CN211068642U - Internal Jugular Vein Catheter Thrombolysis Catheter Storage Device - Google Patents
Internal Jugular Vein Catheter Thrombolysis Catheter Storage Device Download PDFInfo
- Publication number
- CN211068642U CN211068642U CN201921504723.XU CN201921504723U CN211068642U CN 211068642 U CN211068642 U CN 211068642U CN 201921504723 U CN201921504723 U CN 201921504723U CN 211068642 U CN211068642 U CN 211068642U
- Authority
- CN
- China
- Prior art keywords
- catheter
- thrombolysis
- bottom plate
- top cover
- fixed
- 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
Links
- 230000002537 thrombolytic effect Effects 0.000 title claims abstract description 44
- 210000004731 jugular vein Anatomy 0.000 title claims abstract description 10
- 238000004804 winding Methods 0.000 claims description 11
- 238000002627 tracheal intubation Methods 0.000 claims description 7
- 239000003146 anticoagulant agent Substances 0.000 abstract description 4
- 238000013461 design Methods 0.000 abstract description 2
- 102000003990 Urokinase-type plasminogen activator Human genes 0.000 description 4
- 108090000435 Urokinase-type plasminogen activator Proteins 0.000 description 4
- 239000000853 adhesive Substances 0.000 description 4
- 230000001070 adhesive effect Effects 0.000 description 4
- 229960005356 urokinase Drugs 0.000 description 4
- 206010047249 Venous thrombosis Diseases 0.000 description 3
- 210000003111 iliac vein Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 208000007536 Thrombosis Diseases 0.000 description 2
- 238000002583 angiography Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 238000012423 maintenance Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000009885 systemic effect Effects 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 206010051055 Deep vein thrombosis Diseases 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 208000012287 Prolapse Diseases 0.000 description 1
- 206010040047 Sepsis Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000010100 anticoagulation Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 208000037815 bloodstream infection Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000010102 embolization Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 239000003527 fibrinolytic agent Substances 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 230000037380 skin damage Effects 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 208000019553 vascular disease Diseases 0.000 description 1
- 210000001631 vena cava inferior Anatomy 0.000 description 1
Images
Landscapes
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
Description
技术领域technical field
本实用新型属于医疗技术领域，具体涉及一种颈内静脉置管溶栓导管收纳装置。The utility model belongs to the technical field of medical treatment, in particular to an internal jugular vein intubation thrombolysis catheter storage device.
背景技术Background technique
下肢深静脉血栓是常见血管疾病，常常危机患者生命，以往临床上大多给予抗凝、全身溶栓等治疗，但治疗效果较差，并发症较多，难以对患者生活质量进行有效提升。近年来，经颈内静脉置管溶栓治疗蓬勃发展，其创伤小、恢复快且并发症少，其实施过程如下：先经颈内静脉实施髂股静脉插管术：将 5F导管从右侧颈静脉插入，通过导管鞘，在健侧骼总静脉将单弯导管、超滑导丝插入，实施 DSA（数字减影血管造影术），对下腔静脉、对侧骼静脉入口处的情况进行评估，对患侧骼静脉实施选择性插管，插管成功后进行造影，对血栓与髂静脉及其内血流进行观察，以此为依据对下腔静脉滤器是否需放置进行评估。Deep vein thrombosis of the lower extremity is a common vascular disease, which often threatens the life of patients. In the past, anticoagulation and systemic thrombolysis were mostly given in clinical practice, but the treatment effect was poor and there were many complications, which made it difficult to effectively improve the quality of life of patients. In recent years, intrajugular vein intubation thrombolysis has flourished. It has less trauma, faster recovery and fewer complications. The implementation process is as follows: First, the iliofemoral vein cannulation is performed through the internal jugular vein: the 5F catheter is inserted from the right The jugular vein is inserted through the catheter sheath, and a single-curved catheter and a super-smooth guide wire are inserted into the common iliac vein of the unaffected side, and DSA (digital subtraction angiography) is performed. Evaluation, selective intubation of the iliac vein on the affected side, angiography after successful intubation, observation of the thrombus, iliac vein and its internal blood flow, based on which to evaluate whether the inferior vena cava filter needs to be placed.
根据患者病情留置溶栓导管置管成功后在手术室进行初始溶栓：使用 20 ml 生理盐水对 20 万单位的尿激酶进行溶解，从溶栓导管处快速进行推注，以经过肝素化处理的生理盐水实施封管。保留溶栓导管，对外露溶栓导管部分采用无菌敷料进行包扎、固定后将患者送至病房。下肢静脉血栓患者溶栓，约需14天左右时间为患者进行溶栓药物治：50毫升的生理盐水加入尿激酶10万或者20万单位，q8小时或者q12小时，30分钟脉冲式泵入，每天 60 ～ 160 万单位尿激酶，每次溶栓结束对溶栓导管进行维护并肝素封管。Initial thrombolysis in the operating room after the indwelling thrombolysis catheter is successfully placed according to the patient's condition: dissolve 200,000 units of urokinase with 20 ml of normal saline, and rapidly inject it from the thrombolysis catheter to heparinized urokinase. Physiological saline was used to seal the tube. The thrombolysis catheter was retained, and the exposed part of the thrombolysis catheter was bandaged and fixed with a sterile dressing, and then the patient was sent to the ward. Thrombolysis in patients with lower extremity venous thrombosis, it takes about 14 days to treat the patients with thrombolytic drugs: 50 ml of normal saline is added with 100,000 or 200,000 units of urokinase, q8 hours or q12 hours, 30 minutes pulsed pumping, every day 600,000 to 1.6 million units of urokinase, maintenance of the thrombolysis catheter and heparin sealing after each thrombolysis.
患者在溶栓期间每 3 ～ 5 天实施 1 次造影复 查，根据患者静脉血栓溶栓情况，对溶栓导管进行留置长度和位置调整，已确定对近心端血栓进一步溶栓，保证其疗效，但每次调整溶栓导管长度，均需皮肤穿刺缝线固定导管，皮肤反复穿刺，增加患者感染几率。溶栓导管长度为150cm，其外露部分长度根据患者血栓位置不同及患者身高不同而略有差异。溶栓导管外露部分，目前多盘曲后用粘性绷带固定在患者颈部，因溶栓导管弹性张力大，粘性绷带固定不牢固，固定方法简单，使溶栓导管易弹开松脱，导致患者反复胶带换药固定，患者置管处医用粘胶相关性皮肤损伤率高达25.49%！溶栓导管外露部分如固定不牢固易出现打折、移位甚至在患者活动时发生导管脱管情况！脱出后则需重新放置导管，对患者身体及经济都将产生较大影响！现有的粘性绷带固定效果差，因导管直接插入患者颈内静脉，容易导管相关性血流感染的发生，会导致患者全身感染后果严重！现有的溶栓导管及固定方式无法确定溶栓导管外露部分长度，不方便判断溶栓导管前端位置及后期维护。During the thrombolysis period, the patient underwent angiographic review every 3 to 5 days. According to the patient's venous thrombosis thrombolysis, the indwelling length and position of the thrombolysis catheter were adjusted. However, every time the length of the thrombolytic catheter is adjusted, skin puncture sutures are required to fix the catheter, and the skin is repeatedly punctured, which increases the risk of infection in patients. The length of the thrombolysis catheter is 150cm, and the length of the exposed part varies slightly according to the location of the thrombus and the height of the patient. The exposed part of the thrombolysis catheter is currently multi-coiled and fixed on the patient's neck with an adhesive bandage. Due to the large elastic tension of the thrombolysis catheter, the adhesive bandage is not firmly fixed. With tape dressing and fixation, the rate of medical adhesive-related skin damage at the patient's catheter placement site is as high as 25.49%! If the exposed part of the thrombolysis catheter is not firmly fixed, it is easy to be discounted, displaced, and even the catheter will fall off when the patient is moving! After the prolapse, the catheter needs to be re-placed, which will have a great impact on the patient's body and economy! The existing adhesive bandage has poor fixation effect. Because the catheter is directly inserted into the patient's internal jugular vein, it is easy to cause catheter-related bloodstream infection, which will lead to serious systemic infection of the patient! The existing thrombolysis catheter and fixing method cannot determine the length of the exposed part of the thrombolysis catheter, and it is inconvenient to judge the position of the front end of the thrombolysis catheter and subsequent maintenance.
实用新型内容Utility model content
本实用新型为了解决现有技术中的不足之处，提供一种可以对溶栓导管进行安全固定的颈内静脉置管溶栓导管收纳装置。In order to solve the deficiencies in the prior art, the utility model provides an internal jugular vein intubation thrombolysis catheter storage device which can safely fix the thrombolysis catheter.
为解决上述技术问题，本实用新型采用如下技术方案：颈内静脉置管溶栓导管收纳装置，包括收纳筒和固定片，收纳筒的底部固定有底板，底板的顶面开设有圆形槽，底板的底面设置有别针，底板通过连接带与固定片连接，固定片的中部固定有导管固定套，固定片上开设有若干过针孔，导管固定套上开设有裂口，导管固定套的内侧面设有橡胶层；In order to solve the above-mentioned technical problems, the present utility model adopts the following technical solutions: an internal jugular vein intubation thrombolysis catheter storage device, comprising a storage cylinder and a fixing sheet, the bottom of the storage cylinder is fixed with a bottom plate, and the top surface of the bottom plate is provided with a circular groove, The bottom surface of the bottom plate is provided with pins, the bottom plate is connected with the fixing piece through the connecting belt, the middle part of the fixing piece is fixed with a catheter fixing sleeve, a number of pin holes are opened on the fixing piece, a crack is opened on the catheter fixing sleeve, and the inner side of the catheter fixing sleeve is provided with with rubber layer;
收纳筒的外壁开设有进管口，收纳筒的顶部设有顶盖，且顶盖与收纳筒之间为转动配合，顶盖的顶部设有转柄，顶盖上开设有出管口，顶盖的底面固定有两根缠绕柱，两根缠绕柱关于顶盖的圆心对称设置，两根缠绕柱的下端均伸入圆心槽内。The outer wall of the storage cylinder is provided with a pipe inlet, the top of the storage cylinder is provided with a top cover, and the top cover and the storage cylinder are rotatably matched, the top of the top cover is provided with a turning handle, the top cover is provided with a pipe outlet, and the top cover is provided with a pipe outlet. Two winding columns are fixed on the bottom surface of the cover, the two winding columns are symmetrically arranged with respect to the center of the top cover, and the lower ends of the two winding columns both extend into the center groove.
采用上述技术方案，本实用新型具有以下有益效果：本实用新型一方面利用导管固定套固定溶栓导管，另一方面利用收纳筒对扯出的溶栓导管进行收纳，整体结构设计合理，使用方便。Adopting the above-mentioned technical scheme, the utility model has the following beneficial effects: on the one hand, the utility model utilizes the catheter fixing sleeve to fix the thrombolytic catheter, and on the other hand utilizes the storage tube to accommodate the pulled out thrombolytic catheter, the overall structure design is reasonable, and the use is convenient. .
附图说明Description of drawings
图1是本实用新型的结构示意图。Figure 1 is a schematic structural diagram of the present invention.
具体实施方式Detailed ways
如图1所示，本实用新型的颈内静脉置管溶栓导管收纳装置，包括收纳筒1和固定片2，收纳筒1的底部固定有底板3，底板3的顶面开设有圆形槽4，底板3的底面设置有别针，底板3通过连接带5与固定片2连接，固定片2的中部固定有导管固定套6，固定片2上开设有若干过针孔7，导管固定套6上开设有裂口，导管固定套6的内侧面设有橡胶层；As shown in FIG. 1, the internal jugular vein catheter thrombolysis catheter storage device of the present invention includes a storage cylinder 1 and a fixing sheet 2, the bottom of the storage cylinder 1 is fixed with a bottom plate 3, and the top surface of the bottom plate 3 is provided with a
收纳筒1的外壁开设有进管口8，收纳筒1的顶部设有顶盖9，且顶盖9与收纳筒1之间为转动配合，顶盖9的顶部设有转柄10，顶盖9上开设有出管口11，顶盖9的底面固定有两根缠绕柱12，两根缠绕柱12关于顶盖9的圆心对称设置，两根缠绕柱12的下端均伸入圆形槽4内。The outer wall of the storage cylinder 1 is provided with a
本实用新型具体使用步骤为：先将溶栓导管穿过导管固定套6的裂口后固定在导管固定套6上，其中溶栓导管的外径等于导管固定套6的内径，导管固定套6的内侧设置橡胶层，能够增加溶栓导管与导管固定套6内壁之间的摩擦力，从而提高溶栓导管的稳定性，防止其沿轴向方向移动，接着将固定片2缝在病人的体壁；然后将溶栓导管外露部分收纳在收纳筒1内，具体操作为：将溶栓导管通过进管口8穿入收纳筒1内，然后穿过两根缠绕柱12之间后，再从出管口11穿出，将溶栓导管从出管口11穿出的部分固定在顶盖9上，最后将底板3通过别针固定在病人的衣服上即可，至此完成装置的安装；The specific use steps of the present utility model are as follows: firstly, the thrombolysis catheter is passed through the crack of the catheter fixing sleeve 6 and then fixed on the catheter fixing sleeve 6, wherein the outer diameter of the thrombolysis catheter is equal to the inner diameter of the catheter fixing sleeve 6, and the diameter of the catheter fixing sleeve 6 is equal to that of the catheter fixing sleeve 6. The inner side is provided with a rubber layer, which can increase the friction between the thrombolysis catheter and the inner wall of the catheter fixing sleeve 6, thereby improving the stability of the thrombolysis catheter and preventing it from moving in the axial direction, and then sewing the fixing sheet 2 on the patient's body wall Then the exposed part of the thrombolysis catheter is accommodated in the storage cylinder 1, and the specific operation is: the thrombolysis catheter is inserted into the storage cylinder 1 through the
随着溶栓的不断进行，需要间隔地向外扯出溶栓导管，此时即可旋转转柄10，转动顶盖9，将溶栓导管缠绕在两根缠绕柱12上，扯出的溶栓导管即可被收纳于收纳筒1内，本实用新型的收纳筒1可以采用透明的PVC材料制成，这样便于观察收纳筒1内溶栓导管的长度。With the continuous progress of thrombolysis, the thrombolysis catheter needs to be pulled out at intervals. At this time, the handle 10 can be rotated, the
本实施例并非对本实用新型的形状、材料、结构等作任何形式上的限制，凡是依据本实用新型的技术实质对以上实施例所作的任何简单修改、等同变化与修饰，均属于本实用新型技术方案的保护范围。This embodiment does not limit the shape, material, structure, etc. of the present invention in any form, and any simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention belong to the technology of the present invention. The scope of protection of the program.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201921504723.XU CN211068642U (en) | 2019-09-11 | 2019-09-11 | Internal Jugular Vein Catheter Thrombolysis Catheter Storage Device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201921504723.XU CN211068642U (en) | 2019-09-11 | 2019-09-11 | Internal Jugular Vein Catheter Thrombolysis Catheter Storage Device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN211068642U true CN211068642U (en) | 2020-07-24 |
Family
ID=71633564
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201921504723.XU Expired - Fee Related CN211068642U (en) | 2019-09-11 | 2019-09-11 | Internal Jugular Vein Catheter Thrombolysis Catheter Storage Device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN211068642U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113289200A (en) * | 2021-05-31 | 2021-08-24 | 郑州大学第一附属医院 | Spiral winding type storage and tube placing quick fixing device for jugular thrombolytic catheter |
-
2019
- 2019-09-11 CN CN201921504723.XU patent/CN211068642U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113289200A (en) * | 2021-05-31 | 2021-08-24 | 郑州大学第一附属医院 | Spiral winding type storage and tube placing quick fixing device for jugular thrombolytic catheter |
| CN113289200B (en) * | 2021-05-31 | 2022-08-23 | 郑州大学第一附属医院 | Spiral winding type storage and tube placing quick fixing device for jugular thrombolytic catheter |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN209575370U (en) | A kind of department of general surgery's anti-clogging abdominal drainage device | |
| CN206454070U (en) | A kind of clinical puncture and intubation device | |
| CN206045097U (en) | Preventing thrombosis liquid stopping clamp | |
| CN211245122U (en) | Clinical prevention of seepage of using of medical oncology passes through drainage tube | |
| CN108568010A (en) | Remaining needle | |
| CN208436167U (en) | A kind of antithrombotic two-chamber PICC conduit | |
| CN211355771U (en) | A safety sleeve type ultrasound-guided PICC puncture needle | |
| CN210811412U (en) | Subcutaneous anti-infection balloon central venous catheter | |
| CN217311323U (en) | Drainage catheter and device are washed in abscess integration | |
| CN204543117U (en) | A kind of self-sealing venous detaining needle | |
| CN204601346U (en) | A kind of arteriovenous indwelling equipment | |
| CN209347173U (en) | A hemodialysis internal fistula puncture needle showing a horizontal angle | |
| CN209916016U (en) | Needle is kept somewhere to vein that can repeat blood sampling | |
| CN218305795U (en) | A tunnel needle suitable for multicavity venous catheter | |
| CN206777583U (en) | Pipe-blocking-proof venous detaining needle | |
| CN209221280U (en) | For haemodialysis band Kraft conduit part resistance to movement, the fixed device of anti-torsion | |
| CN209137600U (en) | A kind of remaining needle effectively avoiding plugging | |
| CN223529796U (en) | An indwelling needle fixation device | |
| CN220404084U (en) | A central venous puncture catheterization device | |
| CN205698690U (en) | A kind of application venous port access pulls out pin anti-pricking wound holder | |
| CN206045096U (en) | Malleation liquid stopping clamp | |
| CN223143937U (en) | Central venous catheter protection device for dialysis patient | |
| CN203507279U (en) | Single-cavity central venous catheter | |
| CN220423190U (en) | A kind of medical PICC waterproof sleeve | |
| CN107982624A (en) | A kind of anti-pain chest and abdomen drainage tube |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20200724 Termination date: 20210911 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |