CN114376648A - A single sacculus device that is used for gastroesophageal varices to break and bleed - Google Patents
A single sacculus device that is used for gastroesophageal varices to break and bleed Download PDFInfo
- Publication number
- CN114376648A CN114376648A CN202210062413.7A CN202210062413A CN114376648A CN 114376648 A CN114376648 A CN 114376648A CN 202210062413 A CN202210062413 A CN 202210062413A CN 114376648 A CN114376648 A CN 114376648A
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- CN
- China
- Prior art keywords
- catheter
- balloon
- bleeding
- tube
- stomach
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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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
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- 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
- A61M2210/105—Oesophagus
-
- 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
Abstract
The utility model provides a single sacculus device for hemorrhage is ruptured to gastroesophageal varices, relates to the medical instrument field, and this a single sacculus device for hemorrhage is ruptured to gastroesophageal varices cancels the oesophageal sac of original three chamber two sacs pipe on the basis of original three chamber two sacs pipe, changes the shape of the stomach sac of original three chamber two sacs pipe, changes into oblate by the column body after making the stomach sac full.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a single balloon device for bleeding due to rupture of gastroesophageal varices.
Background
The three-cavity two-sac tube which is clinically used at present consists of a three-cavity tube, a stomach sac and an esophageal sac, when a patient generates hematemesis, the three-cavity tube is filled with water or the esophageal sac, and the stomach bottom and the lower esophageal vein are pressed through external traction to achieve the effect of hemostasis. Currently, gastric pouch hemostasis is mostly adopted, and esophageal pouch is rarely used. However, the three-lumen tube has the following problems: (1) the filled stomach bag is spherical, the compression range of the stomach bag is insufficient, the stomach bag can be separated into the esophagus due to insufficient water injection/gas, and adverse events such as inaccurate hemostasis effect, esophagus rupture or esophageal lower mucosa ulceration and necrosis are caused. (2) The material of three chambeies pipe itself is softer, attaches the oesophagus sacculus simultaneously, and the design overlength, leads to inserting to the stomach cavity through the nasal cavity comparatively difficult, after pulling, has the oesophagus bag to reach the laryngopharynx and arouses that patient is uncomfortable and oppress the laryngeal risk. (3) The three-cavity tube traction is complex, the used traction force is not only uncomfortable for patients but also causes esophageal and cardia erosion due to overlong compression time.
Disclosure of Invention
The invention aims to provide a single balloon device for bleeding from a ruptured gastroesophageal varices, so as to solve one of the problems.
The embodiment of the invention is realized by the following steps:
according to the single balloon device for the bleeding due to the rupture of the gastroesophageal varices, the esophageal balloon of the original three-cavity two-balloon tube is removed on the basis of the original three-cavity two-balloon tube, the shape of the gastric balloon of the original three-cavity two-balloon tube is changed, and the filled gastric balloon is changed into an oblate shape from a cylindrical body.
Optionally, the single balloon device for bleeding due to gastroesophageal varicose rupture comprises a catheter, a catheter external fixator, a catheter inner core and a balloon, wherein the catheter is internally provided with the inner core, the tail end of the catheter and the adjacent wall of the catheter are provided with holes, the head end of the catheter is connected with a negative pressure suction apparatus connecting pipe, and the catheter inner core can be drawn out and placed in again.
Optionally, the head end of the catheter is further connected with a balloon water injection connecting pipe.
Optionally, the negative pressure aspirator connecting pipe and the balloon water injection are respectively provided with a clamp.
Optionally, the outer wall of the tube body of the catheter is provided with a gastric pouch.
Optionally, the gastric pouch is oblate after filling.
Optionally, the gastric pouch is connected to the balloon water injection adapter by a thin tube passing through the inside of the catheter.
Optionally, the catheter external fixator fixes the catheter outside the nasal cavity after determined traction.
This application improves on the basis of original three chamber two bag pipes for the pernasal is inserted the back and is full of the sacculus, reaches hemostasis by compression's purpose rapidly. The esophageal pouch with extremely low utilization rate of the original three-lumen two-pouch tube is cancelled; the contact area of the balloon with the fundus stomach and the cardia opening is increased by changing the shape of the gastric pouch, so that the compression hemostasis effect of the gastric pouch at the fundus stomach and the cardia opening is enhanced; preventing the stomach pouch from slipping into the esophagus; by adding the inner core of the catheter, the insertion is convenient. The external catheter fixer is used for fixing the catheter outside the nasal cavity to achieve the tension required by traction and compression, and does not cause mucosa necrosis and patient discomfort caused by excessive compression.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
FIG. 1 is a reference view of a single balloon device for bleeding from ruptured gastroesophageal varices according to an embodiment of the invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings or the orientations or positional relationships that the products of the present invention are conventionally placed in use, and are only used for convenience in describing the present invention and simplifying the description, but do not indicate or imply that the devices or elements referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used solely to distinguish one from another and are not to be construed as indicating or implying relative importance.
Furthermore, the terms "horizontal", "vertical" and the like do not imply that the components are required to be absolutely horizontal or pendant, but rather may be slightly inclined. For example, "horizontal" merely means that the direction is more horizontal than "vertical" and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the present invention, it should also be noted that, unless otherwise explicitly specified or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Referring to fig. 1, the application is a single balloon device for bleeding due to rupture of gastroesophageal varices, which comprises a catheter 1, a catheter external fixator, a catheter inner core and a balloon.
The catheter 1 is internally provided with an inner core, and the tail end and the adjacent catheter wall of the inner core are provided with holes; the head end of the catheter 1 is connected with a negative pressure suction apparatus connecting pipe, and the catheter inner core can be drawn out and placed in again.
The head end of pipe 1 still is connected with sacculus water injection and takes over, negative pressure suction ware is taken over and the sacculus water injection is equallyd divide and is equipped with the clip respectively, the pipe shaft outer wall of pipe 1 is equipped with a stomach bag 3, and this bag is oblate after full, stomach bag 3 is connected to through a tubule through pipe 1 inside balloon water injection is taken over. The catheter external fixator fixes the catheter 1 outside the nasal cavity after determined traction.
The existing three-cavity two-sac tube is made of latex, the tube is soft, and the additional saccule increases friction with the nasal cavity and the nasopharynx part, so that the insertion is difficult; this application has shortened the length of load sacculus on pipe 1 indirectly through the shape that changes the sacculus to be equipped with the inner core in the pipe 1, made things convenient for the insertion operation greatly. The inner core can be repeatedly inserted into the catheter 1, when stomach contents, particularly blood clots block the catheter 1 in the traction process, the inner core can be used for recanalization, and the effect is better than that of flushing with water. The inflated saccule is changed into an oblate shape from a cylindrical body, so that the compression area of the saccule is increased, and the compression hemostasis effect is indirectly increased. The external catheter fixer prevents medical staff from using saline bottles and other additional weights to achieve the traction effect. Convenient nasal cavity insertion, simplified operation and enhanced hemostatic effect.
The application method comprises the following steps:
after the front end of the catheter 1 and the surface of the saccule are lubricated, the catheter is fed into the nasal cavity of a patient, the inner core is pulled out after the tube end is confirmed to reach the gastric cavity, and the suction content is confirmed again; injecting 250-300 ml of sterile water into the saccule, clamping the lumen, then pulling the catheter 1 outwards, and fixing the external device of the nasal cavity when the medium elastic resistance is felt, so as to achieve the purpose of full compression. The catheter 1 is externally connected with a negative pressure ball, the stomach content is sucked to observe whether bleeding continues, and nasal feeding and related treatment can be carried out from the catheter. When the catheter 1 is blocked, the inner core can be inserted again for recanalization. After bleeding stops for 24 hours, the fixator is removed, the saccule is released and then the compression is released, the blood vessel is kept in the stomach for observation for 24 hours, if no bleeding occurs again, the catheter 1 can be pulled out.
This application improves on the basis of original three chamber two bag pipes for the pernasal is inserted the back and is full of the sacculus, reaches hemostasis by compression's purpose rapidly. The esophageal pouch with extremely low utilization rate of the original three-lumen two-pouch tube is cancelled; the contact area of the balloon with the fundus stomach and the cardia opening 2 is increased by changing the shape of the gastric pouch 3, so that the compression hemostasis effect of the gastric pouch 3 at the fundus stomach and the cardia opening 2 is enhanced; preventing the stomach pouch 3 from slipping into the esophagus; by adding the inner core of the catheter, the insertion is convenient. The external catheter fixer is used for fixing the catheter 1 outside the nasal cavity to achieve the tension required by traction and compression, and does not cause mucosa necrosis and patient discomfort caused by excessive compression.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (8)
1. A single saccule device for the bleeding caused by the rupture of the varicose vein of the gastroesophageal vein is characterized in that on the basis of an original three-cavity two-saccule tube, an oesophageal sac of the original three-cavity two-saccule tube is removed, the shape of the stomach sac of the original three-cavity two-saccule tube is changed, and a cylindrical body is changed into an oblate shape after the stomach sac is filled.
2. The device of claim 1, wherein the device comprises a catheter, an external catheter fixator, an inner catheter core and a balloon, the inner catheter core is arranged in the catheter, openings are formed in the tail end and the adjacent wall of the catheter, a negative pressure suction device connecting pipe is connected to the head end of the catheter, and the inner catheter core can be drawn out and placed in the negative pressure suction device connecting pipe again.
3. The single balloon device for bleeding from a rupture of a varicose vein according to claim 2, wherein a balloon water injection adapter is further connected to the head end of the catheter.
4. The single-balloon device for bleeding from a variceal fracture of gastroesophageal vein according to claim 2, wherein the negative pressure aspirator connecting tube and the balloon water injection are each provided with a clip.
5. The single balloon device for bleeding from a rupture of a varicose vein according to claim 3, wherein the outer wall of the tube body of the catheter is provided with a gastric pouch.
6. The single balloon device for bleeding from a rupture of a gastroesophageal varices according to claim 5, wherein the stomach pouch is oblate after filling.
7. The single balloon device for bleeding from a variceal fracture of the gastroesophageal vein according to claim 6, wherein the stomach pouch is connected to the balloon water injection adapter by a thin tube passing through the inside of the catheter.
8. The single balloon device for bleeding from a rupture of a varicose vein according to claim 2, wherein a catheter external fixator fixes the catheter outside the nasal cavity after determined traction.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210062413.7A CN114376648A (en) | 2022-01-19 | 2022-01-19 | A single sacculus device that is used for gastroesophageal varices to break and bleed |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210062413.7A CN114376648A (en) | 2022-01-19 | 2022-01-19 | A single sacculus device that is used for gastroesophageal varices to break and bleed |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN114376648A true CN114376648A (en) | 2022-04-22 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210062413.7A Pending CN114376648A (en) | 2022-01-19 | 2022-01-19 | A single sacculus device that is used for gastroesophageal varices to break and bleed |
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| Country | Link |
|---|---|
| CN (1) | CN114376648A (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5400770A (en) * | 1992-01-15 | 1995-03-28 | Nakao; Naomi L. | Device utilizable with endoscope and related method |
| US5707355A (en) * | 1995-11-15 | 1998-01-13 | Zimmon Science Corporation | Apparatus and method for the treatment of esophageal varices and mucosal neoplasms |
| CN203043289U (en) * | 2013-01-08 | 2013-07-10 | 朱刚 | Multifunctional sengstaken-Blakemore tube |
| CN203089263U (en) * | 2013-03-11 | 2013-07-31 | 南阳医学高等专科学校第一附属医院 | Hemostasis balloon for upper gastrointestinal hemorrhage |
| CN203090194U (en) * | 2012-12-20 | 2013-07-31 | 深圳市人民医院 | Modified three-channel double-balloon catheter for gastric balloon |
| CN204995973U (en) * | 2015-08-12 | 2016-01-27 | 中国人民解放军第二军医大学 | Contain pressure measurement function from single miller -Abbotttube of tensioning |
-
2022
- 2022-01-19 CN CN202210062413.7A patent/CN114376648A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5400770A (en) * | 1992-01-15 | 1995-03-28 | Nakao; Naomi L. | Device utilizable with endoscope and related method |
| US5707355A (en) * | 1995-11-15 | 1998-01-13 | Zimmon Science Corporation | Apparatus and method for the treatment of esophageal varices and mucosal neoplasms |
| CN203090194U (en) * | 2012-12-20 | 2013-07-31 | 深圳市人民医院 | Modified three-channel double-balloon catheter for gastric balloon |
| CN203043289U (en) * | 2013-01-08 | 2013-07-10 | 朱刚 | Multifunctional sengstaken-Blakemore tube |
| CN203089263U (en) * | 2013-03-11 | 2013-07-31 | 南阳医学高等专科学校第一附属医院 | Hemostasis balloon for upper gastrointestinal hemorrhage |
| CN204995973U (en) * | 2015-08-12 | 2016-01-27 | 中国人民解放军第二军医大学 | Contain pressure measurement function from single miller -Abbotttube of tensioning |
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