CN206463242U - A kind of visual nasointestinal tube - Google Patents

A kind of visual nasointestinal tube Download PDF

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Publication number
CN206463242U
CN206463242U CN201621182282.2U CN201621182282U CN206463242U CN 206463242 U CN206463242 U CN 206463242U CN 201621182282 U CN201621182282 U CN 201621182282U CN 206463242 U CN206463242 U CN 206463242U
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tail end
visual
nasointestinal tube
optical fiber
tube
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万兵
孙文文
杨丽萍
施良
符海燕
盛悦
张�浩
陈义坤
刘青
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Affiliated Hospital of Jiangsu University
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Abstract

本实用新型提供一种可视鼻肠管,其特征在于,包括管体和贯穿在管体内的导引钢丝和光导纤维;所属管体整体呈Y字形结构,呈透明状的圆滑封闭结构的一端为头端,另一端分叉成第一尾端和第二尾端;所述导引钢丝和光导纤维自第一尾端伸入管体延伸至头端;所述光导纤维伸出第一尾端的一端可用于连接显示器,伸至头端的另一端设置有窥镜。该可视鼻肠管能实时掌握鼻肠管的进入位置,避免盲插给患者带来的再次伤害;并且,通过牵拉牵引丝可实时调整鼻肠管的前进方向,以便更快达到目的位置,插入时间短,减轻病人的心理和生理负担;导引钢丝和光导纤维通过薄膜包裹,方便一体化操作,减少插管时间。

The utility model provides a visible nasointestinal tube, which is characterized in that it comprises a tube body and a guide steel wire and an optical fiber penetrating through the tube body; The head end, the other end is bifurcated into a first tail end and a second tail end; the guide steel wire and the optical fiber extend from the first tail end into the tube body and extend to the head end; the optical fiber extends out of the first tail end One end can be used to connect to a monitor, and the other end extending to the head end is provided with a speculum. The visible naso-intestinal tube can grasp the entry position of the naso-intestinal tube in real time to avoid re-injury to the patient caused by blind insertion; moreover, the forward direction of the naso-intestinal tube can be adjusted in real time by pulling the traction wire, so as to reach the target position faster and the insertion time can be shortened. Short, reducing the psychological and physical burden of the patient; the guide wire and optical fiber are wrapped by a film, which is convenient for integrated operation and reduces the time for intubation.

Description

一种可视鼻肠管A visible nasogastric tube

技术领域technical field

本实用新型涉及医用器具技术领域,具体涉及一种可视鼻肠管。The utility model relates to the technical field of medical appliances, in particular to a visible naso-intestinal tube.

背景技术Background technique

鼻肠管在临床工作中广泛使用。在临床工作中,医务人员对病人进行置管时,大多通过盲插的办法置管到胃内,鼻肠管通过胃蠕动自行通过幽门。也有部分产品前端呈螺旋状设计,且有记忆性能,在胃蠕动的作用下,鼻肠管头端较易通过幽门进入肠腔。需要指出的是很多危重病患者往往合并胃肠动力减弱或消失,这时,需借助胃镜下操作通过幽门,不但耗时长,且进一步增加了病人的痛苦及医疗费用。Nasointestinal tubes are widely used in clinical work. In clinical work, when medical personnel place a tube on a patient, they usually insert the tube into the stomach through blind insertion, and the nasointestinal tube passes through the pylorus by itself through gastric peristalsis. There are also some products with a helical front end and a memory function. Under the action of gastric peristalsis, the head end of the nasointestinal tube can enter the intestinal cavity through the pylorus more easily. It should be pointed out that many critically ill patients often have weakened or disappeared gastrointestinal motility. At this time, it is necessary to operate through the pylorus with the help of a gastroscope, which not only takes a long time, but also further increases the patient's pain and medical expenses.

现有公告号cN 102743296 A的中国专利公开了一种可视性鼻肠管,该专利鼻肠管包括用于传输营养素的鼻肠管管体和用于传输鼻肠管前端图像的内窥镜,内窥镜与鼻肠管管体并排设置,以观察和拍摄鼻肠管到达患者体内的具体位置。该专利使鼻肠管的插管过程由盲插变为可视的,但设计较为复杂。更重要的是,该设备虽然可以通过内窥镜观察到内部具体情况,却不能根据位置信息做任何调整,也就是无法有效根据具体情况引导鼻肠管通过幽门。The Chinese patent with the existing notification number cN 102743296 A discloses a visible nasointestinal tube, which includes a nasointestinal tube body for transmitting nutrients and an endoscope for transmitting images of the front end of the nasointestine tube. It is set side by side with the nasointestinal tube body to observe and photograph the specific position where the nasointestinal tube arrives in the patient's body. This patent makes the intubation process of the nasointestinal tube change from blind insertion to visual, but the design is relatively complicated. More importantly, although the device can observe the specific internal conditions through the endoscope, it cannot make any adjustments based on the position information, that is, it cannot effectively guide the nasointestinal tube through the pylorus according to the specific conditions.

实用新型内容Utility model content

本实用新型的目的是提供一种可视鼻肠管,用以解决现有鼻肠管盲插且无法调整鼻肠管位置的问题,同时,也尝试提出一种结构简单、使用方便、制造成本低的解决方案。The purpose of this utility model is to provide a visual nasointestinal tube to solve the problem of blind insertion of the existing nasointestinal tube and the inability to adjust the position of the nasointestinal tube. plan.

为达到上述目的,本实用新型所采用的技术方案是,提供一种可视鼻肠管,包括管体和贯穿在管体内的导引钢丝和光导纤维;所属管体整体呈Y字形结构,呈透明状的圆滑封闭结构的一端为头端,另一端分叉成第一尾端和第二尾端;所述导引钢丝和光导纤维自第一尾端伸入管体延伸至头端;所述光导纤维伸出第一尾端的一端可用于连接显示器,伸至头端的另一端设置有窥镜。In order to achieve the above purpose, the technical solution adopted by the utility model is to provide a visible nasointestinal tube, including a tube body and a guide wire and an optical fiber running through the tube body; the whole tube body has a Y-shaped structure and is transparent One end of the smooth closed structure is the head end, and the other end is bifurcated into the first tail end and the second tail end; the guide steel wire and the optical fiber extend from the first tail end into the tube body and extend to the head end; One end of the optical fiber extending from the first tail end can be used to connect to a display, and the other end extending to the head end is provided with a sight glass.

进一步地,所述导引钢丝和光导纤维外均设置有包裹薄膜。Further, wrapping films are provided on the outside of the guide steel wire and the optical fiber.

进一步地,所述包裹薄膜的端面上设置有沿圆周方向均匀分布的3根牵引丝,牵引丝的一端延伸至头端处固定,牵引丝的另一端活动延伸至第一尾端处。Further, three pulling wires evenly distributed along the circumferential direction are arranged on the end surface of the wrapping film, one end of the pulling wire extends to the head end to be fixed, and the other end of the pulling wire extends to the first tail end movably.

进一步地,所述牵引丝为软钢丝或细线。Further, the pulling wire is soft steel wire or thin wire.

进一步地,靠近头端的所述管体两侧开设有相互错位的第一侧切口和第二侧切口。Further, a first side cutout and a second side cutout that are offset from each other are formed on both sides of the tube body near the head end.

进一步地,所述第一尾端柔性连接有大小与尾端相匹配的第一密封帽,第二尾端柔性连接有大小与尾端相匹配的第二密封帽。Further, the first tail end is flexibly connected with a first sealing cap whose size matches the tail end, and the second tail end is flexibly connected with a second sealing cap whose size matches the tail end.

优选地,所述管体的内径为2.5mm~3mm,外径为3.5mm~4mm。Preferably, the inner diameter of the tube body is 2.5mm-3mm, and the outer diameter is 3.5mm-4mm.

优选地,所述管体长度为110cm~140cm。Preferably, the length of the tube body is 110cm-140cm.

综上所述,本实用新型所提供的可视鼻肠管具有以下优点:To sum up, the visible naso-intestinal tube provided by the utility model has the following advantages:

1、通过光导纤维分别连接窥镜和显示器,能实时掌握鼻肠管的进入位置,避免盲插给患者带来的再次伤害;1. The speculum and the monitor are respectively connected through the optical fiber, so that the entry position of the nasointestinal tube can be grasped in real time, and the re-injury caused by blind insertion to the patient can be avoided;

2、头端处包裹薄膜外设置有牵引丝,通过牵拉牵引丝,调整鼻肠管的前进方向,以便更快达到目的位置,插入时间短,减轻对病人的心理和生理负担;2. There is a traction wire outside the wrapping film at the head end. By pulling the traction wire, the forward direction of the nasointestinal tube can be adjusted so as to reach the target position faster, and the insertion time is short, reducing the psychological and physical burden on the patient;

3、通过将管体的头端设置为透明状的圆滑封闭结构,不仅有利于光导纤维探头采集信号,同时,圆滑封闭的钝圆设计还可以有效地避免损失机体组织。3. By setting the head end of the tube body as a transparent, smooth and closed structure, it is not only beneficial to the optical fiber probe to collect signals, but at the same time, the smooth and closed blunt round design can also effectively avoid loss of body tissue.

4、管体的头端处的包裹薄膜端沿与3个牵引丝一端固定,牵引丝另一端活动延伸至第一尾端处。3个牵引丝均匀设置在包裹薄膜的端面上,其余部分可活动。根据实时观测的鼻肠管位置信息,可根据需要通过牵拉三条细软钢丝的其中某一条起到调节导管前端指向(即前进方向),从而顺利到达并通过幽门部位。4. The end edge of the wrapped film at the head end of the tube body is fixed to one end of the three pulling wires, and the other end of the pulling wires moves to the first tail end. The three drawing wires are evenly arranged on the end face of the wrapping film, and the rest are movable. According to the position information of the nasointestinal tube observed in real time, one of the three soft steel wires can be pulled to adjust the direction of the front end of the catheter (that is, the forward direction) as needed, so as to reach and pass through the pylorus smoothly.

5、通过在导引钢丝和光导纤维外设置薄膜包裹,方便一体化操作,结构简单,插管完成时抽出导引钢丝,减少插管时间。5. By wrapping the guide steel wire and the optical fiber with a film, it is convenient for integrated operation and has a simple structure. When the intubation is completed, the guide steel wire is pulled out to reduce the intubation time.

6、通过在第一尾端和第二尾端处匹配设置有第一密封帽和第二密封帽,可防止外源污染,安全可靠,实用方便,明显提高患者舒适度。6. The first sealing cap and the second sealing cap are matched at the first tail end and the second tail end, which can prevent external source pollution, is safe, reliable, practical and convenient, and significantly improves patient comfort.

附图说明Description of drawings

此处所说明的附图用来提供对本申请的进一步理解,构成本申请的一部分,在这些附图中使用相同的参考标号来表示相同或相似的部分,本申请的示意性实施例及其说明用于解释本申请,并不构成对本申请的不当限定。在附图中:The accompanying drawings described here are used to provide a further understanding of the application and constitute a part of the application. In these drawings, the same reference numerals are used to indicate the same or similar parts. The illustrative embodiments of the application and their descriptions are used The purpose of explaining this application does not constitute an improper limitation of this application. In the attached picture:

图1是本实用新型所提供的可视鼻肠管的一个实施例的结构示意图。Fig. 1 is a schematic structural view of an embodiment of a visible nasointestinal tube provided by the present invention.

图2是本实用新型所提供的可视鼻肠管的包裹薄膜的截面结构示意图。Fig. 2 is a schematic cross-sectional structure diagram of the wrapping film of the visible nasointestinal tube provided by the present invention.

其中:1.管体,2.第一尾端,3.头端,4.导引钢丝,5.光导纤维,6.包裹薄膜,7.牵引丝,8.第二尾端,9.第二密封帽,10.显示器,11.窥镜,12.第一密封帽,13.第一侧切口,14.第二侧切口。Among them: 1. Tube body, 2. First tail end, 3. Head end, 4. Guide steel wire, 5. Optical fiber, 6. Wrapping film, 7. Pulling wire, 8. Second tail end, 9. The first Two sealing caps, 10. Display, 11. Sight glass, 12. First sealing cap, 13. First side cutout, 14. Second side cutout.

具体实施方式detailed description

为使本申请的目的、技术方案和优点更加清楚,以下结合附图及具体实施例,对本申请作进一步地详细说明。In order to make the purpose, technical solution and advantages of the present application clearer, the present application will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.

在以下描述中,对“一个实施例”、“实施例”、“一个示例”、“示例”等等的引用表明如此描述的实施例或示例可以包括特定特征、结构、特性、性质、元素或限度,但并非每个实施例或示例都必然包括特定特征、结构、特性、性质、元素或限度。另外,重复使用短语“根据本申请的一个实施例”虽然有可能是指代相同实施例,但并非必然指代相同的实施例。In the following description, references to "one embodiment," "an embodiment," "an example," "example," etc. indicate that such described embodiment or example may include a particular feature, structure, characteristic, property, element, or limitations, but not every embodiment or example necessarily includes the specific feature, structure, characteristic, property, element or limitation. Additionally, repeated use of the phrase "according to one embodiment of the present application" does not necessarily refer to the same embodiment, although it may.

为简单起见,以下描述中省略了本领域技术人员公知的某些技术特征。For simplicity, some technical features known to those skilled in the art are omitted from the following description.

根据本申请的一个实施例,如图1和图2所示,该可视鼻肠管包括具有第一尾端2、第二尾端8和头端3的管体1,管体1内并排设置有贯穿第一尾端2和头端3的导引钢丝4和光导纤维5,导引钢丝4和光导纤维5外包裹薄膜6,第一尾端2处的光导纤维5外接有显示器10,头端3处的光导纤维5设置有窥镜11。According to one embodiment of the present application, as shown in Figure 1 and Figure 2, the visible nasointestinal tube includes a tube body 1 with a first tail end 2, a second tail end 8 and a head end 3, and the tube body 1 is arranged side by side There are guide steel wires 4 and optical fibers 5 running through the first tail end 2 and the head end 3, the guide steel wires 4 and the optical fiber 5 are wrapped with a film 6, the optical fiber 5 at the first tail end 2 is externally connected with a display 10, and the head The optical fiber 5 at the end 3 is provided with a sight glass 11 .

根据本申请的一个实施例,头端3为透明状的圆滑封闭端。头端3处的包裹薄膜6端沿与3个牵引丝7一端固定,牵引丝7另一端活动延伸至第一尾端2处。According to an embodiment of the present application, the head end 3 is a transparent round closed end. The wrapping film 6 at the head end 3 is fixed along one end of three pulling wires 7 , and the other end of the pulling wire 7 extends to the first tail end 2 movably.

根据本申请的一个实施例,靠近头端3的管体1两侧开有第一侧切口13和第二侧切口14,且第一侧切口13和第二侧切口14的位置上下错开一定距离。According to an embodiment of the present application, there are first side cutouts 13 and second side cutouts 14 on both sides of the tube body 1 near the head end 3, and the positions of the first side cutouts 13 and the second side cutouts 14 are staggered up and down by a certain distance .

根据本申请的一个实施例,第一尾端2处通过线连接有大小配合的第一密封帽12,第二尾端8处通过线连接有大小配合的第二密封帽9。According to an embodiment of the present application, the first tail end 2 is connected with a first sealing cap 12 with matching size through a wire, and the second tail end 8 is connected with a second sealing cap 9 with matching size through a wire.

根据本申请的一个实施例,所述的牵引丝7为软钢丝或细线。所述的导引钢丝4为硬钢丝。According to an embodiment of the present application, the pulling wire 7 is a soft steel wire or a thin wire. The guide wire 4 is a hard wire.

根据本申请的一个实施例,管体1内径为2.5mm~3mm,外径为3.5mm~4mm,管体1长度为110cm~140cm。According to an embodiment of the present application, the inner diameter of the pipe body 1 is 2.5mm-3mm, the outer diameter is 3.5mm-4mm, and the length of the pipe body 1 is 110cm-140cm.

本实用新型的可视鼻肠管,使用时,通过导引钢丝4的引导,将鼻肠管的头端3,由鼻子进入人体,通过幽门,最后达到十二指肠处。光导纤维5在头端3处连接有窥镜11,窥镜11可监测拍摄进入的情况,监测或拍摄到的数据经光导纤维5传送显示在显示器10上,以便医护人员实时了解鼻肠管的具体位置。3个牵引丝7一端固定在头端3处的包裹薄膜6的端沿,牵引丝7其他部分活动延伸至第一尾端2处,由于包裹薄膜6套在管体1内,在需要调整鼻肠管的进入位置时,医护人员通过牵拉第一尾端2处的牵引丝7,便可以带动包裹薄膜6活动,从而带动包裹薄膜6外的管体1的头端3改变位置,从而控制鼻肠管的前进方向,直至到达十二指肠。The visible nasointestinal tube of the utility model, when in use, is guided by the guide wire 4, and the head end 3 of the nasointestinal tube enters the human body through the nose, passes through the pylorus, and finally reaches the duodenum. The optical fiber 5 is connected with a speculum 11 at the head end 3. The speculum 11 can monitor the situation of shooting and entering, and the data monitored or photographed is transmitted and displayed on the display 10 through the optical fiber 5, so that the medical staff can understand the specific condition of the nasointestinal tube in real time. Location. One end of the three pulling wires 7 is fixed on the end edge of the wrapping film 6 at the head end 3, and the other parts of the pulling wire 7 extend to the first tail end 2. Since the wrapping film 6 is sleeved in the tube body 1, the nose needs to be adjusted. When the intestinal tube enters the position, the medical staff can drive the wrapping film 6 to move by pulling the traction wire 7 at the first tail end 2, thereby driving the head end 3 of the tube body 1 outside the wrapping film 6 to change its position, thereby controlling the nasal cavity. The forward direction of the intestinal tube until it reaches the duodenum.

在使用完毕时,抽出被包裹薄膜6包裹的导引钢丝4和光导纤维5,将营养液的输液管与第一尾端2或第二尾端8连接,营养液通过头端3处的第一侧切口13和第二侧切口14进入目标位置,即可对病人进行营养输送。剩下的另一尾端开口可以进行给药冲洗等操作。营养输送完毕后,将第一尾端2和第二尾端8处用线悬挂的第一密封帽12和第二密封帽9分别盖上,使第一尾端2和第二尾端8密封,以免细菌进入造成外源感染。When finished using, pull out the guide steel wire 4 and the optical fiber 5 wrapped by the wrapped film 6, connect the infusion tube of the nutrient solution with the first tail end 2 or the second tail end 8, and the nutrient solution passes through the first tail end 8 at the head end 3. When the one side incision 13 and the second side incision 14 enter the target position, nutrition can be delivered to the patient. The remaining opening at the other tail end can perform operations such as drug administration and flushing. After the nutrient delivery is completed, cover the first sealing cap 12 and the second sealing cap 9 suspended by the line at the first tail end 2 and the second tail end 8 respectively, so that the first tail end 2 and the second tail end 8 are sealed. , so as to prevent bacteria from entering and causing exogenous infection.

以上所述实施例仅表示本实用新型的几种实施方式,其描述较为具体和详细,但并不能理解为对本实用新型范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本实用新型构思的前提下,还可以做出若干变形和改进,这些都属于本实用新型保护范围。因此本实用新型的保护范围应该以所述权利要求为准。The above-mentioned embodiments only represent several implementations of the present utility model, and the description thereof is relatively specific and detailed, but should not be construed as limiting the scope of the present utility model. It should be pointed out that those skilled in the art can make several modifications and improvements without departing from the concept of the utility model, and these all belong to the protection scope of the utility model. Therefore, the protection scope of the present utility model should be based on the claims.

Claims (8)

1. a kind of visual nasointestinal tube, it is characterised in that including body (1) and the guide wire (4) and light that are applied in body (1) Lead fiber (5);Affiliated body (1) is in integrally Y-shaped structure, and one end of the round and smooth enclosed construction of transparent shape is head end (3), separately Bifurcated at one end is into the first tail end (2) and the second tail end (8);The guide wire (4) and optical fiber (5) are from the first tail end (2) Stretch into body (1) and extend to head end (3);One end that the optical fiber (5) stretches out the first tail end (2) can be used for connection display (10) other end for, extending head end (3) is provided with sight glass (11).
2. visual nasointestinal tube according to claim 1, it is characterised in that the guide wire (4) and optical fiber (5) are outside It is provided with wrap film (6).
3. visual nasointestinal tube according to claim 2, it is characterised in that be provided with the end face of the wrap film (6) 3 traction fibers (7) being distributed uniformly and circumferentially, one end of traction fiber (7) extends to head end (3) place and fixed, traction fiber (7) Other end activity extend to the first tail end (2) place.
4. visual nasointestinal tube according to claim 3, it is characterised in that the traction fiber (7) is stone dead wire or fine rule.
5. visual nasointestinal tube according to claim 1, it is characterised in that open the body (1) both sides close to head end (3) The first lateral incision (13) and the second lateral incision (14) provided with mutual dislocation.
6. visual nasointestinal tube according to claim 1, it is characterised in that the first tail end (2) flexible connection has size The first seal cap (12) matched with tail end, the second tail end (8) flexible connection has the second sealing that size matches with tail end Cap (9).
7. visual nasointestinal tube according to claim 1, it is characterised in that the internal diameter of the body (1) is 2.5mm~3mm, External diameter is 3.5mm~4mm.
8. visual nasointestinal tube according to claim 1, it is characterised in that body (1) length is 110cm~140cm.
CN201621182282.2U 2016-10-27 2016-10-27 A kind of visual nasointestinal tube Expired - Fee Related CN206463242U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109350542A (en) * 2018-11-08 2019-02-19 苏州科技城医院 A new type of visual jejunal tube
CN113633556A (en) * 2021-08-31 2021-11-12 华中科技大学同济医学院附属协和医院 A nasojejunal endoscope

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109350542A (en) * 2018-11-08 2019-02-19 苏州科技城医院 A new type of visual jejunal tube
CN113633556A (en) * 2021-08-31 2021-11-12 华中科技大学同济医学院附属协和医院 A nasojejunal endoscope

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