CN213251381U

CN213251381U - Catheter for intermittent catheterization of dysphagia patient

Info

Publication number: CN213251381U
Application number: CN202021751475.1U
Authority: CN
Inventors: 万桂芳; 窦祖林; 向晓昕; 史静
Original assignee: Third Affiliated Hospital Sun Yat Sen University
Current assignee: Third Affiliated Hospital Sun Yat Sen University
Priority date: 2020-08-20
Filing date: 2020-08-20
Publication date: 2021-05-25
Anticipated expiration: 2030-08-20

Abstract

The utility model discloses the application belongs to medical instrument technical field, specifically disclose a pipe that is used for dysphagia patient to put pipe intermittently, including annotating edible hose, annotate edible hose one side equipartition and have a plurality of through-holes, annotate the opposite side of edible hose and be annotated food entry, annotate and eat the hose and go up the cover and be equipped with the water injection bag, it is equipped with the water injection pipe to annotate one side that edible hose upper portion is located the food entry, the water injection pipe is to annotating the direction slope of food entry, the last horizontal connecting pipe of sealed intercommunication of water injection bag, connecting pipe and the sealed intercommunication of water injection pipe lower part, it is equipped with the mount to annotate one side that lies in between water injection bag and the water injection pipe on the edible hose and be close to the water injection pipe, it is. The feeding in-process of swallowing patient is mainly used to this scheme, and the fixed inconvenience that lies in the position of oral area after the pipe among the prior art inserts patient's esophagus has been solved to thereby it need extract and handle the problem of easily haring patient's esophagus to feed to appear blockking up in the in-process pipe of eating.

Description

Catheter for intermittent catheterization of dysphagia patient

Technical Field

The utility model belongs to the technical field of medical instrument, a pipe that is used for dysphagia patient to put pipe intermittently is specifically disclosed.

Background

Normal swallowing is coordinated by a series of continuous actions and is accomplished, chew through the oral cavity at first, the lubricated bolus of salivary gland humidifying, the hypopharynx portion is sent into to tongue and soft palate activity bolus, the epiglottis in time seals the larynx entry, avoid the mistake to go into the air flue, esophagus entry muscle is relaxed, the entry is opened, the continuous wriggling of esophagus wall muscle is sent the bolus to the stomach through the cardia, pathological change appears in any link above, all can lead to the dysphagia, also be the dysphagia, the dysphagia divide into organic nature and functional again. Organic diseases such as xerostomia after radiotherapy, head-neck-throat surgery, esophageal entrance achalasia, esophageal cancer and the like, central nervous diseases cause the weakening of esophageal muscle peristalsis of vagus innervation and throat paralysis and the like, and dysphagia can also occur. Generally, patients with cerebral infarction or cerebral hemorrhage have problems of hemiplegia, hemilateral limb disorder, limb numbness, hemianopsia, aphasia, dysphagia and the like. Swallowing disorder often causes great pain to patients. Patients cannot eat food by themselves through mouths due to swallowing disorder, food needs to be conveyed into the stomach through a stomach tube, however, inhalation pneumonia is a common serious and even fatal complication of nasal feeding patients, particularly coma patients are easy to occur, and the reflux aspiration of gastric contents is a main reason of inhalation pneumonia.

At present, the occurrence of inhalation pneumonia is generally avoided through an intermittent tube placing method, namely, a catheter is not placed in a stomach, and the catheter is pulled out after eating is finished. The pipeline does not enter the stomach, no risk of occurrence of digestive tract hemorrhage exists, food is ingested through the esophagus, the swallowing function is reserved to the maximum extent, the physiological process is met, the chance of occurrence of gastrointestinal dysfunction is low, and reflux diseases are not caused. And the intermittent intubation can not cause pressure on the skin mucosa, has no possibility of skin mucosa ulcer, and can avoid hiccup and other symptoms caused by long-term intubation. Most importantly, the appearance is not influenced, the self-esteem of the patient is kept, the possibility of psychological diseases is avoided, and the medical thinking taking the patient as the center is embodied.

However, in the prior art, after the catheter is inserted into the esophagus from the oral cavity or the nasal cavity of the patient, the position of the catheter, which is positioned at the oral cavity of the patient, is often fixed by directly sticking the adhesive tape to the face of the patient, so as to prevent the catheter from sliding downwards into the esophagus, but the mode easily causes discomfort of the face of the patient, and meanwhile, in the feeding process, if food blockage occurs in the catheter, the catheter needs to be pulled out for treatment, and frequent insertion and pulling out can damage the esophagus of the patient, which is not favorable for recovery of the state of an illness.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a pipe that is used for dysphagia patient to put pipe intermittently to it is inconvenient to solve the fixed position that lies in the oral area behind the pipe insertion patient's esophagus among the prior art, and thereby feed and eat the problem that the jam appears in the in-process pipe and need extract and handle easily damage patient's esophagus.

In order to achieve the above object, the basic scheme of the utility model is: the utility model provides a pipe that is used for dysphagia patient to put pipe intermittently, including the horizontally hose of eating of annotating, it has a plurality of through-holes that are used for food to flow to annotate one side of eating the hose along the axial equipartition, another side port of annotating eating the hose is for annotating the food entry, it is equipped with annular water injection bag to annotate one side cover that is located the through-hole on the hose of eating, it is equipped with the water injection pipe to annotate one side that food hose upper portion is located the food entry, the water injection pipe is to the direction slope of annotating the food entry, the water injection bag is kept away from one side of through-hole sealed intercommunication and is had the horizontally connecting pipe, one side and the water injection pipe lower part sealed intercommunication that the water injection bag was kept away from to the connecting pipe, it is equipped with the mount that is used for restricting the hose removal of eating to annotate to lie in between water.

The working principle of the basic scheme is as follows: the catheter needs to be cleaned and disinfected before use; when the device is used, according to clinical actual conditions, whether the intubation mode is oral or nasal insertion is confirmed, the length of the feeding hose is determined, then the tightness of the water injection bag is checked, a patient takes a sitting position or a semi-lying position, the nostrils and the oral cavity are checked and cleaned, and the feeding hose is slowly inserted along the selected nostrils or the oral cavity until the length is preset. Preliminary fixed annotate the edible hose, whether the inserted position of examining the edible hose is correct, prevent to annotate that the edible hose is located one side of through-hole and insert the trachea, the inspection method is: order the patient to send 'yi', or put the end of the feeding hose positioned at the feeding inlet into water to observe whether bubbles emerge. After the insertion position of the feeding hose is confirmed to be correct, 10ml of clean water is injected into the water injection pipe by the injector, the clean water enters the water injection bag through the connecting pipe through the water injection pipe, then slightly lifting the feeding hose to confirm whether a blocking feeling exists, indicating that the water injection bag is positioned at the position of the cricopharyngeal muscle, fixing the feeding hose on the face of the patient through the fixing frame, then 20-30ml of warm water is injected into the flushing pipe from the food injection inlet, then a proper amount of food is slowly injected from the food injection inlet, the food flows out from one side of the through hole and the through hole of the food injection hose under the action of gravity, if the inside of the food injection hose is blocked in the food injection process, can be dredged through the dredging part, 20-30ml of warm water is injected into the injection inlet to wash the pipe after the injection is finished, then the clear water in the water injection bag is pumped out by an injector, and finally the food injection hose is pulled out for next use after cleaning.

The beneficial effect of this basic scheme lies in:

(1) according to the scheme, the fixing frame is arranged, so that the food filling hose can be fixed conveniently after the insertion depth of the food filling hose is in place, the food filling hose can be prevented from continuously sliding downwards into the esophagus of a patient, the operation is simple and convenient, the structure is stable, and the feeding time is saved;

(2) this scheme is through setting up dredging portion, is convenient for annotate the condition that food hose appears blockking up in the in-process of eating, and the hose is dredged to annotating fast, avoids a lot of tube drawing intubate, sparingly feeds the food time, reduces the damage of pipe to patient's esophagus inner wall.

Further, the mount includes that the slip cover establishes the ring on annotating the edible hose, and it has a plurality of branches to articulate along circumference on the side that is close to on the ring annotates the water pocket. Set up simple structure like this, convenient operation, branch can be along annotating the direction swing of edible hose cross-section diameter, and the ring that the hose was eaten to the notes is established to the notes with annotating to the cover simultaneously and be interference fit, can follow to annotate that the hose slides, is convenient for like this according to the position of actual conditions slide adjusting ring.

Further, mediation portion includes sealing connection and just is close to the standpipe of annotating edible entry one side in annotating edible hose lower part, and standpipe lower part coaxial thread sealing connection has the gasbag, and sealing connection has the one-way first check valve of opening in to the gasbag on the gasbag, and sealing connection has the one-way second check valve of opening to the edible hose side in the standpipe, and the one side sealing connection that is close to the edible entry in the edible hose of notes has the one-way third check valve of opening in to through-hole one side. The arrangement and operation are simple, and the detachable air bag is convenient to detach when not used. Annotate and eat the in-process, annotate when eating the condition that the hose appears food jam, with gasbag threaded connection on the standpipe, then hold the gasbag, form compressed air in the gasbag this moment, compressed air enables the second check valve on the standpipe and opens in annotating the edible hose, compressed air gets into from this and annotates edible hose, first check valve and third check valve are all in the closed condition this moment, compressed air just can play the squeezing action to the food that blocks up, thereby make food flow out in annotating edible hose through-hole side end and the through-hole. When the air bag is loosened by a hand, negative pressure is formed in the air bag, the first one-way valve on the air bag is opened towards the interior of the air bag, and the second one-way valve on the standpipe and the first one-way valve on the feeding hose are both in a closed state.

Further, a conical flow guide nozzle which is used for being in butt joint with the food injector is coaxially and threadedly connected to the food injection inlet. The arrangement is convenient for butt joint with the food filling device, and food waste caused by food scattering outside the food filling inlet is avoided.

Further, the length of the feeding hose is 46-48 cm. The arrangement can save materials and reduce the manufacturing cost, and is most convenient in the using process.

Further, the length of the water injection bag is 19-21 cm. The arrangement can save materials and reduce the manufacturing cost, and is most convenient in the using process.

Drawings

FIG. 1 is a schematic structural view of an embodiment of the catheter of the present invention for intermittent catheterisation in patients with dysphagia;

FIG. 2 is a front view of FIG. 1;

FIG. 3 is an enlarged view at A in FIG. 2;

fig. 4 is a perspective view of the fixing frame.

Detailed Description

The following is further detailed by way of specific embodiments:

reference numerals in the drawings of the specification include: the food filling device comprises a food filling hose 1, a through hole 2, a food filling inlet 3, a water filling bag 4, a water filling pipe 5, a connecting pipe 6, a fixing frame 7, a dredging part 8, a circular ring 9, a supporting rod 10, a vertical pipe 11, an air bag 12, a first one-way valve 13, a second one-way valve 14, a third one-way valve 15 and a conical flow guide nozzle 16.

Embodiment basically as shown in the attached fig. 1 and fig. 2, a catheter for intermittent catheterization of dysphagia patients comprises a horizontal feeding hose 1, wherein the length of the feeding hose 1 in the embodiment is preferably four hundred seventy millimeters, the outer diameter is preferably ten millimeters, one side of the feeding hose 1 is axially processed with a plurality of through holes 2 for food outflow, in the embodiment, preferably five through holes 2 are formed, the through holes 2 are five millimeters in long diameter, two millimeters in short diameter are elliptical through holes 2, five through holes 2 are uniformly distributed, the distance between the circle centers of adjacent through holes 2 is preferably eighteen millimeters, one end of the through hole 2 of the feeding hose 1 is processed into a blunt circle, in the embodiment, the diameter of the through hole 2 is preferably four millimeters, the distance from the circle center of the first through hole 2 to the leftmost end of the feeding catheter from the left side is preferably seven-point five millimeters, the distance between the adjacent two through holes 2 is preferably seventeen millimeters, the other side port of the food injection hose 1 is an food injection inlet 3, one side of the food injection hose 1, which is located at the through hole 2, is sleeved with an annular water injection bag 4, in the embodiment, the distance from the left end surface of the water injection bag 4 to the leftmost end of the food injection hose 1 is preferably one hundred millimeters, the length of the water injection bag 4 is preferably twenty millimeters, and is in interference fit with the food injection hose 1, a water injection pipe 5 is hermetically bonded to one side, which is located at the food injection inlet 3, of the upper portion of the food injection hose 1, the length of the water injection pipe 5 is preferably seventy millimeters, the water injection pipe 5 inclines towards the food injection inlet 3, one side, which is far away from the through hole 2, of the water injection bag 4 is communicated with a horizontal connecting pipe 6 through bonding and sealing, one side, which is far away from the water injection bag 4, of the connecting pipe 6 is hermetically bonded to the lower portion of the water injection pipe 5, the length of the connecting pipe 6 is preferably two hundred eighty millimeters, one side, which is A dredging part 8 for dredging blockage of the food injection hose 1 is arranged on one side of the food injection hose 1, which is positioned at the food injection inlet 3, of the movable fixing frame 7.

As shown in fig. 4, the fixing frame 7 in the present embodiment is preferably: comprises a circular ring 9 which is sleeved on the food injection hose 1 in a sliding way, and two support rods 10 are hinged on the side surface of the circular ring 9 close to the water injection bag 4 along the circumferential direction.

As shown in fig. 3, the dredging portion 8 in the present embodiment is preferably: including sealing connection eating 1 lower part of hose and being close to the standpipe 11 of 3 one sides of food inlet of infusing, standpipe 11 and food hose 1 of infusing are integrated into one piece, the coaxial screw thread sealing connection in 11 lower parts of standpipe has gasbag 12, the last sealing mounting of gasbag 12 is to the one-way first check valve 13 of opening in the gasbag 12, the one-way second check valve 14 of opening of 1 side of hose is eaten to the infusion to the sealing mounting in standpipe 11, the one-way third check valve 15 of opening to 2 one sides of through-hole of one side of the one-way mounting of being close to food inlet 3 in the hose 1 is eaten to the infusion.

A conical flow guide nozzle 16 which is used for being butted with the food injector is coaxially connected with the food injection inlet 3 in a threaded manner.

The specific implementation process is as follows:

the catheter needs to be cleaned and disinfected before use; when the disposable nasal feeding device is used, according to clinical practical conditions, whether the intubation mode is oral or nasal insertion is confirmed, the length of the feeding hose 1 is determined, then the tightness of the water injection bag 4 is checked, a patient takes a sitting position or a semi-lying position, the nostrils and the oral cavity are checked and cleaned, and the feeding hose 1 is slowly inserted along the selected nostrils or the oral cavity until the length is preset. Preliminary fixed annotate edible hose 1, the inspection is annotated whether the inserted position of edible hose 1 is correct, prevents to annotate that edible hose 1 is located one side of through-hole 2 and inserts the trachea, and the inspection method is: order the patient to send 'yi', or put the end of the feeding hose 1 positioned at the feeding inlet 3 into water to observe whether bubbles emerge. After the insertion position of the food injection hose 1 is confirmed to be correct, 10ml of clean water is injected into the water injection pipe 5 by an injector, the clean water enters the water injection bag 4 through the connecting pipe 6 through the water injection pipe 5, then the food injection hose 1 is slightly lifted to confirm whether a blocking feeling exists, if the blocking feeling exists, the water injection bag 4 is positioned at the position of the circumpharyngeal muscle, the circular ring 9 is slid to the proper position of the mouth of a patient, the two support rods 10 are respectively opened, the two support rods 10 are clamped to the face of the patient, then 20-30ml of warm water is injected into the water injection pipe from the food injection inlet 3, then a proper amount of food is slowly injected from the conical diversion nozzle 16 on the food injection inlet 3 through the food injector, the food flows out from one side of the through hole 2 and the through hole 2 of the food injection hose 1 under the action of gravity, if the situation that the food injection hose 1 is blocked in the food injection process, the air bag 12, compressed air can be formed in the air bag 12, the second one-way valve 14 on the vertical pipe 11 can be opened into the food injection hose 1 by the compressed air, the compressed air enters the food injection hose 1, the first one-way valve 13 and the third one-way valve 15 are both in a closed state, and the compressed air can extrude blocked food, so that the food flows out from the end of the side of the through hole 2 of the food injection hose 1 and the through hole 2. When the air bag 12 is released by hand, negative pressure is formed in the air bag 12, and the first check valve 13 on the air bag 12 is opened into the air bag 12, and the second check valve 14 on the standpipe 11 and the first check valve on the feeding hose 1 are both in a closed state.

After the food is injected, 20-30ml of warm water is injected into the water injection inlet 3 again to wash the tube, then the clear water in the water injection bag 4 is pumped out by the injector, and finally the food injection hose 1 is pulled out to be used for the next time after cleaning.

The above description is only an example of the present invention, and the common general knowledge of the known specific structures and characteristics of the embodiments is not described herein. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several modifications and improvements can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent.

Claims

1. The utility model provides a pipe that is used for dysphagia patient to put pipe intermittently, a serial communication port, including the horizontally annotate the edible hose, it has a plurality of through-holes that are used for food to flow to annotate one side of edible hose along the axial equipartition, annotate the other side port of edible hose for annotating the edible entry, it is equipped with annular water injection bag to annotate one side cover that lies in the through-hole on the edible hose, it is equipped with the water injection pipe to annotate one side that edible hose upper portion lies in the edible entry of annotating, the water injection pipe is to the direction slope of annotating the edible entry, the sealed intercommunication of one side that the through-hole was kept away from to the water injection bag has the horizontally connecting pipe, one side and the sealed intercommunication of water injection pipe lower part that the water injection bag was kept away from to the connecting pipe, it is equipped with the mount that is used for restricting the edible hose removal to annotate and be close to.

2. The catheter for intermittent catheterization of a dysphagia patient of claim 1, wherein the fixation frame comprises a circular ring slidably sleeved on the feeding hose, and a plurality of struts are circumferentially hinged on the side surface of the circular ring close to the water injection sac.

3. The catheter for intermittent catheterization of a dysphagia patient according to claim 2, wherein the dredging part comprises a vertical tube which is hermetically connected with the lower part of the feeding hose and is close to one side of the feeding inlet, the lower part of the vertical tube is hermetically connected with an air bag through coaxial threads, a first one-way valve which is opened in one direction into the air bag is hermetically connected to the air bag, a second one-way valve which is opened in one direction into the feeding hose is hermetically connected to the vertical tube, and a third one-way valve which is opened in one direction into one side of the through hole is hermetically connected to one side of the feeding hose close to the feeding inlet.

4. A catheter for intermittent catheterization of a dysphagia patient according to claim 3, wherein a conical diversion nozzle for interfacing with an injector is coaxially threaded on the injection inlet.

5. A catheter for intermittent catheterization of a dysphagia patient according to claim 4, wherein the length of the feeding hose is 46-48 cm.

6. A catheter for intermittent catheterization of a dysphagia patient according to claim 5, wherein the length of the water-filled sac is 19-21 cm.