CN202982116U - Catheter type nasal cavity hemostat - Google Patents
Catheter type nasal cavity hemostat Download PDFInfo
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- CN202982116U CN202982116U CN 201220626958 CN201220626958U CN202982116U CN 202982116 U CN202982116 U CN 202982116U CN 201220626958 CN201220626958 CN 201220626958 CN 201220626958 U CN201220626958 U CN 201220626958U CN 202982116 U CN202982116 U CN 202982116U
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- catheter
- nasal cavity
- air bag
- conical
- hemostat
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- 210000003928 nasal cavity Anatomy 0.000 title claims abstract description 13
- 239000002874 hemostatic agent Substances 0.000 title claims abstract description 10
- 230000023597 hemostasis Effects 0.000 claims description 2
- 208000002193 Pain Diseases 0.000 abstract description 5
- 230000036407 pain Effects 0.000 abstract description 5
- 230000006378 damage Effects 0.000 abstract description 4
- 210000004400 mucous membrane Anatomy 0.000 abstract description 2
- 208000032843 Hemorrhage Diseases 0.000 description 7
- 230000000740 bleeding effect Effects 0.000 description 7
- 238000012856 packing Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000002439 hemostatic effect Effects 0.000 description 3
- 210000000214 mouth Anatomy 0.000 description 3
- 210000003800 pharynx Anatomy 0.000 description 3
- 229940099259 vaseline Drugs 0.000 description 3
- ULGZDMOVFRHVEP-RWJQBGPGSA-N Erythromycin Chemical compound O([C@@H]1[C@@H](C)C(=O)O[C@@H]([C@@]([C@H](O)[C@@H](C)C(=O)[C@H](C)C[C@@](C)(O)[C@H](O[C@H]2[C@@H]([C@H](C[C@@H](C)O2)N(C)C)O)[C@H]1C)(C)O)CC)[C@H]1C[C@@](C)(OC)[C@@H](O)[C@H](C)O1 ULGZDMOVFRHVEP-RWJQBGPGSA-N 0.000 description 2
- 206010068318 Oropharyngeal discomfort Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- OKJPEAGHQZHRQV-UHFFFAOYSA-N iodoform Chemical compound IC(I)I OKJPEAGHQZHRQV-UHFFFAOYSA-N 0.000 description 2
- WABPQHHGFIMREM-UHFFFAOYSA-N lead(0) Chemical compound [Pb] WABPQHHGFIMREM-UHFFFAOYSA-N 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000002850 nasal mucosa Anatomy 0.000 description 2
- 210000001331 nose Anatomy 0.000 description 2
- 230000002485 urinary effect Effects 0.000 description 2
- UCTWMZQNUQWSLP-VIFPVBQESA-N (R)-adrenaline Chemical compound CNC[C@H](O)C1=CC=C(O)C(O)=C1 UCTWMZQNUQWSLP-VIFPVBQESA-N 0.000 description 1
- 229930182837 (R)-adrenaline Natural products 0.000 description 1
- 229920000742 Cotton Polymers 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 1
- 206010049771 Shock haemorrhagic Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 229960005139 epinephrine Drugs 0.000 description 1
- 208000001780 epistaxis Diseases 0.000 description 1
- 229960003276 erythromycin Drugs 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 210000001584 soft palate Anatomy 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- GKCBAIGFKIBETG-UHFFFAOYSA-N tetracaine Chemical compound CCCCNC1=CC=C(C(=O)OCCN(C)C)C=C1 GKCBAIGFKIBETG-UHFFFAOYSA-N 0.000 description 1
- 229960002372 tetracaine Drugs 0.000 description 1
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Abstract
Description
技术领域 technical field
本实用新型涉及一种医疗器械，具体是一种导管式鼻腔止血器。 The utility model relates to a medical device, in particular to a catheter type nasal cavity hemostat.
背景技术 Background technique
鼻出血在临床上是很常见的症状，大量失血可导致患者失血性休克；鼻腔填塞止血的材料前鼻孔常见的有：凡士林纱条、膨胀海绵、可吸收的明胶海绵等；后鼻孔常见的材料是用凡士林纱布或碘仿纱布做成与病人后鼻孔大小相似的锥形纱球。 Epistaxis is a very common clinical symptom, and a large amount of blood loss can lead to hemorrhagic shock in patients; materials for nasal packing to stop bleeding are common in the anterior nostrils: vaseline gauze, swelling sponge, absorbable gelatin sponge, etc.; common materials in the posterior nostrils Vaseline gauze or iodoform gauze is used to make a cone-shaped gauze ball similar in size to the patient's posterior nostril.
近年来，经鼻内镜微波、射频、等离子等先进治疗方法的应用，很大程度减轻了患者的痛苦。然而，有些患者出血部位隐蔽，经鼻内镜无法找到出血点，这时，我们就需要使用后鼻孔填塞止血方法。传统的后鼻孔纱球填塞止血效果确切，但需事先制作多种尺寸的纱球备用，放置与取出操作均较烦琐，患者痛苦大,易出现虚脱；有时要经多次试用才能选好大小合适的后鼻孔纱球，更增加了患者的痛苦及操作时的损伤。填塞之后纱球后端的引线需留置于咽腔或从口腔拉出，留置咽腔者常常出现引线黏附于纱球而导致取出困难，从口腔拉出者又引起口咽不适及进食不便。许多医生便想出用双腔导尿管进行后鼻孔填塞，该方法简单易行，疗效肯定。但也存在不便之处：（1）导尿管过长，固定在鼻面部影响美观。（2）气囊只是单纯的圆形，后鼻孔的形状是接近锥形的形状，会影响止血效果。 In recent years, the application of advanced treatment methods such as transnasal endoscopic microwave, radio frequency, and plasma has greatly reduced the suffering of patients. However, in some patients, the bleeding site is hidden, and the bleeding point cannot be found by nasal endoscopy. At this time, we need to use the posterior nostril packing method to stop bleeding. The traditional gauze ball packing in the posterior nostril has the exact hemostasis effect, but it is necessary to make gauze balls of various sizes in advance, and the operation of placing and taking them out is cumbersome. The back nostril gauze ball increases the pain of the patient and the injury during operation. After packing, the lead at the back end of the gauze ball needs to be left in the pharynx or pulled out from the oral cavity. Those who stay in the pharynx often have the lead stick to the gauze ball, making it difficult to remove, and those who are pulled out from the oral cavity cause oropharyngeal discomfort and inconvenient eating. Many doctors have come up with the idea of using a double-lumen urinary catheter to stuff the posterior nostrils. This method is simple and easy to implement and has a certain effect. But there are also inconveniences: (1) The urinary catheter is too long, and it is fixed on the nose and face, which affects the appearance. (2) The air bag is simply circular, and the shape of the posterior nostril is close to a cone shape, which will affect the hemostatic effect.
发明内容 Contents of the invention
本实用新型为了能够快速简单地止住鼻孔出血，特提出一种导管式鼻腔止血器。 In order to quickly and simply stop nostril bleeding, the utility model proposes a catheter type nasal cavity hemostat.
为此本实用新型的技术方案为，一种导管式鼻腔止血器，包括一根导管，其特征在于：在导管的尾部设有锥形气囊，锥形气囊的锥部通过充气管连接有单向充气阀。 For this reason, the technical solution of the utility model is a catheter-type nasal cavity hemostat, which includes a catheter, and is characterized in that: a conical airbag is arranged at the tail of the catheter, and the cone of the conical airbag is connected with a one-way valve through an inflatable tube. inflation valve.
对上述方案的改进在于：所述的导管长150~180mm，导管外径为4~5mm。 The improvement to the above scheme is that: the length of the catheter is 150-180 mm, and the outer diameter of the catheter is 4-5 mm.
有益效果： Beneficial effect:
本实用新型设计新颖，操作简单，气囊压力大小可随意控制，极大地缩短了填塞的操作时间，减少对鼻咽黏膜的损伤，减轻了患者痛苦，而且取出方便，美观，费用低廉，患者易于接受。 The utility model is novel in design, simple in operation, and the pressure of the air bag can be controlled at will, which greatly shortens the operation time of stuffing, reduces the damage to the nasopharyngeal mucous membrane, relieves the pain of the patient, and is convenient to take out, beautiful in appearance, low in cost, and easy to accept by the patient. .
附图说明 Description of drawings
图1是本实用新型的结构示意图。 Fig. 1 is a structural representation of the utility model.
图中1是导管，2是锥形气囊，3是充气管，4是单向阀。 Among the figure, 1 is a catheter, 2 is a conical air bag, 3 is an inflatable tube, and 4 is a one-way valve.
具体实施方式 Detailed ways
本实用新型如图1所示， The utility model is shown in Figure 1,
一种导管式鼻腔止血器，包括一根导管1，在导管1的尾部设有锥形气囊2，锥形气囊2的锥部通过充气管3连接有单向充气阀4。
A catheter-type nasal cavity hemostat comprises a catheter 1, a conical air bag 2 is arranged at the tail of the catheter 1, and a one-way inflation valve 4 is connected to the conical part of the conical air bag 2 through an
导管2长150~180mm，导管外径为3~5mm。 The length of the catheter 2 is 150-180 mm, and the outer diameter of the catheter is 3-5 mm.
在使用时将其锥形气囊2内注入0.9%氯化钠（约8～16 ml），可压迫后鼻孔出血点，起止血作用，可减轻患者痛苦，减轻咽喉部的不适感。 When in use, 0.9% sodium chloride (about 8-16 ml) is injected into the conical air bag 2, which can compress the bleeding point of the posterior nostril and play a hemostatic effect, which can relieve the pain of the patient and relieve the discomfort of the throat. the
使用时患者取坐位或半坐卧位，彻底清除鼻腔内积血后，用肾上腺素丁卡因棉片收缩麻醉患侧鼻腔黏膜。 When in use , the patient takes a sitting or semi-sitting position. After the blood in the nasal cavity is completely removed, the nasal mucosa of the affected side is contracted and anesthetized with epinephrine tetracaine cotton pads.
步骤1、取一根本实用新型，注入少量气体放置于生理盐水盆里湿润并确认无漏气后擦干，将表面涂上红霉素软膏（润滑鼻腔粘膜，防止粘连），经下鼻道将导管放于患侧鼻腔，使气囊刚好越过后鼻孔部位，用10 ml注射器向锥形气囊2内注软腭明显隆起。 Step 1. Take a basic utility model, inject a small amount of gas and place it in a normal saline basin to moisten it and confirm that there is no air leakage, then wipe it dry, apply erythromycin ointment on the surface (to lubricate the nasal mucosa to prevent adhesion), and put it through the lower nasal passage. The catheter was placed in the nasal cavity of the affected side, so that the air bag just crossed the posterior nostril, and a 10 ml syringe was used to inject the soft palate into the conical air bag 2 with obvious bulge.
步骤2、助手向前牵拉，使膨胀的锥形气囊2，堵塞于后鼻孔，鼻腔内用凡士林纱条从上到中，再从下至中依次填塞，使导管1位于中央。 Step 2. The assistant pulls forward to make the inflated conical air bag 2 block the posterior nostril, and fill the nasal cavity with Vaseline gauze from top to middle, and then from bottom to middle, so that the catheter 1 is located in the center.
步骤3、观察无出血后，在前鼻孔处用7#丝线结扎固定导管防止内滑，填塞后常规应用抗生素预防感染。
本实用新型锥形结构与后鼻孔的形状相近，止血效果好，设计新颖，气囊压力大小可随意控制，操作简单；极大地缩短了填塞的操作时间，减少对鼻咽黏膜的损伤，而且取出方便。避免了传统的填塞之后纱球后端的引线需留置于咽腔或从口腔拉出，留置咽腔者常常出现引线黏附于纱球而导致取出困难，从口腔拉出者又引起口咽不适及进食不便，减轻了患者痛苦；传统方法的锥形纱条填塞后鼻外部有纱块固定，少量渗血即可污染，影响美观；而应用一次性硅胶气囊导管止血器鼻外部美观，费用低廉，患者易于接受。 The conical structure of the utility model is similar to the shape of the posterior nostril, has good hemostatic effect, novel design, the pressure of the air bag can be controlled at will, and the operation is simple; the operation time of stuffing is greatly shortened, the damage to the nasopharyngeal mucosa is reduced, and it is convenient to take out . It avoids the need to indwell the pharyngeal cavity or pull out the lead wire at the back end of the gauze ball after the traditional packing. Those who keep the pharyngeal cavity often have the lead wire stick to the gauze ball, making it difficult to remove, and those who pull it out from the oral cavity cause oropharyngeal discomfort and eating It is inconvenient and relieves the pain of the patient; after the tapered gauze is stuffed in the traditional method, there is a gauze block fixed on the outside of the nose, and a small amount of blood can be polluted, which affects the appearance; while the use of a disposable silicone balloon catheter hemostat is beautiful, the cost is low, and the patient Easy to accept.
Claims (2)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220626958 CN202982116U (en) | 2012-11-25 | 2012-11-25 | Catheter type nasal cavity hemostat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220626958 CN202982116U (en) | 2012-11-25 | 2012-11-25 | Catheter type nasal cavity hemostat |
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| Publication Number | Publication Date |
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| CN202982116U true CN202982116U (en) | 2013-06-12 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN 201220626958 Expired - Fee Related CN202982116U (en) | 2012-11-25 | 2012-11-25 | Catheter type nasal cavity hemostat |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107997802A (en) * | 2018-01-11 | 2018-05-08 | 四川大学华西医院 | Bone space precise hemostasis device |
| CN115089252A (en) * | 2022-06-28 | 2022-09-23 | 中山大学肿瘤防治中心（中山大学附属肿瘤医院、中山大学肿瘤研究所） | A slidable and adjustable visualization nasopharyngeal balloon device |
-
2012
- 2012-11-25 CN CN 201220626958 patent/CN202982116U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107997802A (en) * | 2018-01-11 | 2018-05-08 | 四川大学华西医院 | Bone space precise hemostasis device |
| CN115089252A (en) * | 2022-06-28 | 2022-09-23 | 中山大学肿瘤防治中心（中山大学附属肿瘤医院、中山大学肿瘤研究所） | A slidable and adjustable visualization nasopharyngeal balloon device |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| C17 | Cessation of patent right | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20130612 Termination date: 20131125 |