CN111840090A - Orogastric tubes that extract and store stomach contents - Google Patents
Orogastric tubes that extract and store stomach contents Download PDFInfo
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- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0003—Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
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- A—HUMAN NECESSITIES
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- A61J15/003—Means for fixing the tube inside the body, e.g. balloons, retaining means
- A61J15/0046—Expandable retainers inside body lumens of the enteral tract, e.g. fixing by radially contacting a lumen wall
- A61J15/0049—Inflatable Balloons
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- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0073—Multi-lumen tubes
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
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- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/105—Multi-channel connectors or couplings, e.g. for connecting multi-lumen tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/22—Valves or arrangement of valves
- A61M39/223—Multiway valves
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- A—HUMAN NECESSITIES
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/22—Valves or arrangement of valves
- A61M39/24—Check- or non-return valves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/0045—Devices for taking samples of body liquids
- A61B2010/0061—Alimentary tract secretions, e.g. biliary, gastric, intestinal, pancreatic secretions
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- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M2025/0034—Multi-lumen catheters with stationary elements characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M2025/0037—Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
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Abstract
本发明提供了可抽取并储存胃内容物的经口胃管,属于新型胃管技术领域。该胃管里包括收集组件、插管组件和固定组件。所述收集组件包括胃内容物储存囊、三通开关、单向阀。三通开关在管道内可旋动来控制通路。所述插管组件包括刻度管,实心引导头,葫芦型通口。所述固定组件包括可注水注气球囊。使用时,将胃管插入食管。再向球囊注入生理盐水用以固定管道,使胃管不易脱出。利用三通开关来决定抽取管道与注射管道的使用。抽取胃液时,使其储存在胃内容物储存囊中,对其进行留样检查等。使用完毕时,抽出球囊内盐水,拔出胃管,喂食结束。胃内容物储存囊内可清晰直观的看到抽出物的情况;三通开关减少了污染,增加了胃管使用寿命;球囊可固定胃管。
The invention provides a peroral gastric tube capable of extracting and storing gastric contents, belonging to the technical field of novel gastric tubes. The gastric tube includes a collection component, an intubation component and a fixing component. The collection assembly includes a stomach contents storage bag, a three-way switch, and a one-way valve. The three-way switch can be rotated in the pipeline to control the passage. The cannula assembly includes a graduated tube, a solid guide head, and a gourd-shaped through port. The fixation assembly includes a water-filled balloon. To use, a gastric tube is inserted into the esophagus. Then inject normal saline into the balloon to fix the tube, so that the gastric tube is not easy to come out. Use the three-way switch to determine the use of the extraction pipeline and injection pipeline. When gastric juice is drawn, it is stored in the gastric contents storage bag, and a sample is retained for examination, etc. At the end of use, the saline in the balloon is withdrawn, the gastric tube is pulled out, and the feeding is over. The gastric contents storage bag can clearly and intuitively see the situation of the extracted material; the three-way switch reduces pollution and increases the service life of the gastric tube; the balloon can fix the gastric tube.
Description
技术领域technical field
本发明专利涉及一种新型经口胃管,确切的说是一种经口可抽取并储存胃内容物的新型胃管。The patent of the present invention relates to a new type of oral gastric tube, to be precise, a new type of gastric tube that can extract and store gastric contents through the mouth.
背景技术Background technique
现有传统经口胃管通常是单一结构置管,即无单向阀开关及胃内容物储存装置。它在置管后无单独胃内容物储存装置,对胃内容物留样及下一步生化检测会产生一定影响,且无球囊在胃部固定,病人若反抗动作过大,极易造成胃管掉出,影响病人的进食。尤其是当病人因胃肠道功能异常导致意识障碍等症状时,如绞窄性肠梗阻引起的感染性休克,在置管后,因病人无法清晰表达自身情况,故不能充分了解到病人胃内容物消化吸收情况,此时用现有传统经口胃管抽取胃内容物就没有合适的储存装置,而且部分胃内容物还会倒流入胃部,影响病人的进一步治疗。现有传统经口胃管无固定装置,病人的咽反射如果过于强烈就会吐出胃管,影响下一步的喂食和胃内容物的检测。The existing traditional oral gastric tube is usually a single-structure tube, that is, there is no one-way valve switch and gastric content storage device. It does not have a separate storage device for gastric contents after the catheter is placed, which will have a certain impact on the retention of gastric contents and the next biochemical detection, and no balloon is fixed in the stomach. If the patient resists too much, it is easy to cause gastric tube. Fall out, affecting the patient's eating. Especially when the patient has symptoms such as disturbance of consciousness due to abnormal gastrointestinal function, such as septic shock caused by strangulated intestinal obstruction, after the catheter is placed, the patient cannot fully understand the contents of the patient's stomach because he cannot express his own situation clearly. In this case, there is no suitable storage device for extracting gastric contents through the existing traditional oral gastric tube, and part of the gastric contents will flow back into the stomach, which affects the further treatment of the patient. The existing traditional oral gastric tube has no fixed device. If the gag reflex of the patient is too strong, the gastric tube will be spit out, which affects the next feeding and the detection of gastric contents.
综上所述,现有传统经口胃管置管形式单一,无单独的管道去抽吸胃内容物,亦无胃内容物储存装置,无单向阀及三通开关装置,对胃内容物留样及下一步生化检测产生一定影响;胃管在重新注射食物时,需反折注射端,易造成胃管粘连,减少了胃管使用寿命。且胃管无固定装置易掉出,影响病人的进食,延缓病人的治疗进程,缺陷明显。To sum up, the existing traditional oral gastric tube intubation has a single form, and there is no separate pipeline to suction gastric contents, no gastric contents storage device, no one-way valve and three-way switch device, and no gastric contents. The retention of the sample and the next step of biochemical testing will have a certain impact; when re-injecting food into the gastric tube, the injection end needs to be reversed, which will easily cause the gastric tube to stick and reduce the service life of the gastric tube. In addition, the gastric tube is easy to fall out without a fixing device, which affects the patient's eating and delays the patient's treatment process, and has obvious defects.
发明内容SUMMARY OF THE INVENTION
本发明提供一个胃内容物储存装置和三通开关,通过开关和单向阀来完成胃内容物的抽吸与储存,头部配备可注水球囊固定胃管。刻度管尾部通口为葫芦形,便于较大颗粒食物通过。The invention provides a gastric contents storage device and a three-way switch, the switch and one-way valve are used to complete the suction and storage of gastric contents, and the head is equipped with a water-filled balloon to fix the gastric tube. The opening at the end of the scale tube is gourd-shaped, which is convenient for the passage of larger particles of food.
本发明解决其技术问题所采用的技术方案是:可抽取并储存胃内容物的经口胃管,其特征在于包括刻度管及用于抽取胃液的第一管道、用于注射食物的第二管道、用于注水注气的第三管道,刻度管包括通过三通开关与第一管道、第二管道连通的内部管道、与第三管道连通的外部管道,其端部设有实心引导头、与外部管道连通并在刻度管置入到位时供由第三管道注入的生理盐水或气体进入以固定刻度管的球囊、位于实心引导头与球囊之间并在刻度管固定后供胃液流入内部管道或由第二管道注入的食物进入胃部的通口;第一管道、第二管道的端口用于连接针筒,第一管道上设有胃内容物储存囊、位于胃内容物储存囊与三通开关之间并允许内部管道中的胃液流入胃内容物储存囊的单向阀,第三管道上设有在刻度管固定后封闭第三管道的夹闭器。The technical solution adopted by the present invention to solve the technical problem is: an oral gastric tube that can extract and store gastric contents, which is characterized by comprising a graduated tube, a first pipeline for extracting gastric juice, and a second pipeline for injecting food , the third pipeline for water injection and gas injection, the scale tube includes an inner pipeline connected with the first pipeline and the second pipeline through a three-way switch, and an external pipeline connected with the third pipeline, the end of which is provided with a solid guide head, and The outer tube communicates and allows the saline or gas injected from the third tube to enter the balloon to fix the calibration tube when the calibration tube is in place, located between the solid guide head and the balloon and allows gastric juice to flow into the interior after the calibration tube is fixed The pipe or the food injected by the second pipe enters the stomach; the ports of the first pipe and the second pipe are used to connect the syringe, and the first pipe is provided with a gastric content storage bag, which is located between the gastric content storage bag and the stomach content storage bag. A one-way valve between the three-way switch and allowing the gastric juice in the internal pipeline to flow into the gastric content storage bag, and a clamp for closing the third pipeline after the scale tube is fixed on the third pipeline.
进一步的,球囊为医用橡胶材质。Further, the balloon is made of medical rubber material.
进一步的,将球囊所在的位置定义为“上”、实心引导头所在的位置定义为“下”,通口呈上小下大状。Further, the position of the balloon is defined as "upper", the position of the solid guide head is defined as "lower", and the opening is in the shape of a small upper and a lower large.
进一步的,通口的形状为但不限于葫芦形、凸字形、梯形中的一种。Further, the shape of the through opening is but not limited to one of a gourd shape, a convex shape, and a trapezoid shape.
进一步的,胃内容物储存囊的形状为但不限于长方体、圆柱体中的一种。Further, the shape of the stomach contents storage bag is but not limited to one of a rectangular parallelepiped and a cylinder.
进一步的,第一管道、第二管道的端口设有端口盖。Further, ports of the first pipeline and the second pipeline are provided with port covers.
本发明的有益效果是可以在不污染注射食物管的情况下,有效抽出胃内容物并储存且可提取出内容物进行有效的生化检测,三通开关的利用可以使两根管道各司其职,注射的流质食物和抽取的胃内容物互不污染。用完即关,不必反复反折胃管,增加了胃管的使用寿命。注气注水球囊的存在可有效固定管道,防止病人动作过大导致管道脱落掉出口腔。刻度管尾部葫芦形通口可有效防止食物颗粒过大,堵塞胃管。The beneficial effect of the invention is that the stomach contents can be effectively extracted and stored without contaminating the injection food tube, and the contents can be extracted for effective biochemical detection, and the use of the three-way switch can make the two tubes perform their respective duties , the injected liquid food and the extracted gastric contents do not contaminate each other. It is closed after use, and there is no need to repeatedly reverse the gastric tube, which increases the service life of the gastric tube. The existence of the air and water injection balloon can effectively fix the pipeline and prevent the pipeline from falling out of the mouth due to excessive movement of the patient. The gourd-shaped opening at the end of the scale tube can effectively prevent the food particles from being too large and blocking the gastric tube.
附图说明Description of drawings
图1为本发明的可抽取并储存胃内容物的经口胃管Fig. 1 is the oral gastric tube that can extract and store gastric contents according to the present invention
图2为A-A剖面图Figure 2 is A-A sectional view
图3为B处结构放大图Figure 3 is an enlarged view of the structure at B
图4A至4C为本发明经口胃管的置入过程示意图。4A to 4C are schematic diagrams of the insertion process of the orogastric tube of the present invention.
附图中1-第一管道;2-第二管道;3-胃内容物储存囊;4-单向阀;5-三通开关;6-第三管道;7-夹闭器;8-刻度管;9-球囊;10-葫芦形通口;11-实心引导头;In the drawings, 1-first pipeline; 2-second pipeline; 3-stomach contents storage bag; 4-check valve; 5-three-way switch; 6-third pipeline; 7-clamp; 8-scale Tube; 9-balloon; 10-gourd-shaped port; 11-solid guide head;
具体实施方式Detailed ways
下面参考图4A至4C说明本实施例中的可抽取并储存胃内容物的经口胃管The oral gastric tube capable of extracting and storing gastric contents in this embodiment will be described below with reference to FIGS. 4A to 4C .
可抽取并储存胃内容物的经口胃管具体实施方式:该管包括刻度管及用于抽取胃液的第一管道、用于注射食物的第二管道、用于注水注气的第三管道,刻度管包括通过三通开关与第一管道、第二管道连通的内部管道、与第三管道连通的外部管道,其端部设有实心引导头、与外部管道连通并在刻度管置入到位时供由第三管道注入的生理盐水或气体进入以固定刻度管的球囊、位于实心引导头与球囊之间并在刻度管固定后供胃液流入内部管道或由第二管道注入的食物进入胃部的通口;第一管道、第二管道的端口用于连接针筒,第一管道上设有胃内容物储存囊、位于胃内容物储存囊与三通开关之间并允许内部管道中的胃液流入胃内容物储存囊的单向阀,第三管道上设有在刻度管固定后封闭第三管道的夹闭器。Orogastric tube capable of extracting and storing gastric contents Specific embodiment: the tube includes a graduated tube and a first pipeline for extracting gastric juice, a second pipeline for injecting food, and a third pipeline for water injection and gas injection, The scale tube includes an inner pipe that communicates with the first pipe and the second pipe through a three-way switch, and an outer pipe that communicates with the third pipe, the end of which is provided with a solid guide head, communicated with the outer pipe, and when the scale pipe is placed in place For saline or gas injected from the third tube to enter the balloon to fix the graduated tube, between the solid guide head and the balloon and after the graduated tube is fixed for gastric juice to flow into the inner tube or food injected from the second tube into the stomach The ports of the first pipe and the second pipe are used to connect the syringe, and the first pipe is provided with a gastric content storage bag, which is located between the gastric content storage bag and the three-way switch and allows the internal pipe The gastric juice flows into the one-way valve of the gastric content storage bag, and the third pipeline is provided with a clamp for closing the third pipeline after the scale tube is fixed.
在插管之前,保证三通开关如图4A所示,以封闭第一管道和第二管道与下面刻度管的交通。第一步在刻度管道实心引导头部涂抹可食用润滑剂,如香油,蜂蜜等,使其更加顺利的插入食管。第二步插入到目标位置后,打开三通开关如图4B所示,打开第二管道端口盖,将第二管道端口置入水中观察有无气泡溢出。若无气泡,提示置入食管之中;若有气泡,提示置入气管之中,需重新置管。第三步打开第三管道夹闭器,然后经第三管道注入生理盐水,注射后轻拉管体,拔出有阻力提示置管成功,夹闭第三管道。第四步再将三通开关旋至图4C,打开第一管道端口盖,在第一管道端口处用大针筒抽取胃液,将胃液抽至胃内容物储存囊内,再将开关旋至图4B,关闭第一管道。第五步用新的针筒将流质食物注射入第二管道,注射完毕后,将三通开关旋至如图4A所示,关闭第二管道。第六步松开第三管道夹闭器,将生理盐水抽出,拔出管道即可。Before intubation, ensure that the three-way switch is shown in Figure 4A to close the communication of the first and second conduits with the graduated tube below. The first step is to apply edible lubricants, such as sesame oil, honey, etc., on the solid guide head of the graduated tube to make it easier to insert into the esophagus. In the second step, after inserting into the target position, turn on the three-way switch as shown in Figure 4B, open the second pipe port cover, and put the second pipe port into the water to observe whether there is bubble overflow. If there are no air bubbles, it indicates placement into the esophagus; if there are air bubbles, it indicates placement into the trachea, and the tube needs to be reinserted. The third step is to open the third tube clamp, and then inject normal saline through the third tube. After injection, gently pull the tube body, pull out the resistance to indicate the success of the tube placement, and clamp the third tube. The fourth step is to turn the three-way switch to Figure 4C, open the first pipeline port cover, use a large syringe to extract gastric juice at the first pipeline port, and pump the gastric juice into the gastric contents storage bag, and then turn the switch to Figure 4. 4B, close the first conduit. The fifth step is to inject the liquid food into the second pipeline with a new syringe. After the injection is completed, turn the three-way switch to the position shown in Figure 4A to close the second pipeline. Step 6: Loosen the third pipe clamp, pull out the physiological saline, and pull out the pipe.
以上为发明较佳的实施方式,本发明所属领域的技术人员还能够对上述实施方式进行变更和修改,如胃内容物储存囊可为长方体,正方体等;单向阀可为双开瓣,四开瓣型;引导头通口上小下大(凸字型,梯形) 都在本发明的保护范围。因此,本发明并不局限于上述的具体实施方式,凡是本领域技术人员在本发明的基础上所作的任何显而易见的改进、替换或变型均属于本发明的保护范围。The above are preferred embodiments of the invention, and those skilled in the art can also make changes and modifications to the above-mentioned embodiments. For example, the stomach contents storage bag can be a cuboid, a cube, etc.; The valve type; the upper and lower openings of the guide head (convex type, trapezoid) are all within the protection scope of the present invention. Therefore, the present invention is not limited to the above-mentioned specific embodiments, and any obvious improvement, replacement or modification made by those skilled in the art on the basis of the present invention belongs to the protection scope of the present invention.
Claims (6)
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