail end being pierced by outside pipe with fixing line after one section of inside pipe wall cabling breaks into knot；Wherein knot is close to the distal end of hollow pipeline, distal end of the single line ring far from hollow pipeline, and the knot is fixed on hollow pipeline outer wall by viscose glue and/or overlay film.It is the clever structure of alimentary canal implant road instrument in the present invention, easy to operate, safe and effective, it can retain for a long time, be easy to happen in tube chamber after schneiderian membrane damage bleeding and implantation when solving the problems, such as quickly to be implanted into nose intestines feeding tube under traditional scope and is condensed into blocks plugging.
Description
Technical field
The present invention relates to the pipeline instruments and method for implantation of a kind of medical instruments field more particularly to a kind of middle alimentary canal to plant
Enter pipeline instrument and its quick method for implantation.
Background technology
Traditional intranasal intestines (usually containing duodenum and jejunum proximal segment) pipe feeds approach, and it is defeated to be mainly used for intestinal nutrient solution
Note and drug are fed, and can retain long period use, and still, infusion tube can not be fixed on intestinal wall, are also easy to slip into stomach
Or it is external；Operating time often exceeds 10 minutes, and during which patient suffering, operational risk increase.Some pipelines are needed in scope
After pincers road is implanted to duodenum, it is also necessary to intraoral pipeline be changed its course by displacement apparatus in nasal cavity, brought to patient
Pain.Some jejunum pipes are difficult to successfully be placed into destination locations under scope, that is, allow to reach, and can also be led when moving back mirror
Conduit is caused to be brought away from target location.
Therefore, the urgent need to resolve above problem
Invention content
Goal of the invention：When the first object of the present invention is to provide one kind and can solve quickly to be implanted into nose intestines feeding tube under traditional scope
Schneiderian membrane damages bleeding and is easy to happen the middle alimentary canal implant road instrument for the problem of being condensed into blocks plugging in tube chamber after being implanted into.
The second object of the present invention is to provide the method for implantation of alimentary canal implant road instrument in this.
Technical solution：In order to achieve the above object, the invention discloses a kind of middle alimentary canal implant road instruments, including have
It flexible elastic hollow pipeline proximally and distally and is fixed at least one solid at hollow pipeline distance 15~30cm of distal end
The head end of alignment, the fixing line penetrates outside pipe in pipe, is pierced by out of pipe after one section of inside pipe wall cabling, along pipe outer wall cabling
It wears in return pipe and is formed outside pipe at least one single line ring after one section again, then be pierced by outside pipe and fixation after one section of inside pipe wall cabling
The tail end of line breaks into knot；Wherein knot is close to the distal end of hollow pipeline, distal end of the single line ring far from hollow pipeline, and the line
Knot is fixed on hollow pipeline outer wall by viscose glue and/or overlay film.Fixing line of the invention passes through hollow pipeline tube wall that can have first
Effect is fixed, while being formed single line ring outside pipe and being used to be not easy to skid off in vivo by the distal end fixation of hollow pipeline, and the present invention is logical
It crosses and knot is provided close to distal end, structure of the single line ring far from distal end ensures that hollow pipeline single line ring in implantation process is kept
Forward fitting pipeline outer wall enters internal, and by being not easily leaded to when nasal cavity, nasal membrane is undermined and bleeding probability is small, single line
Ring structure more preferably avoids increasing because occupying nasal cavity space stimulation damage, single line ring can reduce wire loop surprisingly cover catch polyp of nasal cavity and
The possibility of bleeding etc.；Secondly the fixing line of the present invention is fixed at 15~30cm of distance distal end, improves convenience clinically
And operability；Furthermore by the way that the knot setting pipe of fixing line is outer, and outer wall is fixed on by viscose glue and/or overlay film, kept
The smooth no knot of inside pipe wall can effectively avoid when input is containing the easy nutrients or drug being condensed into blocks such as abundant protein
When, the phenomenon that occurring local solidification in pipe and block pipeline, line clogging occurrence frequency when using effectively is reduced, especially in the winter
It or northern area, more avoid patient from planting the pain of pipe again.
Wherein, fixing line in hollow pipeline inner wall along its axial direction cabling or in hollow pipeline inner wall Off-Radial
Heart line direction cabling.Preferably along its axial direction cabling, can avoid the line segment of inside pipe wall influences the fixing line of inside pipe wall of the present invention
Inside pipe wall sectional area maximizes and ensures the unimpeded of inside pipe wall.
Preferably, the hollow pipeline proximally place be equipped with can freely activity and flexible elastic seal wire in an axial direction,
And there are part seal wires in hollow pipeline proximal lateral；The seal wire is equipped with the soft head of elasticity close to one end of hollow pipeline distal end,
The hardness of the soft head of the elasticity is less than the hardness of hollow pipeline, and the hardness of seal wire is more than the hardness of hollow pipeline.Hardness in the present invention
Certain supporting role is played to hollow pipeline more than the seal wire of hollow pipeline, it is auxiliary when being exited for conduit implantation, gastroscope
Hollow pipeline is helped, so that it is unlikely to deform Bending Influence infusion or scratches human body inner wall；And the elasticity that hardness is less than hollow pipeline is soft
The effect of head is to prevent from stabbing inner wall in pipeline implantation process, is played a protective role.
Preferably, the seal wire for staying in hollow pipeline proximal lateral is equipped with for preventing seal wire from sliding into the limit in pipe
The outer surface of part, the locating part has screw thread.
Furthermore a diameter of 0.8~2cm of the single line ring.Single line ring structure of the present invention is more preferably avoided because occupying nasal cavity sky
Between and increase stimulation damage, single line ring can reduce wire loop and surprisingly cover the possibility for catching polyp of nasal cavity and bleeding etc.；And a diameter of 0.8
The single line ring of~2cm effectively prevents when because of single line ring diameter ＜ 0.8cm that single line ring is excessively narrow in middle alimentary canal, and implantation is applied
Add the clamping timing of titanium can not rapid and convenient allow titanium press from both sides single clip arm fixed across single line ring, it is inconvenient for operation the problems such as；Simultaneously also
It is excessive to avoid wire loop when because of single line ring diameter ＞ 2.0cm, implantation process center line is easy winding curling, and hollow pipeline can after fixing
Displacement distance is excessive to increase the problems such as falling off risk.
Further, the fixing line is absorbable sutures or nonabsorable sutures.
Preferably, the hollow pipeline offers at least one with duct that is being communicated in pipe.
Furthermore connector of the connection for external equipment on the proximal end of the hollow pipeline.
Preferably, the hollow pipeline is equipped with convenient for the scale of observation implantation depth, and scale starting point is hollow pipeline
Distally.
A kind of quick method for implantation based on middle alimentary canal implant road instrument of the present invention, includes the following steps：
(1) if, selection it is awake under the conditions of be implanted into, patient needs alimentary canal implant logos and utensils during intranasal blindmate enters when awake
In tool to stomach, then gastroscope is sent into from oral cavity in stomach again；If selection anesthesia under be implanted into, after being anesthetized by gastroscope send to
Oral cavity, during intranasal blindmate enters under gastroscope direct-view in front of alimentary canal implant road instrument to piriform recess, under gastroscope direct vision
Alimentary canal implant road instrument enters oesophagus in confirmation, then middle alimentary canal implant road instrument is inserted into food with gastroscope together
Pipe, and enter in stomach；
(2), middle alimentary canal implant road instrument is routed directly to pylorus first to be incorporated in duodenum, middle alimentary canal is made to plant
The single line ring entered in the fixing line at pipeline instrument distance 15~30cm of distal end is under gastroscope visible state, under gastroscope direct-view
It is pressed from both sides with titanium and single line ring is fixed on antrum；
(3) motionless in nose with hollow pipeline after the clamping fixed middle alimentary canal implant road instrument of titanium, is handled, mirror is carefully moved back,
By hollow pipeline in gastroscopic observation stomach, whether there is or not wide-angle bendings while moving back mirror, if there is bending, take the circumstances into consideration in vitro to external
Pull out hollow pipeline；It is slowly outer while moving back mirror to pull out seal wire, the movement of hollow pipeline inner guide wire can be looked at straight by gastroscope, when seal wire removes
Seal wire is pulled out outside suspending after 20~30cm；
(4) when gastroscope exit to it is external after seal wire is extracted completely again, hollow pipeline is fixed on by nose by effective adhesive plaster
The proximal end of ridge, hollow pipeline connects external equipment, plants pipe and terminates；
(5) directly outer after use to pull out hollow pipeline, it can take the folder of the titanium in fixing line and single line ring out of with hollow pipeline.
Advantageous effect：Compared with prior art, the present invention has following remarkable advantage：Fixing line of the invention passes through first
Hollow pipeline tube wall can be fixed effectively, while forming single line ring outside pipe and being used to the distal end fixation of hollow pipeline being not easy in vivo
It skids off, and the present invention, by the way that knot is provided close to distal end, structure of the single line ring far from distal end ensures that hollow pipeline had been implanted into
In journey single line ring keep forward fitting pipeline outer wall enter it is internal, it is undermined and go out by not easily leading to nasal membrane when nasal cavity
Blood probability is small, and single line ring structure more preferably avoids increasing stimulation damage because occupying nasal cavity space, and single line ring can reduce wire loop accident
Set catches the possibility of polyp of nasal cavity and bleeding etc.；Secondly the fixing line of the present invention is fixed at 15~30cm of distance distal end, is improved
Convenience clinically and operability；Furthermore by the way that the knot setting pipe of fixing line is outer and solid by viscose glue and/or overlay film
Due to outer wall, the smooth no knot of inside pipe wall is kept, can effectively avoid and be condensed into blocks when input containing abundant protein etc. is easy
When nutrients or drug, the phenomenon that occurring local solidification in pipe and block pipeline, effectively reduces line clogging when using and occur
Frequency more avoids patient from planting the pain of pipe again especially in winter or northern area；During also hardness is more than in the present invention
The seal wire of vacant duct plays hollow pipeline certain supporting role, is assisted when being exited for conduit implantation, gastroscope hollow
Pipeline makes it be unlikely to deform Bending Influence infusion or scratches human body inner wall；And hardness is less than the work of the soft head of elasticity of hollow pipeline
With being to prevent from stabbing inner wall in pipeline implantation process, play a protective role.
Description of the drawings
Fig. 1 is the structural schematic diagram of hollow pipeline of the present invention and fixing line；
Fig. 2 is the close-up schematic view of a fixing line in the present invention；
Fig. 3 is the close-up schematic view of two fixing lines in the present invention；
Fig. 4 is a kind of schematic diagram of the cabling mode of fixing line in the present invention；
Fig. 5 is the structural schematic diagram of seal wire in the present invention；
Fig. 6 is the structural schematic diagram that seal wire penetrates hollow pipeline in the present invention.
Specific implementation mode
Technical scheme of the present invention is described further below in conjunction with the accompanying drawings.
As shown in Figure 1, a kind of middle alimentary canal implant road of the invention instrument, including hollow pipeline 3, fixing line 4 and seal wire
7.The hollow pipeline 3 of the both ends open of the present invention is flexible, with resilient flexible and the smooth high molecular material of surfaces externally and internally
Pipeline, the hollow pipeline 3 have a proximal end 1 and a distal end 2, are offered on the outer wall of hollow pipeline at least one with the interior phase of pipe
Logical duct is delivered in human body, preferably 2 or more, duct convenient for drug through hole track overflow in pipe, and the form in duct can be with
For round, ellipse or other irregular shapes.The length of hollow pipeline can be 90~150cm, cross-sectional diameter 1.5mm
~5.0mm.The present invention can be equipped on the tube wall of hollow pipeline or not set probe material, such as the metal wire of X-ray opaque.It is hollow
Connector 10 of the connection for external equipment on the proximal end of pipeline 3, meets the various demands such as intubation, advance and retreat seal wire, infusion.The present invention
Hollow pipeline 3 be equipped with convenient for observation implantation depth scale, scale starting point be hollow pipeline 3 distal end 2.
As shown in Fig. 2, the fixing line 4 of the present invention is absorbable sutures or nonabsorable sutures, and have one
Drawing force is determined, wherein catgut, chemical synthesis line (PGA, PGLA, PLA) or pure natural collagen can be selected in absorbable sutures
Albumen suture；Line made of the materials such as polypropylene, nylon, stainless steel, silk or polyester can be selected in nonabsorable sutures.
Fixing line 4 is fixed on hollow pipeline 3 at 15~30cm of distal end, and the head end of the fixing line 4 penetrates outside pipe in pipe, in pipe
It is pierced by out of pipe after one section of wall cabling, is worn again in return pipe after one section of pipe outer wall cabling and forms at least one single line ring outside pipe
5；The tail end being pierced by outside pipe with fixing line after one section of inside pipe wall cabling again breaks into knot 6；Wherein knot 6 is close to hollow pipeline 3
Distal end 2, distal end 2 of the single line ring 5 far from hollow pipeline 3, and knot 6 is fixed on by viscose glue and/or overlay film outside hollow pipeline 3
Wall.As shown in Fig. 2, a fixing line is arranged in the present invention in pipe outer wall, fixing line can avoid along its axial direction cabling in pipe
The line segment of wall influences inside pipe wall sectional area, maximizes and ensures the unimpeded of inside pipe wall.As shown in figure 3, the present invention is arranged in pipe outer wall
Mutual independent 2 fixing lines, two fixing lines are arranged along pipeline axial direction, and form two mutual independent single line rings 5,
In pipeline instrument implantation process, any single line ring 5 can be selected clamping due in human body by titanium according to actual needs.Or as schemed
Shown in 4, for fixing line in hollow pipeline inner wall Off-Radial centerline direction cabling, this cabling mode is the cabling mode of suboptimum,
Though occupying a small amount of inner wall section product, approves and substantially ensure that inside pipe wall is unobstructed.
The present invention fixing line pass through hollow pipeline tube wall can effectively fix, while outside pipe formed single line ring for will in
The distal end of vacant duct is fixed and is not easy to skid off in vivo, and the present invention, by the way that knot is provided close to distal end, single line ring is far from distal end
Structure, ensure hollow pipeline single line ring in implantation process keep forward fitting pipeline outer wall enter it is internal, when by nasal cavity
Not easily lead to that nasal membrane is undermined and bleeding probability is small, single line ring structure more preferably avoids increasing thorn because occupying nasal cavity space
Swash damage, single line ring can reduce wire loop and surprisingly cover the possibility for catching polyp of nasal cavity and bleeding etc.；Secondly the fixing line of the present invention is solid
At 15~30cm of distance distal end, convenience and operability clinically is improved；Furthermore by the way that the knot of fixing line is set
It sets outside pipe, and outer wall is fixed on by viscose glue and/or overlay film, keep the smooth no knot of inside pipe wall, can effectively avoid when input contains
When having the easy nutrients or drug being condensed into blocks such as abundant protein, occurs local solidification in pipe and block showing for pipeline
As effectively reducing line clogging occurrence frequency when using and more patient being avoided to plant pipe again especially in winter or northern area
Pain.A diameter of 0.8~2cm of single line ring 5 in the present invention effectively prevents single line ring when because of single line ring diameter ＜ 0.8cm
It is excessively narrow in middle alimentary canal, implantation apply titanium clamping timing can not the rapid and convenient single clip arm that allows titanium to press from both sides pass through single line ring to consolidate
Calmly, the problems such as inconvenient for operation；It is excessive that wire loop when because of single line ring diameter ＞ 2.0cm is also avoided simultaneously, and implantation process center line holds
Easily winding curling, hollow pipeline movable distance is excessive after fixing increases the problems such as falling off risk.
As shown in Figure 5 and Figure 6, seal wire 7 of the invention penetrates from the proximal end of hollow pipeline 31, and there are part seal wires to exist
Hollow pipeline proximal lateral, the seal wire 7 for staying in 3 proximal lateral of hollow pipeline are equipped with for preventing seal wire 7 from sliding into the limit in pipe
The outer surface of position part 9, the locating part has screw thread；The effect that threaded locating part is arranged in the present invention is in preventing seal wire from sliding into
In vacant duct, while screw thread can be easy to operation seal wire.The seal wire 7 can be with bullet along 3 axially free activity of hollow pipeline, seal wire
Property and the good high molecular material silk or wire of flexible biological tissue's compatibility, seal wire can be borrowed when movable in hollow pipeline
Help lubricating oil (such as medical paraffin oil) or other lubrication technologies (such as superslide sufacing is met water and lubricated).Seal wire 7 is in
One end of 3 distal end of vacant duct is equipped with the soft head 8 of elasticity, the hardness of the soft head of the elasticity 8 less than hollow pipeline 3 hardness, seal wire 7 it is hard
Hardness of the degree more than hollow pipeline 3.Hardness plays hollow pipeline certain support more than the seal wire of hollow pipeline in the present invention
Effect assists hollow pipeline when being exited for conduit implantation, gastroscope, so that it is unlikely to deform Bending Influence infusion or scratches people
Internal wall；And the effect that hardness is less than the soft head of elasticity of hollow pipeline is to prevent from stabbing inner wall in pipeline implantation process, plays guarantor
Shield acts on.
The middle alimentary canal implant road instrument of the present invention, can send and fast be sent to middle alimentary canal and fixation, in implantation process most
Big degree avoids nasal membrane bleeding due to trauma, plants after the completion of pipe in infusion process, substance in pipeline is greatly reduced and condenses into
Block and block pipeline.Structure of the invention is ingenious, easy to operate, safe and effective, can retain for a long time, and meets the need of multiple dosing
It asks, greatly facilitates the clinical applications such as nasogastric tube implantation, all-colon administration, be suitble to be widely used in clinical treatment.
A kind of quick method for implantation based on middle alimentary canal implant road instrument of the present invention, which is characterized in that including as follows
Step：
(1) if, selection it is awake under the conditions of be implanted into, patient needs alimentary canal implant logos and utensils during intranasal blindmate enters when awake
In tool to stomach, then gastroscope is sent into from oral cavity in stomach again；If selection anesthesia under be implanted into, after being anesthetized by gastroscope send to
Oral cavity, during intranasal blindmate enters under gastroscope direct-view in front of alimentary canal implant road instrument to piriform recess, under gastroscope direct vision
Alimentary canal implant road instrument enters oesophagus in confirmation, then middle alimentary canal implant road instrument is inserted into food with gastroscope together
Pipe, and enter in stomach；
(2), middle alimentary canal implant road instrument is routed directly to pylorus first to be incorporated in duodenum, middle alimentary canal is made to plant
The single line ring 5 entered in the fixing line at pipeline instrument distance 15~30cm of distal end is under gastroscope visible state, is looked at straight in gastroscope
Single line ring 5 is fixed on antrum by lower pressed from both sides with titanium；For 7 years old or more crowd, instrument conveying cut-off in middle alimentary canal implant road was carved
Degree is 85~95cm, and middle alimentary canal implant road instrument distal end is made to reach proximal jejunum；If cannot directly transport in place,
The distal end of alimentary canal implant road instrument and it is transferred to duodenum in need to being clamped with foreign body forceps, pays attention to convey when sending pipe
It is easy to cause the tortuous middle alimentary canal implant road instrument that instead results in stomach to rebound in stomach from duodenum more, also not can transport
It is short to be returned in stomach so that generating resistance and reversely pulling pipeline from duodenum；
(3), motionless in nose with hollow pipeline 3 after the clamping fixed middle alimentary canal implant road instrument of titanium, is handled, carefully move back
Mirror, by hollow pipeline in gastroscopic observation stomach, whether there is or not wide-angle bendings while moving back mirror, if there is bending, take the circumstances into consideration in vitro to body
Pull out hollow pipeline 3 outside；It is slowly outer while moving back mirror to pull out seal wire 7, the movement of 3 inner guide wire 7 of hollow pipeline can be looked at straight by gastroscope, when leading
Seal wire 7 is pulled out outside suspending after 20~30cm of silk removal；The seal wire wherein temporarily kept in hollow pipeline plays centainly hollow pipeline
Supporting role, fold twisted phenomena occurs for hollow pipeline during effectively avoiding moving back mirror, while preventing scope from being extracted toward external
The phenomenon that Shi Yinwei frictional force is taken drawing hollow pipeline out of and is shifted；
(4), when gastroscope exit to it is external after seal wire 7 is extracted completely again, hollow pipeline 3 is fixed on by effective adhesive plaster
The proximal end 1 of nasospinale, hollow pipeline 3 connects external equipment, plants pipe and terminates, without being confirmed in enteron aisle with other detection methods such as x-ray
Whether depth implanting device pipe is positioned at proximal jejunum；
(5), directly outer after use to pull out hollow pipeline 3, it can be taken out of in fixing line 4 and single line ring with hollow pipeline 3
Titanium presss from both sides, and has no adverse reaction.
The middle alimentary canal implant road instrument of the present invention can be used for inputting flora and be used for enteron aisle for flora transplanting, contrast agent
Interior development etc..It is the clever structure of alimentary canal implant road instrument in the present invention, easy to operate, safe and effective, it can retain for a long time, it is main
It can be used for being implanted into hose in middle alimentary canal (duodenofiberscope enteron aisle below) by scope auxiliary, distal section can reach
Distal duodenum or proximal jejunum solve quickly to be implanted into nose under traditional scope for nasal feeding and through the pipe Parenteral administration
The problem of being condensed into blocks plugging is easy to happen in tube chamber after schneiderian membrane damage bleeding and implantation when intestines feeding tube.
The time that the present invention completes the above plant pipe operation is brief, generally only needs 2-4 minutes, more traditional plant pipe time 10
Or so minute is obviously shortened, and reduces sufferer pain, reduces the medication amount using sedation anesthesia, contributes to reduction operational risk, also
Doctor's time can be saved.It is clinical simultaneously to show the whole albumen intestinal nutrient solution of input in pipeline using the present invention, in cryogenic conditions
Under, line clogging incidence occurs in 7 days reduces by 81%；In addition under conditions of outside knot is located at tube wall, by bond and/or
Overlay film and holding single line ring forward, in implantation process can effectively avoid the increase of nasal membrane bleeding event.
Claims (10)
1. a kind of middle alimentary canal implant road instrument, it is characterised in that：It include the flexible bullet with proximal end (1) and distal end (2)
Property hollow pipeline (3) and be fixed on hollow pipeline (3) distance distal end 15~30cm at least one fixing line (4), it is described solid
The head end of alignment (4) penetrates outside pipe in pipe, is pierced by out of pipe after one section of inside pipe wall cabling, after one section of pipe outer wall cabling again
Wear in return pipe and formed outside pipe a single line ring (5), then the tail end being pierced by outside pipe with fixing line after one section of inside pipe wall cabling is beaten
At knot (6)；Wherein knot (6) is close to the distal end (2) of hollow pipeline (3), distal end of the single line ring (5) far from hollow pipeline (3)
(2), and the knot (6) is fixed on hollow pipeline (3) outer wall by viscose glue and/or overlay film.
2. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：The fixing line (4) is hollow
Inner wall of the pipe is along its axial direction cabling or in hollow pipeline inner wall Off-Radial centerline direction cabling.
3. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：The hollow pipeline (3) is from close
Be equipped at end (1) can freely activity and flexible elastic seal wire (7) in an axial direction, and that there are part seal wires is close in hollow pipeline
End outside；The seal wire (7) is equipped with the soft head (8) of elasticity close to one end of hollow pipeline (3) distal end, the soft head of the elasticity (8) it is hard
Degree is less than the hardness of hollow pipeline (3), and the hardness of seal wire (7) is more than the hardness of hollow pipeline (3).
4. middle alimentary canal implant road according to claim 3 instrument, it is characterised in that：It is described to stay in hollow pipeline (3)
The seal wire (7) of proximal lateral is equipped with for preventing seal wire (7) from sliding into the locating part (9) in pipe, the outer surface of the locating part (9)
With screw thread.
5. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：The diameter of the single line ring (5)
For 0.8~2cm.
6. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：The fixing line (4) is that can inhale
Receive sutures or nonabsorable sutures.
7. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：The hollow pipeline (3) opens up
Have at least one with duct that is being communicated in pipe.
8. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：The hollow pipeline (3) it is close
Connector (10) of the connection for external equipment on end.
9. middle alimentary canal implant road according to claim 1 instrument, it is characterised in that：It is set on the hollow pipeline (3)
Have convenient for the scale of observation implantation depth, scale starting point is the distal end (2) of hollow pipeline (3).
10. a kind of quick method for implantation based on any middle alimentary canal implant road instrument of claim 1 to 9, special
Sign is, includes the following steps：
(1) if, selection it is awake under the conditions of be implanted into, patient needs during intranasal blindmate enters when awake alimentary canal implant road instrument extremely
In stomach, then gastroscope is sent into from oral cavity in stomach again；If being implanted under selection anesthesia, gastroscope is sent to mouth after being anesthetized
Chamber, during intranasal blindmate enters under gastroscope direct-view in front of alimentary canal implant road instrument to piriform recess, under gastroscope direct vision really
Recognize middle alimentary canal implant road instrument and enter oesophagus, then middle alimentary canal implant road instrument is inserted into oesophagus together with gastroscope,
And enter in stomach；
(2), middle alimentary canal implant road instrument is routed directly to pylorus first to be incorporated in duodenum, makes middle alimentary canal implant
The single line ring (5) in fixing line at 15~30cm of road instrument distance distal end is under gastroscope visible state, under gastroscope direct-view
It is pressed from both sides with titanium and single line ring (5) is fixed on antrum；
(3) motionless in nose with hollow pipeline (3) after the clamping fixed middle alimentary canal implant road instrument of titanium, is handled, mirror is carefully moved back, is moved back
By hollow pipeline in gastroscopic observation stomach, whether there is or not wide-angle bendings while mirror, if there is bending, take the circumstances into consideration in vitro to pulling out in vitro
Hollow pipeline (3)；It is slowly outer while moving back mirror to pull out seal wire (7), hollow pipeline (3) inner guide wire (7) movement can be looked at straight by gastroscope,
Pause is outer after seal wire removes 20~30cm pulls out seal wire (7)；
(4) when gastroscope exit to it is external after seal wire (7) is extracted completely again, hollow pipeline (3) is fixed on by effective adhesive plaster
The proximal end (1) of nasospinale, hollow pipeline (3) connects external equipment, plants pipe and terminates；
(5) directly outer after use to pull out hollow pipeline (3), it can be taken out of in fixing line (4) and single line ring with hollow pipeline (3)
Titanium presss from both sides.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810358214.4A CN108324575B (en) | 2018-04-20 | 2018-04-20 | Middle digestive tract implantation pipeline apparatus |
| PCT/CN2019/081303 WO2019201095A1 (en) | 2018-04-20 | 2019-04-03 | Implantable tube device for middle digestive tract and method for quickly implanting same |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810358214.4A CN108324575B (en) | 2018-04-20 | 2018-04-20 | Middle digestive tract implantation pipeline apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108324575A true CN108324575A (en) | 2018-07-27 |
| CN108324575B CN108324575B (en) | 2024-03-22 |
Family
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810358214.4A Active CN108324575B (en) | 2018-04-20 | 2018-04-20 | Middle digestive tract implantation pipeline apparatus |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN108324575B (en) |
| WO (1) | WO2019201095A1 (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109364320A (en) * | 2018-12-18 | 2019-02-22 | 甘肃省武威肿瘤医院（武威医学科学研究院） | Inlying catheter and its fixing means is perfused in total colectomy |
| CN109620313A (en) * | 2019-01-24 | 2019-04-16 | 南京法迈特科技发展有限公司 | The pipeline instrument and method for implantation being implanted into for per anum colon under scope to small intestine |
| WO2019201095A1 (en) * | 2018-04-20 | 2019-10-24 | 南京法迈特科技发展有限公司 | Implantable tube device for middle digestive tract and method for quickly implanting same |
| WO2020151145A1 (en) * | 2019-01-24 | 2020-07-30 | 南京法迈特科技发展有限公司 | Tube instrument for implantation into small intestine through anal colon with endoscope, and implantation method therefor |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111481748A (en) * | 2020-03-17 | 2020-08-04 | 四川省肿瘤医院 | Gastrointestinal blood clot leading-out tube |
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2019201095A1 (en) | 2019-10-24 |
| CN108324575B (en) | 2024-03-22 |
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Address after: No.57 Huayuan Avenue, economic development zone, Gaochun District, Nanjing City, Jiangsu Province Applicant after: NANJING FMT MEDICAL Co.,Ltd. Address before: 210032 the four layer of B block, Ding Ye Bai Tai biological building, No. 10, Spark Road, Nanjing high tech Industrial Development Zone, Jiangsu, China. Applicant before: NANJING FMT MEDICAL Co.,Ltd. |
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