CN212187176U - Multifunctional nasal feeding nutrition device for patients with esophageal stenosis - Google Patents
Multifunctional nasal feeding nutrition device for patients with esophageal stenosis Download PDFInfo
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- CN212187176U CN212187176U CN202021931791.7U CN202021931791U CN212187176U CN 212187176 U CN212187176 U CN 212187176U CN 202021931791 U CN202021931791 U CN 202021931791U CN 212187176 U CN212187176 U CN 212187176U
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Abstract
The utility model discloses a multifunctional nasal feeding nutrition device for patients with esophageal stenosis, which comprises a nasal feeding nutrition tube, a first tube section, a stenosis expansion section and a second tube section are arranged from right to left in sequence; the first pipeline is arranged on the pipe wall of the second pipe section, the left end of the first pipeline is a liquid outlet, and the right end of the first pipeline is provided with a liquid pumping hole; the negative pressure port of the power source is communicated with the liquid outlet to extract the secretion; and an expansion assembly. The utility model integrates the nasal feeding nutrition, the esophageal stricture dilation and the secretion extraction, and only needs one operation during the operation, thereby saving the operation cost; the nasal feeding nutrition tube is integrated with an air bag with an expansion effect, the air bag can be placed at the narrow part of the esophagus of a patient, the narrow part is expanded by the air bag, and the obstruction position of the esophagus of the patient is effectively solved; meanwhile, the air bag can be provided with a radiation particle strip for carrying out radiotherapy on tumor tissues at the esophagus obstruction part, so that the obstruction problem can be effectively solved, and the carrying time of a patient can be effectively shortened.
Description
Technical Field
The utility model relates to a medical instrument especially relates to a multi-functional nasal feeding nutrition device for narrow patient of esophagus.
Background
Esophageal cancer is a common tumor of the digestive tract, and about 50.8 million people die of esophageal cancer each year worldwide. China is one of the high-incidence areas of esophageal cancer in the world and accounts for about one half of the world. Early symptoms of esophageal cancer are not obvious, so most patients are diagnosed at a late stage and often have esophageal stenosis combined, and the patients have dysphagia.
Patients with esophageal cancer stenosis can not take water, and the problem of food intake is clinically solved by placing an esophageal stent or a nasal feeding nutrition tube. The esophageal stent has foreign body sensation after being implanted for a long time, and complications such as restenosis, bleeding and fracture exist in the stent, so that the temporary esophageal stent is commonly used for replacing the permanent stent placed in the esophagus in many existing treatment schemes, but the temporary stent also has the problem of esophageal restenosis caused by the fact that the stent is embedded due to granulation tissue hyperplasia and is difficult to take out. The traditional nasal feeding nutrition tube can solve the nutrition problem of patients, but cannot treat secretion generated by the oral cavity of the patients, has no treatment effect on tumor tissues, and cannot influence the life quality of the patients due to oral feeding.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a collect decompression, nasal feeding nutrition, narrow expansion and radiotherapy nasal feeding nutrition device in an organic whole, when guaranteeing the nasal feeding nutrition, still can expand narrow department, and the gasbag setting has reduced the expansion support and has taken out the degree of difficulty on the nasal feeding nutrition tube.
In order to achieve the above purpose, the utility model adopts the following technical proposal:
a multi-functional nasal feeding nutrition device for esophagostenosis patient, include
The nasal feeding nutrition tube is provided with a first tube section, a narrow expansion section and a second tube section from right to left in sequence;
the first pipeline is arranged on the pipe wall of the second pipe section, the left end of the first pipeline is a liquid outlet, and the right end of the first pipeline is provided with a liquid pumping hole;
the negative pressure port of the power source is communicated with the liquid outlet to extract the secretion; and
a stent assembly comprising
The expansion bracket is sleeved on the narrow expansion section, and the length of the expansion bracket is consistent with that of the narrow expansion section;
the second pipeline is arranged on the pipe wall of the second pipe section and communicated with the expansion bracket; and
the opening and closing pipe fitting is arranged at the left end part of the second pipeline and used for controlling the on-off of the second pipeline;
wherein the nasal feeding nutrition device has a first state and a second state, and in the first state, the expansion bracket is attached to the tube wall of the expansion section; in the second state, the stent is filled with an inflation medium and is in an expanded state.
Furthermore, the nasal feeding nutrition device also comprises a radioactive particle strip, wherein the radioactive particle strip comprises a particle tube clamped in a limiting groove on the expansion bracket and radioactive particles encapsulated in the particle tube.
Furthermore, the length of the first pipe section is 10-50 cm, and the length of the narrow expansion section is 6.0-14.0 cm; the expansion bracket is an air bag arranged on the besieged-stenosis expansion section.
Furthermore, the second pipeline comprises a through hole formed in the pipe wall of the second pipe section and a connecting pipe fixedly connected to the left end of the second pipe section, the through hole extends along the length direction of the second pipe section, one end of the through hole is communicated with the air bag, and the other end of the through hole is communicated with the connecting pipe.
Furthermore, the second pipeline comprises a filling pipe fixedly connected to the wall of the nasal feeding nutrition pipe and a connector head fixedly connected to the left end of the second pipe section, one end of the filling pipe is communicated with the air bag, and the other end of the filling pipe is communicated with the connector head.
Still further, first pipeline is including linking firmly decompression pipe on the second pipeline section and the decompression connector that links firmly at second pipeline section left end portion, the one end of decompression connector with the decompression pipe is linked together, and its another tip with the negative pressure mouth is linked together.
Furthermore, the nasal feeding nutrition tube is also provided with a developing marking part, and the developing marking part comprises metal marking sheets arranged on two sides of the air bag.
Furthermore, the tube wall of the first tube section of the nasal feeding nutrition tube is provided with lateral flow holes at intervals.
Furthermore, the opening and closing pipe fitting is a water stop clamp, a regulating valve or a self-sealing silica gel sealing plug arranged at the outer port of the second pipeline. More preferably, the opening and closing pipe fitting is a silica gel sealing plug.
Furthermore, length scale marks are arranged on the second pipe section.
The utility model has the advantages that the nasal feeding nutrition, the esophageal stenosis expansion and the secretion extraction are integrated, and only one operation is needed during the operation, thereby saving the operation cost. The method has the following specific advantages:
(1) the utility model discloses a nasal feeding nutrition tube nasal feeding puts into patient's gastric cavity, can pour into nutritive material into to patient's gastric cavity through nasal feeding nutrition tube, effectively guarantees patient's nutrition demand.
(2) The utility model integrates the air bag with the expansion function in the nasal feeding nutrition tube, the air bag can be arranged at the narrow part of the esophagus of a patient, the narrow part is expanded by the air bag, and the obstruction position of the esophagus of the patient is effectively solved; meanwhile, the air bag can be provided with a radiation particle strip, so that the tumor tissue at the esophagus obstruction part can be subjected to radiation treatment, the obstruction problem can be effectively solved, the treatment effect is good, and the carrying time of a patient is effectively shortened.
(3) The utility model discloses a still be provided with the decompression pipe on the nasal feeding nutrition tube, the human oral cavity has about 500 mL's secretion every day, and the part gets into in the esophagus, and the constrictive patient of esophagus often merges the esophagus expansion of narrow top, takes place liquid retention easily, takes place easily to inhale by mistake and chocks to aggravate the risk that the lung infects, suffocate even, the utility model discloses accessible decompression pipe and negative pressure drum in time take out the esophagus content of the constrictive top retention of patient, reduce the emergence of relevant complication.
Drawings
Fig. 1 is a schematic structural diagram of the present invention.
Fig. 2 is a cross-sectional enlarged view of a portion a in fig. 1.
Fig. 3 is a diagram of the usage state of the present invention (the air bag is in the filling state).
Fig. 4 is an enlarged sectional view taken along line B-B of fig. 3.
Fig. 5 is an enlarged view of a portion C in fig. 1.
Detailed Description
The following describes embodiments of the present invention in detail with reference to the accompanying drawings, wherein the embodiments are implemented on the premise of the technical solution of the present invention, and detailed implementation and specific operation processes are provided. However, the present invention is not limited to the following embodiments.
As shown in fig. 1-5, the multifunctional nasal feeding nutrition device for patients with esophageal stenosis of the present invention comprises a nasal feeding nutrition tube, which is sequentially divided into a first tube section 1.1 with a length of 20-50 cm, a narrow expansion section 1.2 with a length of 6.0-14.0 cm (the length of the narrow expansion section 1.2 is greater than the obstruction length of the patient, the length difference is 2-4cm, and the length of the airbag is greater than the obstruction length) and a second tube section 1.3 (the second tube section 1.3 is provided with length scale marks to accurately track the insertion position of the airbag), the port at the left end of the second tube section 1.3 is a nutrition injection port, the port at the right end of the first tube section 1.1 is a nutrition discharge port, and the tube wall of the first tube section 1.1 is provided with a plurality of lateral flow holes 1.4 at intervals, so as to increase the outflow area and ensure that the nutrition substance smoothly enters the stomach cavity of the patient;
the first pipeline is arranged on the pipe wall of the second pipe section 1.3, the left end of the first pipeline is provided with a liquid outlet, the right end of the first pipeline extends to the joint of the narrow expansion section 1.2 and the second pipe section 1.3, and the right end part of the first pipeline close to the air bag 3.1 is provided with a plurality of liquid extraction holes 2.1 which are arranged at intervals, so that secretion enters the first pipeline from the liquid extraction holes 2.1;
the negative pressure drum (can also be replaced by a negative pressure pump or a syringe), the negative pressure port of the negative pressure drum is communicated with the liquid discharge port, and the secretion in the body enters the first pipeline from the liquid suction hole 2.1 under the action of the negative pressure drum and is discharged out of the body from the liquid discharge port of the first pipeline, so that the risk of pulmonary infection and even asphyxia caused by mistaken inhalation and choking is reduced; and
the expansion assembly comprises an air bag 3.1 sleeved on the narrow expansion section 1.2, a second pipeline communicated with the air bag 3.1 and an opening and closing pipe fitting arranged at the outer end part of the second pipeline, the second pipeline is arranged on the pipe wall of the second pipe section 1.3, the right end of the second pipeline is communicated with the air bag 3.1, sterile air or distilled water can be filled into the air bag 3.1 through the second pipeline, and the sterile air or distilled water in the air bag 3.1 can be discharged through the second pipeline; the length of the air bag 3.1 is consistent with that of the narrow expansion section 1.2 and is slightly larger than that of the esophageal narrow section, so that the esophageal narrow part is expanded after the air bag 3.1 is filled; a digital display type pressure sensor is arranged on the second pipeline, so that medical personnel can accurately master the pressure value in the air bag 3.1, the explosion problem caused by exceeding the upper limit pressure value of the air bag 3.1 is prevented, and the safety is improved;
wherein, the nasal feeding nutrition device has a first state and a second state in the esophagus, and the air bag 3.1 is attached to the outer tube wall of the expansion section in the first state; in the second state, the balloon 3.1 is filled with an inflation medium (sterile air or distilled water) and is in an expanded state for dilating the esophageal stricture.
As shown in fig. 1 and 3-4, to further ensure the therapeutic effect, the wall of the balloon 3.1 has a circular arc-shaped limiting groove (one, two, three or four limiting grooves) or mounting holes, a radioactive particle strip 4 is disposed in the limiting groove, the radioactive particle strip 4 includes a particle tube penetrating the limiting groove (or the mounting hole), the particle tube can encapsulate radioactive particles (specifically, iodine 125 particles with a length of 4.5mm and a diameter of about 0.8 mm), the balloon 3.1 is located at the narrow part of the esophagus (often accompanied by tumor tissue), the radioactive particles can effectively kill the tumor tissue, the esophageal obstruction is removed, the smoothness is ensured, the therapeutic effect is good, and the tube-placing time of the patient is shortened.
As shown in fig. 1 and 3, the nasal feeding nutrition tube is further provided with a developing marking part, the developing marking part comprises two metal marking sheets 5, one metal marking sheet 5 is positioned on the second tube section 1.3 close to the air bag 3.1, the other metal marking sheet 5 is positioned on the first tube section 1.1 close to the air bag 3.1, the metal marking sheets 5 are platinum sheets (namely point marks) with the diameter of about 0.5mm, the metal marking sheets 5 can be developed under image equipment such as X-rays, the position of the air bag 3.1 can be tracked through the two metal marking sheets 5 in the process of using the guide wire to place the air bag 3.1 in the esophageal stenosis position of a patient, and the air bag 3.1 is further ensured to be placed in the esophageal stenosis position of the patient.
As shown in fig. 1 and 2, the second pipeline is a filling tube 3.2 arranged on the tube wall of the second tube section 1.3 and a connecting tube 3.3 arranged on the second tube section 1.3 (of course, during actual processing, the filling tube 3.2 may be replaced by a through hole arranged on the tube wall of the second tube section 1.3), the connecting tube 3.3 is obliquely arranged on the second tube section 1.3, the inner end of the filling tube 3.2 extends inwards to the air bag 3.1 (and the inner end of the filling tube 3.2 is communicated with the air bag 3.1), the other end of the filling tube 3.2 is communicated with the connecting tube 3.3, the opening and closing tube is arranged at the tube opening of the connecting tube 3.3, the digital display type pressure sensor 3.4 is arranged on the connecting tube 3.3, and detects and displays the pressure value in the air bag 3.1, thereby improving safety;
the opening and closing pipe fitting is a silica gel sealing plug inserted in the connecting pipe 3.3, the needle head of the injector passes through the silica gel sealing plug to perform air suction (or liquid suction) or air supply (or liquid filling), so that the air bag 3.1 is inflated and deflated (or liquid discharge), the silica gel sealing plug is automatically closed after the injector is pulled out, and air leakage or liquid leakage of the balloon is prevented; the opening and closing pipe fitting can also be an adjusting valve arranged at the outer end part of the second pipeline, and the second pipeline can be opened or closed.
When the device works, the injector is manually operated (or clamped on the injection pump), the needle head of the injector penetrates through the self-closed silica gel sealing plug, gas or distilled water is filled into the air bag 3.1 through the second pipeline, and the injector is pulled out after injection is finished; similarly, the air or distilled water in the air bag 3.1 can be pumped out by a liquid pump or a syringe so as to take out the nasal feeding nutrition tube smoothly.
As shown in fig. 1-3, the first pipeline comprises a pressure reducing pipe 2.2 fixedly connected to the pipe wall of the second pipe section 1.3 and a pressure reducing connector 2.3 fixedly connected to the left end of the second pipe section 1.3, one end of the pressure reducing connector 2.3 is communicated with the pressure reducing pipe 2.2, and the other end is communicated with the negative pressure port of the negative pressure drum; wherein, the right end of the pressure reducing pipe is evenly provided with liquid pumping holes 2.1. When the vacuum pump works, secretion in a patient body enters the decompression tube 2.2 through the liquid suction hole 2.1 under the action of the negative pressure drum and is discharged out of the body through the decompression tube connector 2.3.
When in use, the conventional implantation operation specification of the existing clinical nasal feeding nutrition tube is utilized to implant the nasal feeding nutrition tube into the gastric cavity of a patient, and the specific operation is as follows: under perspective, orally taking iodine contrast agent to display the narrow part and the length, then utilizing a guide wire and a guide pipe to sequentially pass through the nasal cavity and the esophagus inlet of a patient and cross the esophageal narrow section to enter the gastric cavity under the development of an imaging device, withdrawing the guide pipe, keeping the guide wire in the gastric cavity, and introducing the end of a nasal feeding nutrition tube head along the guide wire to be placed in the gastric cavity;
in the implantation process, the first tube section 1.1 of the nasal feeding nutrition tube is provided with a first metal marking sheet 5, the second tube section 1.3 is provided with a second metal marking sheet 5, the positions of the nasal feeding nutrition tube and the air bag 3.1 can be accurately controlled under the development of an imaging device, the air bag 3.1 is ensured to be implanted in the esophageal stenosis part, air (or distilled water) is injected into the air bag 3.1 through a second pipeline by using a syringe or an injection pump, the air bag 3.1 is filled to further expand the esophageal stenosis part, and the radioactive particles on the air bag 3.1 can carry out radiotherapy on tumor tissues at the stenosis part;
after the nasal feeding nutrition tube is implanted in place, the nasal feeding nutrition tube is fixed at the position of the nasal alar part, and after the tube placing operation, the stomach cavity of a patient can be filled with nutrient solution through the nasal feeding nutrition tube, so that the nutrition of the patient is ensured;
when secretion (such as saliva) exists in the esophagus of a patient, the secretion in the body of the patient is extracted out of the body by using the negative pressure drum, and the method specifically comprises the following steps: the negative pressure drum is manually opened, and the secretion enters the decompression pipe 2.2 through a plurality of liquid pumping holes 2.1 under the action of negative pressure, and then is discharged into the container of the negative pressure drum through the decompression connector 2.3, so that the secretion is discharged out of the body.
It should be noted that all the directional indicators (such as upper, lower, left, right, front and rear … …) in the embodiment of the present invention are only used to explain the relative position relationship between the components, the motion situation, etc. in a specific posture (as shown in fig. 1), and if the specific posture is changed, the directional indicator is changed accordingly. In the present invention, unless otherwise expressly stated or limited, the terms "connected" and "fixed" are to be construed broadly, e.g., "fixed" may be fixedly connected or detachably connected, or integrally formed; can be mechanically or electrically connected; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meaning of the above terms in the present invention can be understood according to specific situations by those skilled in the art.
In addition, descriptions in the present application as to "first", "second", and the like are for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicit to the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature. In addition, the meaning of "and/or" appearing throughout is to include three juxtapositions, exemplified by "A and/or B," including either the A or B arrangement, or both A and B satisfied arrangement. In addition, the technical solutions in the embodiments may be combined with each other, but it must be based on the realization of those skilled in the art, and when the technical solutions are contradictory or cannot be realized, the combination of the technical solutions should not be considered to exist, and is not within the protection scope of the present invention.
Claims (10)
1. A multi-functional nasal feeding nutrition device for patients with esophageal stenosis, which is characterized in that: comprises that
The nasal feeding nutrition tube is provided with a first tube section, a narrow expansion section and a second tube section from right to left in sequence;
the first pipeline is arranged on the pipe wall of the second pipe section, the left end of the first pipeline is a liquid outlet, and the right end of the first pipeline is provided with a liquid pumping hole;
the negative pressure port of the power source is communicated with the liquid outlet to extract the secretion; and
a stent assembly comprising
The expansion bracket is sleeved on the narrow expansion section, and the length of the expansion bracket is consistent with that of the narrow expansion section;
the second pipeline is arranged on the pipe wall of the second pipe section and communicated with the expansion bracket; and
the opening and closing pipe fitting is arranged at the left end part of the second pipeline and used for controlling the on-off of the second pipeline;
wherein the nasal feeding nutrition device has a first state and a second state, and in the first state, the expansion bracket is attached to the tube wall of the expansion section; in the second state, the stent is filled with an inflation medium and is in an expanded state.
2. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 1, characterized in that: the nasal feeding nutrition device further comprises a radioactive particle strip, wherein the radioactive particle strip comprises a particle tube clamped in a limiting groove on the expansion bracket and radioactive particles packaged in the particle tube.
3. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 1, characterized in that: the length of the first pipe section is 10-50 cm, and the length of the narrow expansion section is 6.0-14.0 cm; the expansion bracket is an air bag arranged on the besieged-stenosis expansion section.
4. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 3, characterized in that: the second pipeline comprises a through hole formed in the pipe wall of the second pipe section and a connecting pipe fixedly connected to the left end portion of the second pipe section, the through hole extends along the length direction of the second pipe section, one end of the through hole is communicated with the air bag, and the other end of the through hole is communicated with the connecting pipe.
5. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 3, characterized in that: the second pipeline is including linking firmly filling pipe on the nasal feeding nutrition tube pipe wall and linking firmly the connector head of second pipeline section left end portion, filling pipe's one end with the gasbag is linked together and its other end with the connector head intercommunication.
6. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 4 or 5, wherein: the first pipeline is including linking firmly decompression pipe on the second pipeline section and the decompression connector that links firmly at second pipeline section left end portion, the one end of decompression connector with the decompression pipe is linked together, and its another tip with the negative pressure mouth is linked together.
7. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 3, characterized in that: the nasal feeding nutrition tube is further provided with a developing marking part, and the developing marking part comprises metal marking pieces arranged on two sides of the air bag.
8. The multifunctional nasogastric feeding device for esophageal stenosis patients as claimed in claim 7, wherein: lateral flow holes are arranged on the tube wall of the first tube section of the nasal feeding nutrition tube at intervals.
9. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 1, characterized in that: the opening and closing pipe fitting is arranged on a water stop clamp, a regulating valve or a self-sealing silica gel sealing plug at the left port of the second pipeline.
10. The multifunctional nasal feeding nutrition device for patients with esophageal stenosis of claim 1, characterized in that: and length scale marks are arranged on the second pipe section.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202021931791.7U CN212187176U (en) | 2020-09-07 | 2020-09-07 | Multifunctional nasal feeding nutrition device for patients with esophageal stenosis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202021931791.7U CN212187176U (en) | 2020-09-07 | 2020-09-07 | Multifunctional nasal feeding nutrition device for patients with esophageal stenosis |
Publications (1)
| Publication Number | Publication Date |
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| CN212187176U true CN212187176U (en) | 2020-12-22 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202021931791.7U Active CN212187176U (en) | 2020-09-07 | 2020-09-07 | Multifunctional nasal feeding nutrition device for patients with esophageal stenosis |
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| CN (1) | CN212187176U (en) |
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- 2020-09-07 CN CN202021931791.7U patent/CN212187176U/en active Active
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