CN205626683U - PICC catheter securement device - Google Patents

PICC catheter securement device Download PDF

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Publication number
CN205626683U
CN205626683U CN201620196279.XU CN201620196279U CN205626683U CN 205626683 U CN205626683 U CN 205626683U CN 201620196279 U CN201620196279 U CN 201620196279U CN 205626683 U CN205626683 U CN 205626683U
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storage bag
cloth
elastic band
catheter
utility
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程卢山
巢黔
熊菊连
蒋燕华
陈瑫
曾晓晨
吴寅
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Shanghai East Hospital
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Shanghai East Hospital
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Abstract

本实用新型为一种PICC导管固定装置。它包括弹力带、收纳袋,所述收纳袋包括位于收纳袋顶部的第一开口,所述收纳袋的中上部设有第二横向开口,所述收纳袋固定在所述弹力带上,所述弹力带的两端表面设有用于连接弹力带两端的粘贴层或所述弹力带的两端相连为一体。本实用新型可替代胶布固定导管体外部分,有效固定PICC导管的体外延长端,减少胶布固定导致的护理清洁和皮肤并发症问题,同时可遮盖导管,满足置管患者美观需求,整体结构简单、使用方便,佩戴舒适,提升患者置管舒适度,适于普遍推广应用。

The utility model relates to a PICC catheter fixing device. It includes an elastic band and a storage bag, the storage bag includes a first opening at the top of the storage bag, a second transverse opening is provided at the middle and upper part of the storage bag, the storage bag is fixed on the elastic band, the Both ends of the elastic band are provided with adhesive layers for connecting the two ends of the elastic band or the two ends of the elastic band are connected as a whole. The utility model can replace the adhesive tape to fix the external part of the catheter, effectively fix the external extension end of the PICC catheter, reduce the nursing cleaning and skin complications caused by the adhesive tape, and can cover the catheter at the same time to meet the aesthetic needs of the catheterized patient. The overall structure is simple and easy to use. The utility model is convenient and comfortable to wear, improves the patient's comfort level of tube placement, and is suitable for general popularization and application.

Description

PICC导管固定装置PICC Catheter Fixation Device

技术领域 technical field

本实用新型涉及一种医用导管固定工具,特别是公开一种PICC导管固定装置。 The utility model relates to a medical catheter fixing tool, in particular to a PICC catheter fixing device.

背景技术 Background technique

巴德三项瓣膜式PICC导管是临床中广泛使用的静脉输液通路,尤其在需要长期输液的肿瘤患者治疗中有着非常重要的作用,由于其留置时间可长达一年,患者出院期间,仍需定期门诊进行导管维护,维护间隔时间为7天。住院及出院期间导管有效固定是保障患者安全使用的前提。巴德三项瓣膜式PICC导管是在临床中非常常见的一种导管,其结构包括体内主管、蝶形翼以及延长管,其中蝶形翼及延长管在固定导管时,一般置于贴膜之外,长度共12cm,其固定是否妥当影响患者使用及置管舒适感受,当前临床中,PICC导管蝶形翼固定主要使用思乐扣,蝶形翼之后的延长管及肝素帽主要使用胶布固定在皮肤上,因经济和思乐扣过敏等原因,并非所有患者均使用思乐扣,临床中大多数的蝶形翼及延长管使用胶布固定,然而胶布固定存在诸多问题,影响患者带管舒适度和安全性。 Bard's three-valve PICC catheter is a widely used intravenous infusion access in clinical practice, especially in the treatment of tumor patients who need long-term infusion. Since its indwelling time can be as long as one year, it still needs to be used during discharge. Catheter maintenance was performed on a regular outpatient basis, with a maintenance interval of 7 days. Effective catheter fixation during hospitalization and discharge is a prerequisite for safe use of patients. Bard's three-valve PICC catheter is a very common catheter in clinical practice. Its structure includes a main tube in the body, butterfly wings and extension tubes. The butterfly wings and extension tubes are generally placed outside the patch when fixing the catheter. , with a total length of 12cm, whether the fixation is proper or not affects the patient’s use and the comfort of catheter placement. In current clinical practice, the butterfly wing of the PICC catheter is mainly fixed with the Slosh buckle, and the extension tube and heparin cap behind the butterfly wing are mainly fixed on the skin with adhesive plaster. In practice, not all patients use Slurlock because of economical reasons and allergies to Slurlock. In clinical practice, most butterfly wings and extension tubes are fixed with adhesive tape. safety.

使用胶布固定连接管和肝素帽存在的第一个问题是皮肤并发症,主要表现为皮肤破损,连接管和肝素帽为塑料材质,质地硬,留置期间其与皮肤直接接触,随着患者肢体活动摩擦及胶布固定时产生的压力,相当比例的患者均有发生皮损或水泡的经历,皮肤破损引起的疼痛和瘙痒严重影响患者置管期间的舒适度,以至于有的患者难以忍受,对置管及维护产生排斥心理,不能坚持到治疗结束即要求取出导管。当前临床解决此问题的方法为使用纱布包裹肝素帽及邻近导管,以减轻塑料材质直接接触皮肤引起的破损,但仍难以完全将塑料导管与皮肤隔开,另有严重胶布过敏患者,则使用纱布条捆绑固定连接管,该方法存在纱布条固定容易滑脱的问题,影响患者日常活动,目前临床上尚未有替代胶布的装置替代胶布固定连接管。 The first problem of using adhesive plaster to fix the connecting tube and heparin cap is skin complications, which mainly manifests as skin damage. The connecting tube and heparin cap are made of plastic and hard in texture. During the indwelling period, they are in direct contact with the skin, and with the movement of the patient's limbs A considerable proportion of patients have experienced skin lesions or blisters due to the pressure generated by friction and adhesive plaster fixation. The pain and itching caused by skin damage seriously affect the comfort of patients during catheterization, so that some patients cannot bear it. The tube and maintenance produce repulsive psychology, and if you can't persist until the end of the treatment, you will be required to take out the catheter. The current clinical solution to this problem is to use gauze to wrap the heparin cap and the adjacent catheter to reduce the damage caused by the direct contact of the plastic material with the skin, but it is still difficult to completely separate the plastic catheter from the skin. For patients with severe adhesive allergies, use gauze This method has the problem that the gauze strips are easy to slip off, which affects the daily activities of patients. At present, there is no device to replace the adhesive tape in clinical practice to replace the adhesive tape to fix the connecting tube.

胶布固定引起的第二个问题是皮肤清洁,胶布固定连接管后,患者衣物与胶布接触粘连,胶布痕迹混合衣物纤维,形成多个条带状痕迹,在清洁维护时,难以擦拭,尤其在冬季,带绒毛的衣物与胶布粘连,更容易出现此类问题,使用酒精或其他消毒液强力擦拭,会将皮肤擦破,若使用松节油等油剂,可稍微缓解,但另一方面又增加了护理操作的环节和时间成本,有患者对松节油过敏,或者化疗期患者,难以接受其特殊气味,使松节油不能普及使用。遗留的胶布痕迹长时间遗留在皮肤上,难以清除,患者感受度差,进一步影响患者带管依从性。 The second problem caused by adhesive tape fixation is skin cleaning. After the adhesive tape fixes the connecting pipe, the patient’s clothing will stick to the adhesive tape, and the traces of the adhesive tape will mix with the fibers of the clothes to form multiple strip-like traces. It is difficult to wipe during cleaning and maintenance, especially in winter , Clothing with fluff sticks to the tape, which is more prone to such problems. Using alcohol or other disinfectants to wipe strongly will scratch the skin. If you use turpentine and other oils, it can be slightly relieved, but on the other hand, it increases the care The link and time cost of the operation, some patients are allergic to turpentine, or patients in the chemotherapy period, it is difficult to accept its special smell, so that turpentine cannot be widely used. The remaining traces of adhesive tape remain on the skin for a long time, which is difficult to remove, and the patient's sensitivity is poor, which further affects the patient's compliance with the tube.

发明内容 Contents of the invention

本实用新型的目的在于克服现有技术中存在的问题,提供一种有效固定PICC导管的延长端,减少胶布固定导致的护理清洁和皮肤并发症问题,结构简单、使用方便的PICC导管固定装置。 The purpose of the utility model is to overcome the problems existing in the prior art, to provide a PICC catheter fixing device which can effectively fix the extension end of the PICC catheter, reduce nursing cleaning and skin complications caused by adhesive tape fixing, and has a simple structure and is easy to use.

本实用新型是这样实现的:一种PICC导管固定装置,其特征在于:包括弹力带、收纳袋,所述收纳袋包括位于收纳袋顶部的第一开口,所述收纳袋的中上部设有第二横向开口,所述收纳袋固定在所述弹力带上,所述弹力带的两端表面设有用于连接弹力带两端的粘贴层或所述弹力带的两端相连为一体。 The utility model is realized in the following way: a PICC catheter fixing device is characterized in that it includes an elastic band and a storage bag, the storage bag includes a first opening at the top of the storage bag, and the middle and upper part of the storage bag is provided with a second opening. Two transverse openings, the storage bag is fixed on the elastic band, the two ends of the elastic band are provided with an adhesive layer for connecting the two ends of the elastic band or the two ends of the elastic band are connected as a whole.

所述收纳袋包括上层布片、下层布片,所述上层布片与下层布片上下排列且在上层布片与下层布片的交接处形成所述第二横向开口,所述第二横向开口位于收纳袋顶部往下1/3处;所述上层布片的两侧、下层布片的两侧和下层布片的底部分别与所述弹力带固定连接。 The storage bag includes an upper layer of cloth and a lower layer of cloth, the upper layer of cloth and the lower layer of cloth are arranged up and down and the second transverse opening is formed at the junction of the upper layer of cloth and the lower layer of cloth, the second transverse opening It is located at the bottom 1/3 of the top of the storage bag; the two sides of the upper layer of cloth, the two sides of the lower layer of cloth and the bottom of the lower layer of cloth are respectively fixedly connected with the elastic band.

所述上层布片的底部与所述下层布片的顶部相互交叠,交叠部分长度为2cm。 The bottom of the upper layer of cloth overlaps the top of the lower layer of cloth, and the length of the overlapping part is 2 cm.

所述弹力带、收纳袋的高度分别为7.5~8.5cm;所述收纳袋的宽度为5cm~5.5cm。 The heights of the elastic band and the storage bag are respectively 7.5-8.5 cm; the width of the storage bag is 5 cm-5.5 cm.

本实用新型的有益效果是:可替代胶布固定导管体外部分,有效固定PICC导管的延长端,减少胶布固定导致的护理清洁和皮肤并发症问题,同时可遮盖导管,满足置管患者美观需求,整体结构简单、使用方便,佩戴舒适,本实用新型使导管体外延长段完全置入柔软舒适的收纳袋内,避免其直接接触皮肤从而引起皮肤并发症,同时弹力绷带的使用,替代胶布固定皮肤,消除了胶布固定引起的皮肤清洁问题,减少临床护理操作时间和环节,适于普遍推广应用。 The beneficial effects of the utility model are: it can replace the adhesive tape to fix the external part of the catheter, effectively fix the extension end of the PICC catheter, reduce the nursing cleaning and skin complications caused by the adhesive tape, and at the same time cover the catheter to meet the aesthetic needs of the catheterized patient. Simple structure, easy to use, and comfortable to wear. The utility model makes the external extension of the catheter completely placed in a soft and comfortable storage bag, avoiding direct contact with the skin and causing skin complications. At the same time, the use of elastic bandages replaces adhesive tape to fix the skin, eliminating It solves the problem of skin cleaning caused by adhesive plaster fixation, reduces the time and links of clinical nursing operations, and is suitable for general promotion and application.

附图说明 Description of drawings

图1是本实用新型结构示意图。 Fig. 1 is the structural representation of the utility model.

图2是本实用新型在收纳袋中放入导管时的结构示意图。 Fig. 2 is a structural schematic view of the utility model when the catheter is placed in the storage bag.

图3是本实用新型实施例一的结构示意图。 Fig. 3 is a structural schematic diagram of Embodiment 1 of the utility model.

其中:1、弹力带;11、粘贴层;2、收纳袋;21、第一开口;22、第二横向开口;23、上层布片;24、下层布片;3、导管体外段。 Among them: 1. elastic band; 11. adhesive layer; 2. storage bag; 21. first opening; 22. second transverse opening; 23. upper layer of cloth; 24. lower layer of cloth;

具体实施方式 detailed description

根据图1、图2,本实用新型包括弹力带1、收纳袋2,所述收纳袋2包括位于收纳袋顶部的第一开口21,所述收纳袋2的中上部设有第二横向开口22,所述收纳袋2固定在所述弹力带1上,所述弹力带1的两端表面设有用于连接弹力带1两端的粘贴层11。所述弹力带1、收纳袋2的高度分别为7.5~8.5cm,优选8cm。收纳袋宽度为5-5.5cm,优选5cm宽度。所述收纳袋2可采用柔软和透气的材质,如棉布、麻布等,使皮肤触感良好。 According to Fig. 1, Fig. 2, the utility model comprises elastic belt 1, storage bag 2, and described storage bag 2 comprises the first opening 21 that is positioned at the top of storage bag, and the middle upper part of described storage bag 2 is provided with the second transverse opening 22 , the storage bag 2 is fixed on the elastic band 1 , and the two ends of the elastic band 1 are provided with an adhesive layer 11 for connecting the two ends of the elastic band 1 . The heights of the elastic band 1 and the storage bag 2 are respectively 7.5-8.5 cm, preferably 8 cm. Storage bag width is 5-5.5cm, preferably 5cm width. The storage bag 2 can be made of soft and breathable material, such as cotton cloth, linen, etc., so that the skin feels good.

所述收纳袋2包括上层布片23、下层布片24,所述上层布片23与下层布片24上下排列且在上层布片23与下层布片24的交接处形成所述第二横向开口22,所述第二横向开口22位于收纳袋2顶部往下1/3处;所述上层布片23的底部与所述下层布片24的顶部相互交叠。所述上层布片23的两侧、下层布片24的两侧和下层布片24的底部分别与所述弹力带1固定连接。 The storage bag 2 includes an upper layer of cloth 23 and a lower layer of cloth 24, the upper layer of cloth 23 and the lower layer of cloth 24 are arranged up and down and the second transverse opening is formed at the junction of the upper layer of cloth 23 and the lower layer of cloth 24 22. The second transverse opening 22 is located at 1/3 of the top of the storage bag 2; the bottom of the upper cloth sheet 23 and the top of the lower cloth sheet 24 overlap each other. The two sides of the upper cloth piece 23 , the two sides of the lower cloth piece 24 and the bottom of the lower cloth piece 24 are respectively fixedly connected with the elastic band 1 .

本实用新型使用时,将患者身上的导管体外段3,通过所述第二横向开口22置入所述收纳袋2中,先将导管肝素帽段置入收纳袋底端,然后将导管延长管部分弯曲形成U型,使导管体外段3完全置入收纳袋内。然后将弹力带1的两端环绕患者肢体,通过粘贴层11固定即可。所述第一开口21方便整理和观察导管体外段3,导管输液时将肝素帽端从第一开口21拉出,结束输液后,再将导管弯曲放置入收纳袋2内。 When the utility model is in use, put the extracorporeal section 3 of the catheter on the patient's body into the storage bag 2 through the second transverse opening 22, first put the heparin cap section of the catheter into the bottom end of the storage bag, and then place the catheter extension tube Part of it is bent to form a U shape, so that the outer section 3 of the catheter can be completely placed in the storage bag. Then wrap the two ends of the elastic band 1 around the limbs of the patient and fix it through the adhesive layer 11 . The first opening 21 is convenient for organizing and observing the extracorporeal segment 3 of the catheter. When the catheter is infused, the heparin cap end is pulled out from the first opening 21 .

下面通过具体实施例对本实用新型作进一步阐述。 Below by specific embodiment the utility model is further elaborated.

实施例一: Embodiment one:

根据图3,本实施例与上述不同的是,所述弹力带1的两端相连为一体,形成环形,使用时可直接将本实用新型套在患者肢体上,再进行调节位置。其余结构如上述。 According to Fig. 3, the difference between the present embodiment and the above is that the two ends of the elastic band 1 are connected together to form a ring shape, and the utility model can be directly placed on the patient's limb during use, and then the position can be adjusted. The rest of the structure is as above.

Claims (4)

1.一种PICC导管固定装置,其特征在于:包括弹力带、收纳袋,所述收纳袋包括位于收纳袋顶部的第一开口,所述收纳袋的中上部设有第二横向开口,所述收纳袋固定在所述弹力带上,所述弹力带的两端表面设有用于连接弹力带两端的粘贴层或所述弹力带的两端相连为一体。 1. A PICC catheter fixing device is characterized in that: comprise elastic band, storage bag, described storage bag comprises the first opening that is positioned at storage bag top, and the middle upper part of described storage bag is provided with the second transverse opening, described The storage bag is fixed on the elastic band, and the two ends of the elastic band are provided with an adhesive layer for connecting the two ends of the elastic band or the two ends of the elastic band are connected as a whole. 2.根据权利要求 1 所述的PICC导管固定装置,其特征在于:所述收纳袋包括上层布片、下层布片,所述上层布片与下层布片上下排列且在上层布片与下层布片的交接处形成所述第二横向开口,所述第二横向开口位于收纳袋顶部往下1/3处;所述上层布片的两侧、下层布片的两侧和下层布片的底部分别与所述弹力带固定连接。 2. The PICC catheter fixing device according to claim 1, wherein the storage bag comprises an upper layer of cloth and a lower layer of cloth, and the upper layer of cloth and the lower layer of cloth are arranged up and down and between the upper layer of cloth and the lower layer of cloth. The junction of the sheets forms the second transverse opening, the second transverse opening is located at the bottom 1/3 of the top of the storage bag; the two sides of the upper layer of cloth, the two sides of the lower layer of cloth and the bottom of the lower layer of cloth respectively fixedly connected with the elastic bands. 3.根据权利要求2所述的PICC导管固定装置,其特征在于:所述上层布片的底部与所述下层布片的顶部相互交叠,交叠长度为2cm。 3 . The PICC catheter fixing device according to claim 2 , wherein the bottom of the upper layer of cloth overlaps the top of the lower layer of cloth with an overlap length of 2 cm. 4 . 4.根据权利要求 1 所述的PICC导管固定装置,其特征在于:所述弹力带、收纳袋的高度分别为7.5~8.5cm;所述收纳袋的宽度为5cm~5.5cm。 4. The PICC catheter fixing device according to claim 1, characterized in that: the height of the elastic band and the storage bag are respectively 7.5-8.5 cm; the width of the storage bag is 5 cm-5.5 cm.
CN201620196279.XU 2016-03-15 2016-03-15 PICC catheter securement device Expired - Fee Related CN205626683U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108126267A (en) * 2018-02-10 2018-06-08 威海吉威重症医疗制品有限公司 A kind of PICC conduits

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108126267A (en) * 2018-02-10 2018-06-08 威海吉威重症医疗制品有限公司 A kind of PICC conduits

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