CN212547066U

CN212547066U - Three-cavity two-sac tube traction fixing device

Info

Publication number: CN212547066U
Application number: CN202021365145.9U
Authority: CN
Inventors: 邱世宏
Original assignee: Yongchuan Hospital of Chongqing Medical University
Current assignee: Yongchuan Hospital of Chongqing Medical University
Priority date: 2020-07-13
Filing date: 2020-07-13
Publication date: 2021-02-19
Anticipated expiration: 2030-07-13

Abstract

The utility model belongs to the technical field of medical instrument, concretely relates to three chamber two bag pipe traction fixing device, hold in the palm including the volume, the L shape supporting shoe that falls with the drive mechanism who is used for pulling three chamber two bag pipes, the volume holds in the palm the equal fixed mounting in both ends and has the connecting band, two connecting band free end fixed mounting have the thread gluing area of matcing each other, the volume holds in the palm integrated into one piece and has a supporting beam, the L shape supporting shoe movable mounting that falls is on a supporting beam, a support arm is respectively installed to nose frame both sides, drive mechanism demountable installation is on the L shape supporting shoe that falls, drive mechanism includes the couple, hinge ball and two arc semi-rings constitute universal ball hinge, one of them arc semi-ring and connection half a section of thick bamboo fixed connection, fixed mounting has the go-between on connecting half a section. The purpose is as follows: the problem that the existing traction fixing mode is complex in operation is solved; the body movement is limited due to the relative forced body position; the nasal alar part is easy to be ischemic necrosis.

Description

Three-cavity two-sac tube traction fixing device

Technical Field

The utility model belongs to the technical field of medical instrument, concretely relates to three chamber two bag pipe traction fixing device.

Background

The two-balloon three-lumen tube is the basic treatment method for esophageal and gastric variceal bleeding caused by portal hypertension. The tube with two air sacs and three cavities is inserted into the stomach of a patient through a nostril, and after the gas is injected into the stomach sac, the tube is pulled outwards with gentle force, and after certain elastic resistance is felt, the tube is pulled and fixed in vitro. The traditional traction fixing method is that a heavy object such as a sand bag weighing 0.5 kg is fixed on a bed foot rest through traction of a pulley, and a two-air bag three-cavity tube can be fixed on the cheek part of a patient by using a wide adhesive tape to keep proper tension, so that the compression hemostasis effect is achieved, the curative effect is reliable, and the instant hemostasis rate on bleeding caused by esophageal and gastric varicose vein rupture can reach 90%.

However, the traditional traction fixing method has the following open ends: namely, the operation is complicated; the body position is relatively forced, so that physical activity is limited, the patient is uncomfortable to lie for a long time, the patient is prone to inhalation pneumonia, and the nursing quality and the treatment effect are influenced; the wings of the nose are easy to be ischemic and necrotic when the nose is fixed with adhesive plaster under pressure.

SUMMERY OF THE UTILITY MODEL

The utility model aims at: aiming at providing a three-cavity two-sac tube traction fixing device which is used for solving the problem that the existing traction fixing mode has complicated operation; the body movement is limited due to the relative forced body position; the nasal alar part is easy to be ischemic necrosis.

In order to realize the technical purpose, the utility model discloses a technical scheme as follows:

a three-cavity two-bag tube traction fixing device comprises a forehead support, an inverted L-shaped supporting block and a traction mechanism for traction of the three-cavity two-bag tube, wherein connecting bands are fixedly mounted at two ends of the forehead support, thread gluing bands matched with each other are fixedly mounted at free ends of the two connecting bands, a supporting beam is integrally formed on the forehead support and movably mounted on the supporting beam, a nose frame is further integrally formed on the supporting beam, supporting arms are respectively mounted at two sides of the nose frame, the traction mechanism is detachably mounted on the inverted L-shaped supporting block and comprises a hook, a connecting portion is fixedly arranged on the three-cavity two-bag tube, a hanging hole is formed in the connecting portion, the hook is arranged in the hanging hole in a penetrating manner, the traction mechanism comprises a connecting cylinder, a scale rod, a connecting rod, two semi-ring arcs, a connecting semi-cylinder and a threaded rod, and a retaining ring is integrally formed at the lower end of the inner, the scale rod is arranged in the connecting cylinder and the baffle ring in a penetrating way, the hook is fixedly arranged at the lower end of the scale rod, the outer wall of the scale rod is provided with scales, the upper end of the scale rod is also integrally formed with a boss, the diameter size of the boss is larger than that of the scale rod, the boss is positioned in the connecting cylinder, a compression spring is sleeved on the scale rod between the baffle ring and the boss, one end of the connecting rod is fixedly connected with the connecting cylinder, the other end of the connecting rod is fixedly provided with a hinge ball, the two arc-shaped semi-rings are fixedly connected, the hinge ball is positioned between the two arc-shaped semi-rings, the hinge ball and the two arc-shaped semi-rings form a universal ball hinge, one of the arc-shaped semi-rings is fixedly connected with a connecting semi-cylinder, a connecting ring is fixedly arranged on the connecting semi-cylinder, the inner wall of the connecting ring is provided with an internal thread, and the connecting ring is in threaded connection with the threaded rod through the internal thread.

Further limit, the forehead support, the nose frame and the two supporting arms are all provided with spongy cushions. Such structural design, forehead holds in the palm, nose frame and two spinal branch vaulting poles all pass through the foam-rubber cushion and contact with patient's head, and patient's comfort level is higher.

Further inject, the volume holds in the palm still to be fixed and is equipped with the skull, the fixed holding ring that is equipped with on the skull, two the terminal equal fixed mounting of support arm has the constraint area. Such structural design, after holding in the palm the forehead to place patient's forehead, the skull covers at patient's top of the head, at this moment, can wear to establish in the holding ring from patient's nosewing both sides through the chin, behind the ear of patient's head opposite side to bind two holding bands on the holding ring, make and pull fixing device can be fixed at patient's head more steadily.

Further inject, a supporting beam cross-section is the shape of falling C, the shape supporting shoe of falling L wears to establish in a supporting beam, the bar groove has been seted up on the shape supporting shoe of falling L, a supporting beam is last fixed mounting has the gag lever post, the gag lever post wears to establish in the bar inslot, a plurality of first breachs have still been seted up on the supporting beam, first breach from the bottom up is to the direction slope that is close to the volume and holds in the palm gradually, it has the kelly to go back fixed mounting on the shape supporting shoe of falling L, the kelly card is established in one of them first breach. Due to the structural design, the movable installation between the inverted L-shaped supporting block and the supporting beam is completed through the mutual matching of the limiting rod, the strip-shaped groove, the first notch and the clamping rod; when the position of the inverted L-shaped supporting block on the supporting beam needs to be adjusted, the inverted L-shaped supporting block only needs to be pulled outwards, so that the clamping rod is separated from the first notch, and then the clamping rod is clamped into the new first notch through rotation and sliding of the inverted L-shaped supporting block, and the use is convenient.

Further limiting, a second notch is formed in the inverted L-shaped supporting block, the traction mechanism is located in the second notch, a groove is formed in the position, corresponding to the second notch, of the inverted L-shaped supporting block, a clamping block is fixedly arranged on the threaded rod, and the clamping block is clamped in the groove. Such structural design, through mutually supporting of fixture block and recess, accomplish the dismantlement between inverted L shape supporting shoe and the drive mechanism and be connected, simple structure, loading and unloading are convenient.

Further defined, the number of the second notches is two. The two notches respectively correspond to the two nostrils of the patient, and if a three-cavity two-sac tube is inserted into the left nostril of the patient, the clamping block can be clamped into the groove corresponding to the left notch and corresponds to the left nostril of the patient; due to the structural design, the traction mechanism can be prevented from pulling the three-cavity two-sac tube to the direction of offsetting the nostrils to a certain extent, and the comfort level of a patient is improved.

Further limiting, a third notch is formed in the inverted L-shaped supporting block. Due to the structural design, in the traction process of the three-cavity two-sac tube, the upper part of the three-cavity two-sac tube can be clamped in the third gap, the free end of the three-cavity two-sac tube is fixed to a certain degree, and the problem that the free end of the three-cavity two-sac tube is randomly placed and polluted due to the fact that the free end of the three-cavity two-sac tube is polluted is avoided.

A use method of a three-cavity two-balloon tube traction fixing device comprises the following steps:

1) placing the traction fixing device on the head of a patient, enabling the forehead support to be located on the forehead of the patient, covering the head cover on the top of the head of the patient, enabling the supporting arms to be located on two sides of the nose of the patient, then winding the connecting band on the brain of the patient, and fixing the connecting band and the head cover with each other through the thread gluing band;

2) then the binding belts pass through the lower jaw from two sides of the nose wing of the patient and penetrate through the positioning ring from the back of the ear on the other side of the head of the patient, and the two binding belts are bound on the positioning ring;

3) inserting the tube into the stomach of a patient through a nostril, injecting gas into the stomach bag, slightly and forcefully drawing outwards to ensure that the hook is hung in the hanging hole of the connecting part after certain elastic resistance is felt;

4) the clamping rod is clamped into the corresponding first gap through rotation and sliding of the inverted L-shaped supporting block, and the inverted L-shaped supporting block is adjusted to a proper position;

5) then one hand grasps the lower end of the scale rod, the other hand rotates the connecting cylinder, so that the lower edge of the connecting cylinder is aligned with the scale corresponding to the calibration pressure, and the adjustment and fixation are completed;

6) when the device is used for a period of time and the stomach bag needs to be deflated and relaxed to be pulled, the hook of the traction mechanism is taken out of the hanging hole, the traction on the three-cavity two-bag tube is relaxed, then the three-cavity two-bag tube is slightly extended into the human body, and then the stomach bag is deflated;

7) when traction hemostasis is needed again, after the stomach sac is inflated again, the hook of the traction mechanism is hung in the hanging hole again.

Adopt above-mentioned technical scheme's utility model, have following advantage:

1. the three-cavity two-sac tube is pulled by the traction fixing device fixedly arranged on the head of a patient, the operation is simple, the body position of the patient is not limited, the patient can freely change various postures except lying on the stomach, the comfort level of the patient is improved, and the problem that the nasal wings are easy to suffer from ischemic necrosis due to the fact that nasal part adhesive tapes are adopted for pressurization and fixation is avoided;

2. the traction fixing device can conveniently adjust the traction force of the three-cavity two-balloon catheter by the mutual matching of the compression spring, the scale rod with scales and the connecting cylinder, and the traction force is not changed due to the change of the body position of the patient after the adjustment;

3. the universal spherical hinge mechanism is formed by mutually matching the hinge ball and the two arc-shaped semi-rings, so that the three-cavity two-sac tube can be prevented from being pulled to the direction deviating from the nostril by the traction mechanism to a certain extent, and the comfort level of a patient is improved;

4. the forehead support, the head cover, the positioning ring, the supporting arm, the restraining belt and the connecting belt are matched with each other, so that the traction fixing device can be stably fixed on the head of a patient;

5. the movable installation between the inverted L-shaped supporting block and the supporting beam is completed through the mutual matching of the limiting rod and the strip-shaped groove as well as the first notch and the clamping rod; when the position of the inverted L-shaped supporting block on the supporting beam needs to be adjusted, the inverted L-shaped supporting block only needs to be pulled outwards, so that the clamping rod is separated from the first notch, and then the clamping rod is clamped into the new first notch through rotation and sliding of the inverted L-shaped supporting block, and the use is convenient.

Drawings

The present invention can be further illustrated by the non-limiting examples given in the accompanying drawings;

fig. 1 is a schematic structural view of an embodiment of a three-lumen two-balloon tube traction and fixation device of the present invention;

FIG. 2 is an enlarged schematic view of the structure at A in FIG. 1;

fig. 3 is a schematic structural view of an inverted L-shaped supporting block portion in an embodiment of a three-lumen two-balloon tube traction fixing device of the present invention;

FIG. 4 is a schematic structural view of a traction mechanism part in an embodiment of a Sengstaken-Blakemore tube traction fixing device of the present invention;

FIG. 5 is a schematic cross-sectional view of a middle traction mechanism in an embodiment of a three-lumen two-balloon tube traction fixing device of the present invention;

the main element symbols are as follows:

a forehead support 1, a connecting belt 11, a supporting beam 12, a limiting rod 121, a first gap 122, a nose frame 13,

A support arm 14, a restraining band 140, a head cover 15, a positioning ring 150,

An inverted L-shaped supporting block 2, a strip-shaped groove 21, a clamping rod 210, a second gap 22, a groove 23, a third gap 24,

A traction mechanism 3, a hook 30, a connecting cylinder 31, a baffle ring 311,

Scale rod 32, compression spring 320, boss 321, connecting rod 33, hinge ball 331,

The arc semi-ring 34, the connecting semi-cylinder 35, the connecting ring 351, the threaded rod 36, the fixture block 360,

A three-cavity two-sac tube 4 and a connecting part 40.

Detailed Description

The present invention will be described in detail with reference to the drawings and specific embodiments, wherein like reference numerals are used for similar or identical parts in the drawings or the description, and implementations not shown or described in the drawings are known to those of ordinary skill in the art. In addition, directional terms, such as "upper", "lower", "top", "bottom", "left", "right", "front", "rear", and the like, used in the embodiments are only directions referring to the drawings, and are not intended to limit the scope of the present invention.

As shown in fig. 1-5, the utility model discloses a three-cavity two-bag tube traction fixing device, hold in the palm 1 including the volume, the shape of falling L supporting shoe 2 and the drive mechanism 3 that is used for drawing three-cavity two-bag tube 4, the volume holds in the palm 1 both ends equal fixed mounting and has connecting band 11, two connecting band 11 free end fixed mounting have the thread gluing area of mutual matching, the volume holds in the palm 1 last integrated into one piece and has a supporting beam 12, the shape of falling L supporting shoe 2 movable mounting is on a supporting beam 12, still integrated into one piece has nose frame 13 on a supporting beam 12, a support arm 14 is respectively installed to nose frame 13 both sides, drive mechanism 3 demountable installation is on the shape of falling L supporting shoe 2, drive mechanism 3 includes couple 30, three-cavity two-bag tube 4 is last to be fixed to be equipped with connecting portion 40, the hanging hole has been seted up on connecting portion 40, couple 30 wears to be established in the hanging hole, drive, The connecting half cylinder 35 and the threaded rod 36 are connected, a baffle ring 311 is integrally formed at the lower end of the inner wall of the connecting cylinder 31, the scale rod 32 penetrates through the connecting cylinder 31 and the baffle ring 311, the hook 30 is fixedly installed at the lower end of the scale rod 32, scales are arranged on the outer wall of the scale rod 32, a boss 321 is further integrally formed at the upper end of the scale rod 32, the diameter size of the boss 321 is larger than that of the scale rod 32, the boss 321 is located in the connecting cylinder 31, the compression spring 320 is sleeved between the baffle ring 311 and the boss 321 of the scale rod 32, one end of the connecting rod 33 is fixedly connected with the connecting cylinder 31, the other end of the connecting rod 33 is fixedly provided with a hinge ball 331, the two arc-shaped half rings 34 are fixedly connected, the hinge ball 331 is located between the two arc-shaped half rings 34, the hinge ball 331 and the two arc-shaped half rings 34 form a universal ball hinge, one of the arc-shaped half cylinder 34 is fixedly, the connecting ring 351 is threadedly connected to the threaded rod 36 via internal threads.

Sponge pads are arranged on the forehead support 1, the nose frame 13 and the two supporting arms 14. The forehead support 1, the nose frame 13 and the two supporting arms 14 are all in contact with the head of a patient through the spongy cushion, and the comfort level of the patient is higher.

The forehead support 1 is further fixedly provided with a head cover 15, the head cover 15 is fixedly provided with a positioning ring 150, and the tail ends of the two supporting arms 14 are fixedly provided with a binding belt 140. After the forehead support 1 is placed on the forehead of a patient, the head cover 15 covers the top of the head of the patient, at this time, the restraining belts 140 can be inserted into the positioning ring 150 from the two sides of the nose wing of the patient through the chin and from the back of the ear on the other side of the head of the patient, and the two restraining belts 140 are bound on the positioning ring 150, so that the traction fixing device can be fixed on the head of the patient more stably.

The cross-section of a supporting beam 12 is the shape of falling C, the shape of falling L supporting shoe 2 wears to establish in a supporting beam 12, bar groove 21 has been seted up on the shape of falling L supporting shoe 2, a supporting beam 12 is last fixed mounting has gag lever post 121, gag lever post 121 wears to establish in bar groove 21, a plurality of first breachs 122 have still been seted up on a supporting beam 12, first breach 122 from the bottom up is to the orientation slope that is close to the volume support 1 gradually, it has kelly 210 to go back fixed mounting on the shape of falling L supporting shoe 2, kelly 210 blocks and establishes in one of them first breach 122. The movable installation between the inverted L-shaped supporting block 2 and the supporting beam 12 is completed through the mutual matching of the limiting rod 121, the strip-shaped groove 21, the first notch 122 and the clamping rod 210; when the position of the inverted L-shaped supporting block 2 on the supporting beam 12 needs to be adjusted, the inverted L-shaped supporting block 2 only needs to be pulled out outwards, so that the clamping rod 210 is separated from the first gap 122, and then the clamping rod 210 is clamped into the new first gap 122 through rotation and sliding of the inverted L-shaped supporting block 2, so that the use is convenient.

The inverted L-shaped supporting block 2 is provided with a second gap 22, the traction mechanism 3 is located in the second gap 22, the inverted L-shaped supporting block 2 is provided with a groove 23 at a position corresponding to the second gap 22, the threaded rod 36 is fixedly provided with a clamping block 360, and the clamping block 360 is clamped in the groove 23. Through the mutual cooperation of fixture block 360 and recess 23, accomplish the dismantlement between the shape supporting shoe 2 of falling L and the drive mechanism 3 and be connected, simple structure, loading and unloading are convenient.

The number of the second notches 22 is two. The two notches 22 respectively correspond to the two nostrils of the patient, and if the three-cavity two-bag tube 4 is inserted into the left nostril of the patient, the fixture block 360 can be clamped into the groove 23 corresponding to the left notch 22 and correspond to the left nostril of the patient; the traction mechanism 3 can be prevented from pulling the three-cavity two-sac tube 4 to the direction of the offset nostril to a certain degree, and the comfort level of a patient is improved.

The inverted-L-shaped supporting block 2 is further provided with a third gap 24. In the traction process of the three-cavity two-sac tube 4, the upper part of the three-cavity two-sac tube 4 can be clamped in the third notch 24, the free end of the three-cavity two-sac tube 4 is fixed to a certain degree, and the problem that the free end of the three-cavity two-sac tube 4 is randomly placed to cause pollution is avoided.

1) placing the traction fixing device on the head of a patient, enabling the forehead support 1 to be located on the forehead of the patient, covering the head cover 15 on the top of the head of the patient, enabling the supporting arms 14 to be located on two sides of the nose of the patient, and then winding the connecting belt 11 around the brain of the patient and fixing the connecting belt with the head of the patient through the fastening belts;

2) then the restraining straps 140 are arranged in the positioning ring 150 from the two sides of the nose wing of the patient through the lower jaw and from the back of the ear at the other side of the head of the patient, and the two restraining straps 140 are bound on the positioning ring 150;

3) the tube with the three cavities and the two sacs is inserted into the stomach of a patient through a nostril, after gas is injected into the stomach sac, the tube is pulled outwards with gentle force, and after certain elastic resistance is felt, the hook 30 is hung in a hanging hole of the connecting part 40;

4) the clamping rod 210 is clamped into the corresponding first gap 122 through the rotation and sliding of the inverted-L-shaped supporting block 2, so that the inverted-L-shaped supporting block 2 is adjusted to a proper position;

5) then one hand grasps the lower end of the scale rod 32, the other hand rotates the connecting cylinder 31, so that the lower edge of the connecting cylinder 31 is aligned with the scale corresponding to the calibration pressure, and the adjustment and fixation are completed;

6) when the device is used for a period of time and the stomach bag needs to be deflated and the traction is released, the hook 30 of the traction mechanism 3 is taken out of the hanging hole, the traction on the three-cavity two-bag tube 4 is released, then the three-cavity two-bag tube 4 is slightly inserted into the human body, and then the stomach bag is deflated;

7) when traction hemostasis is needed again, after the stomach sac is inflated again, the hook 30 of the traction mechanism 3 is hung in the hanging hole again.

The above is a detailed description of the three-cavity two-sac tube traction fixing device provided by the utility model. The description of the specific embodiments is only intended to facilitate an understanding of the method of the invention and its core ideas. It should be noted that, for those skilled in the art, without departing from the principle of the present invention, the present invention can be further modified and modified, and such modifications and modifications also fall within the protection scope of the appended claims.

Claims

1. The utility model provides a three chamber two bag pipe traction fixing device which characterized in that: the device comprises a forehead support (1), an inverted L-shaped support block (2) and a traction mechanism (3) used for drawing a three-cavity two-bag tube (4), wherein connecting bands (11) are fixedly mounted at two ends of the forehead support (1), two sticky buckle bands matched with each other are fixedly mounted at free ends of the connecting bands (11), a support beam (12) is integrally formed on the forehead support (1), the inverted L-shaped support block (2) is movably mounted on the support beam (12), a nose frame (13) is further integrally formed on the support beam (12), two support arms (14) are respectively mounted at two sides of the nose frame (13), the traction mechanism (3) is detachably mounted on the inverted L-shaped support block (2), the traction mechanism (3) comprises a hook (30), a connecting portion (40) is fixedly arranged on the three-cavity two-bag tube (4), a hanging hole is formed in the connecting portion (40), and the hook (30) is arranged in the hanging hole in a penetrating way, traction mechanism (3) is including connecting cylinder (31), scale pole (32), connecting rod (33), two arc semi-rings (34), connect half a section of thick bamboo (35) and threaded rod (36), the lower extreme integrated into one piece of connecting cylinder (31) inner wall has fender ring (311), scale pole (32) are worn to establish in connecting cylinder (31) and fender ring (311), couple (30) fixed mounting is at scale pole (32) lower extreme, scale pole (32) outer wall is equipped with the scale, still integrated into one piece has boss (321) in scale pole (32) upper end, the diameter size of boss (321) is greater than the diameter size of scale pole (32), boss (321) are located connecting cylinder (31), scale pole (32) are equipped with compression spring (320) between fender ring (311) and boss (321) cover, connecting rod (33) one end and connecting cylinder (31) fixed connection, a, The other end fixed mounting has one to articulate ball (331), two arc semi-ring (34) fixed connection, it is located between two arc semi-rings (34) to articulate ball (331), it constitutes universal ball hinge to articulate ball (331) and two arc semi-rings (34), one of them arc semi-ring (34) with connect half a section of thick bamboo (35) fixed connection, connect half a section of thick bamboo (35) and go up fixed mounting and have go up go-between (351), the internal thread has been seted up to go-between (351) inner wall, go-between (351) are through internal thread and threaded rod (36) threaded connection.

2. The three-lumen two-balloon tube traction fixing device according to claim 1, wherein: sponge pads are arranged on the forehead support (1), the nose frame (13) and the two supporting arms (14).

3. The three-lumen two-balloon tube traction fixing device according to claim 1, wherein: the forehead support (1) is further fixedly provided with a head cover (15), the head cover (15) is fixedly provided with a positioning ring (150), and the tail ends of the two support arms (14) are fixedly provided with a binding belt (140).

4. The three-lumen two-balloon tube traction fixing device according to claim 3, wherein: the utility model discloses a support beam, including supporting beam (12), supporting beam (12) cross-section, bar groove (21) have been seted up on the supporting beam (2) of falling L shape, fixed mounting has gag lever post (121) on supporting beam (12), gag lever post (121) are worn to establish in supporting beam (12), a plurality of first breach (122) have still been seted up on supporting beam (12), first breach (122) from the bottom up is to the direction slope that is close to volume support (1) gradually, it has kelly (210) to go back fixed mounting on the supporting beam (2) of falling L shape, kelly (210) card is established in one of them first breach (122).

5. The three-lumen two-balloon tube traction fixing device according to claim 1, wherein: a second notch (22) is formed in the inverted L-shaped supporting block (2), the traction mechanism (3) is located in the second notch (22), a groove (23) is formed in the corresponding position of the second notch (22) of the inverted L-shaped supporting block (2), a clamping block (360) is fixedly arranged on the threaded rod (36), and the clamping block (360) is clamped in the groove (23).

6. The three-lumen two-balloon tube traction fixing device according to claim 5, wherein: the number of the second gaps (22) is two.

7. The three-lumen two-balloon tube traction fixing device according to claim 1, wherein: and a third gap (24) is also formed in the inverted L-shaped supporting block (2).