CN208436167U - A kind of antithrombotic two-chamber PICC conduit - Google Patents

A kind of antithrombotic two-chamber PICC conduit Download PDF

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Publication number
CN208436167U
CN208436167U CN201820239793.6U CN201820239793U CN208436167U CN 208436167 U CN208436167 U CN 208436167U CN 201820239793 U CN201820239793 U CN 201820239793U CN 208436167 U CN208436167 U CN 208436167U
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CN
China
Prior art keywords
conduit
medicine
outer cavities
lumen catheter
pipe
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201820239793.6U
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Chinese (zh)
Inventor
朱雅亭
裘年存
胡茂飞
刘妙娥
汪洋
倪奇
林惠
符才波
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General Hospital of Chinese PLA Hainan Branch
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General Hospital of Chinese PLA Hainan Branch
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Priority to CN201820239793.6U priority Critical patent/CN208436167U/en
Application granted granted Critical
Publication of CN208436167U publication Critical patent/CN208436167U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of antithrombotic two-chamber PICC conduits, including lumen catheter and outer cavities conduit pipe;Lumen catheter front end is equipped with positive pressure flap valve;The lumen catheter tail end is equipped with multiple first into medicine connector;Exocoel catheter proximal end side wall has been evenly arranged multiple medicine outlet holes, and the exocoel tail end of conduit is equipped with multiple second into medicine connector;Developing line there are two being set on the outer cavities conduit pipe.The utility model structure is simple, can carry out that contact is anticoagulant and thrombolytic drug therapy by medicine outlet hole, reduces and sets pipe for a long time and lead to the Deep vain thrombosis spread along conduit and the risk to fall off;Positive pressure flap valve can prevent blood reflux from entering in lumen, reduce the generation of plugging, improve the long-term patency rates of lumen;And outer cavities conduit pipe can be used as ancillary drug access and be treated, and reduce the unnecessary trouble such as unintended tube drawing.

Description

A kind of antithrombotic two-chamber PICC conduit
Technical field
The utility model belongs to clinical treatment instrument, and in particular to a kind of antithrombotic two-chamber PICC conduit.
Background technique
Through Peripherally inserted central catheter (Peripherally Inserted Central Catheter), referred to as PICC conduit is using periphery venipuncture of the conduit from arm, and the through big vein close to heart of conduit avoids drug and hand The direct contact of arm vein can dilute rapidly drug in addition the blood flow velocity of big vein is very fast, prevent drug to the thorn of blood vessel Swash, is that clinically used venous channel sets pipe selection, is suitable for carrying out medium to long term infusion.Especially some spies Different drug is such as: the liquid or medicine of chemotherapeutics, corrosivity or dripping of irritant drugs, parenteral alimentation, pH value less than 5 or greater than 9 Object and osmotic pressure are more than that the liquid of 600mOsm/L or drug require to be administered by central venous catheter, and PICC is need to be long-term defeated The patient and chemotherapy patients of liquid provide the vein treatment channel an of safety.
However, chronically there are still some complication being difficult to avoid that for deep venouspuncture.Conduit correlation thrombus refers to conduit The formation of outer wall or pipe inner wall blood clot is one of most common complication after deep venouspuncture.Although in order to reduce thrombus Optimization has been carried out in the incidence of complication, the material and technique of PICC conduit, the deep vein catheter clinically used at present There are still some defects: (1) long-term intravenous built-in pipe in design, and formation thrombus probability is high in catheter lumen, and current conduit is set Meter end nozzle is directly directly communicated with lumen of vessels, no anti-reflux flap valve, inevitably results in blood back flow in treatment interphase To PICC lumen, forms thrombus and cause that unsmooth or even plugging is administered.(2) deep vein catheter of clinical application at present is mostly single-chamber Design, no stand-by channel, once plugging conduit, that is, ineffective, it is forced tube drawing, treatment is caused to be delayed or interrupt.(3) document report Road is more than that lateral thrombus on the outside of tube wall can be observed in 2 weeks 90% or more vein built-in pipes, and often further climing to distal end of catheter Prolong, form Endovascular and float thrombus, dramatically increases limb swelling, thrombus breaks loose causes the risks such as pulmonary embolism;(4) clinic is answered at present It is mostly to be administered through end stomidium with deep vein catheter, no side opening design causes to such attached tube wall thrombus without timely and effectively doing Pre-channel.
Utility model content
In view of the deficiencies of the prior art, the purpose of this utility model is that proposing a kind of antithrombotic two-chamber PICC conduit, When using two-chamber PICC conduit, contact can be carried out by the outer thrombus of tube wall caused by the opposed pipe of medicine outlet hole of outer cavities conduit pipe Anticoagulant and thrombolytic drug therapy leads to the Deep vain thrombosis spread along conduit and the wind to fall off to reduce and set pipe for a long time Danger;Positive pressure flap valve can prevent blood reflux from entering in lumen, reduce the generation of conduit plugging, improve the long-term patency rates of lumen;And And outer cavities conduit pipe can be treated in the case where lumen catheter is blocked as ancillary drug access, and unintended tube drawing is reduced Etc. unnecessary trouble.
To achieve the above object, the technical scheme adopted by the utility model is
A kind of antithrombotic two-chamber PICC conduit, two-chamber PICC conduit include lumen catheter and outer cavities conduit pipe, it is described in Cavities conduit pipe is located at exocoel catheter interior and outer cavities conduit pipe both ends are fixedly connected with lumen catheter side wall;
The lumen catheter front end is equipped with positive pressure flap valve, and the positive pressure flap valve includes two valve blocks, two valve block front end patches It is combined, tail end is open-shaped;The lumen catheter tail end is equipped with multiple first into medicine connector, and described first into medicine joint It is equipped with the first flow-stop valve;
The exocoel catheter proximal end side wall has been evenly arranged multiple medicine outlet holes, and the exocoel tail end of conduit is equipped with multiple second Into medicine connector, one of them second into medicine connector is anticoagulation connector, and described second is equipped with the second flow-stop valve into medicine joint; It is set on the outer cavities conduit pipe there are two developing line, a developing line is located at exocoel catheter proximal end, another developing line is located at exocoel Among conduit.
Further, the positive pressure flap valve is in closed state in its natural state, it is in open state when circulating drug; When drug is delivered at the positive pressure flap valve, under the pressure of drug, positive pressure flap valve automatic opening, and blood will not be living from positive pressure Valve front end flows into the conduit.
Further, exocoel catheter proximal end 5mm-10mm is stretched out in the lumen catheter front end;Lumen catheter front end is stretched out Position install positive pressure flap valve.
Further, the medicine outlet hole has multiple, and multiple medicine outlet holes are in the length in the region that outer cavities conduit pipe side wall is formed Degree is 4.5cm-5.5cm;The sufficient length of drug bore region ensure that the logical fluency of outer cavities conduit pipe Chinese medicine logistics.
Further, two developing lines are located at the two sides in the region of medicine outlet hole.
Further, the outer cavities conduit pipe and lumen catheter fixed connection place are in rounding off;The conduit is reduced to body The injury of body bring.
The beneficial effects of the utility model are:
(1) when using the PICC conduit, it can carry out setting the catheter maintenance during pipe by outer cavities conduit pipe, from outer cavities conduit pipe The anticoagulation joint of tail end imports anticoagulant or thrombolytic drug, multiple medicine outlet holes through exocoel duct wall to tube wall outside Thrombus carries out that contact is anticoagulant and thrombolytic drug therapy, to reduce caused by setting pipe for a long time along the deep vein thrombosis shape of conduit sprawling At and the risk that falls off;
(2) the first of lumen catheter works as lumen catheter into the first mutually indepedent into medicine connector of medicine connector and outer cavities conduit pipe When there is blocking the case where not being available, outer cavities conduit pipe, which can be used as spare conduit, to be continued logical medicine and carries out successive treatment, reduce because Catheter blockage, which forces patient to replace conduit, leads to repeatedly the pain of puncture and intubation, reduces treatment cost;
(3) the positive pressure flap valve of lumen catheter front end is closed in its natural state, open when being administered through lumen catheter, is being administered Automatic closure is formed while reaching logical pharmic function prevented also from blood reflux to lumen catheter inside again after finishing Thrombus substantially prolongs the indwelling catheter time of the conduit;
(4) by X-ray position two developing lines that outer cavities conduit pipe is equipped with can external cavities conduit pipe side wall drug porose area Domain is positioned, and in the case where thrombus occurs, can set the position of pipe according to development positioning fine tuning, by drug bore region adjust to Thrombi carries out anticoagulant and thrombolytic drug treatment, provides convenience for thrombolysis process.
Detailed description of the invention
Fig. 1 is the complete structure schematic diagram of the utility model.
In figure: 1, lumen catheter;2, outer cavities conduit pipe;3, positive pressure flap valve;4, medicine outlet hole;5, developing line;6, it first is connect into medicine Head;6-1, the first flow-stop valve;7, second into medicine connector;7-1, the second flow-stop valve.
Specific embodiment
It is practical new to this with reference to the accompanying drawing in order to keep the purpose of this utility model, technical solution and advantage clearer Type is further elaborated.
In the present embodiment, as shown in Figure 1, a kind of antithrombotic two-chamber PICC conduit, two-chamber PICC conduit include interior Cavities conduit pipe 1 and outer cavities conduit pipe 2, the lumen catheter 1 be located at 2 inside of outer cavities conduit pipe and 2 both ends of outer cavities conduit pipe with lumen catheter 1 Side wall is fixedly connected;1 front end of lumen catheter is equipped with positive pressure flap valve 3, and the positive pressure flap valve 3 includes two valve blocks, two valves Block front end fits together, and tail end is open-shaped;1 tail end of lumen catheter is equipped with multiple first into medicine connector 6, and described first The first flow-stop valve 6-1 is equipped at into medicine connector 6;2 front end side wall of outer cavities conduit pipe has been evenly arranged multiple medicine outlet holes 4, institute Outer 2 tail end of cavities conduit pipe is stated equipped with multiple second into medicine connector 7, one of them second into medicine connector 7 be anticoagulation connector, described the Two into being equipped with the second flow-stop valve 7-1 at medicine connector 7;Developing line 5 there are two being set on the outer cavities conduit pipe 2, one developing line 5 In outer 2 front end of cavities conduit pipe, another developing line 5 is located among outer cavities conduit pipe 2.
As a kind of prioritization scheme of the utility model, the positive pressure flap valve 3 is in its natural state closed state, is being flowed It is in open state when logical drug;When drug is delivered at the positive pressure flap valve 3, under the pressure of drug, positive pressure flap valve 3 is opened automatically It puts, and blood will not flow into the conduit from 3 front end of positive pressure flap valve.
As a kind of prioritization scheme of the utility model, outer 2 front end 5mm- of cavities conduit pipe is stretched out in 1 front end of lumen catheter 10mm;The position that 1 front end of lumen catheter is stretched out is installed by positive pressure flap valve 3.
As a kind of prioritization scheme of the utility model, the medicine outlet hole 4 has multiple, and multiple medicine outlet holes 4 are led in exocoel The length in the region that 2 side wall of pipe is formed is 4.5cm-5.5cm;The sufficient length in 4 region of medicine outlet hole ensure that in outer cavities conduit pipe 2 The fluency of drug circulation.
As a kind of prioritization scheme of the utility model, two developing lines 5 are located at the two sides in the region of medicine outlet hole 4.
As a kind of prioritization scheme of the utility model, the outer cavities conduit pipe 2 is with 1 fixed connection place of lumen catheter in round and smooth Transition;The conduit is reduced to damage puncture vessel bring.
When using two-chamber PICC conduit, pipe process is set first, in accordance with PICC and carries out conduit preparation, is rushed with heparin saline Lumen catheter 1 and outer cavities conduit pipe 2 are washed, the inner air of intracavity pipeline 1 and outer cavities conduit pipe 2 is drained;Then it is set according to standard PICC Pipe process carries out retaining venipuncture, gives therapeutic agent into medicine connector 6 by first after conduit is fixed, therapeutic agent into Enter lumen catheter 1, therapeutic agent is entered in conduit by positive pressure flap valve 3;Process pair is nursed according to standard PICC during treatment Conduit is nursed;Lumen catheter 1 and outer cavities conduit pipe 2 are rinsed with heparin saline upon completion of the treatment;During treatment, If tube wall outgoing green blood bolt, it can be passed through anti-coagulants by the anticoagulation connector of outer 2 rear end of cavities conduit pipe or thrombolytic drug progress is anticoagulant Or thromboembolism treatment;During treatment, if there is conduit correlation thrombus to spread to Deep venou, locating development line 5 can be passed through when necessary 4 region of medicine outlet hole of 2 side wall of external cavities conduit pipe is positioned, and the position of pipe is set according to development positioning fine tuning, then toward anticoagulant Medicine connector injects thrombolytics and carries out localized contact thromboembolism treatment to conduit;If lumen catheter occurs during long-term catheterization The case where 1 is unsmooth or blocking, outer cavities conduit pipe 2 can be used as spare conduit and continue to complete subsequent treatment, and drug is from second into medicine Connector 7 enters, and flows out continual cure from medicine outlet hole 4.
The basic principles and main features of the present invention and the advantages of the present invention have been shown and described above.Current row The technical staff of industry is described in above embodiments and description it should be appreciated that the present utility model is not limited to the above embodiments Only illustrate the principles of the present invention, on the premise of not departing from the spirit and scope of the utility model, the utility model is also It will have various changes and improvements, these various changes and improvements fall within the scope of the claimed invention.The utility model Claimed range is defined by the appending claims and its equivalent thereof.

Claims (6)

1. a kind of antithrombotic two-chamber PICC conduit, it is characterised in that: two-chamber PICC conduit includes lumen catheter (1) and exocoel Conduit (2), the lumen catheter (1) be located at that outer cavities conduit pipe (2) is internal and outer cavities conduit pipe (2) both ends with lumen catheter (1) side Wall is fixedly connected;
Lumen catheter (1) front end is equipped with positive pressure flap valve (3), and the positive pressure flap valve (3) includes two valve blocks, before two valve blocks End fits together, and tail end is open-shaped;Lumen catheter (1) tail end is equipped with multiple first into medicine connector (6), and described first The first flow-stop valve (6-1) is equipped at into medicine connector (6);
Outer cavities conduit pipe (2) front end side wall has been evenly arranged multiple medicine outlet holes (4), and outer cavities conduit pipe (2) tail end is equipped with more A second into medicine connector (7), one of them second into medicine connector (7) is anticoagulation connector, and described second into equal at medicine connector (7) Equipped with the second flow-stop valve (7-1);It is set on the outer cavities conduit pipe (2) there are two developing line (5), a developing line (5) is located at exocoel Conduit (2) front end, it is intermediate that another developing line (5) is located at outer cavities conduit pipe (2).
2. two-chamber PICC conduit according to claim 1, it is characterised in that: the positive pressure flap valve (3) is in its natural state It is in open state when circulating drug in closed state.
3. two-chamber PICC conduit according to claim 1, it is characterised in that: exocoel is stretched out in lumen catheter (1) front end Conduit (2) front end 5mm-10mm.
4. two-chamber PICC conduit according to claim 1, it is characterised in that: the medicine outlet hole (4) have it is multiple, and it is multiple go out Length of the medicine hole (4) in the region that outer cavities conduit pipe (2) side wall is formed is 4.5cm-5.5cm.
5. two-chamber PICC conduit according to claim 4, it is characterised in that: two developing lines (5) are located at medicine outlet hole (4) two sides in region.
6. two-chamber PICC conduit according to claim 1, it is characterised in that: the outer cavities conduit pipe (2) and lumen catheter (1) Fixed connection place is in rounding off.
CN201820239793.6U 2018-02-09 2018-02-09 A kind of antithrombotic two-chamber PICC conduit Expired - Fee Related CN208436167U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201820239793.6U CN208436167U (en) 2018-02-09 2018-02-09 A kind of antithrombotic two-chamber PICC conduit

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201820239793.6U CN208436167U (en) 2018-02-09 2018-02-09 A kind of antithrombotic two-chamber PICC conduit

Publications (1)

Publication Number Publication Date
CN208436167U true CN208436167U (en) 2019-01-29

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201820239793.6U Expired - Fee Related CN208436167U (en) 2018-02-09 2018-02-09 A kind of antithrombotic two-chamber PICC conduit

Country Status (1)

Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110124145A (en) * 2019-06-03 2019-08-16 韩东 The accurate puncture injection device of surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110124145A (en) * 2019-06-03 2019-08-16 韩东 The accurate puncture injection device of surgery
CN110124145B (en) * 2019-06-03 2020-10-23 韩东 Accurate puncture injection device for surgery

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GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190129

Termination date: 20200209

CF01 Termination of patent right due to non-payment of annual fee