CN214970934U - Central venous catheter and accessory fixing device for placement of baby into internal jugular vein - Google Patents

Abstract

The utility model discloses a central venous catheter and annex fixing device are put into to baby through internal jugular vein belongs to medical treatment auxiliary articles for use technical field, including fixed headgear, fixed headgear includes headgear belt loop and mounting, and headgear belt loop encircles to pillow back position from the forehead, and the mounting is fixed to be located headgear belt loop surface, and the mounting is equipped with the passageway that is used for passing the annex, and headgear belt loop width direction sets up is followed to the passageway. The utility model discloses a baby puts into central venous catheter and annex fixing device convenient to use through internal jugular vein, and the simplified operation effectively fixes the central venous catheter that paediatrics put into through internal jugular vein in neck skin fold department to effectively accomodate external annex, prevent infusion set relevant pressure sore and the emergence of pipe slippage.

Description

Central venous catheter and accessory fixing device for placement of baby into internal jugular vein

Technical Field

The utility model belongs to the technical field of medical treatment auxiliary articles for use, especially, relate to a baby puts into central venous catheter and annex fixing device through internal jugular vein.

Background

For a patient infant, after a Central Venous Catheter (CVC) is placed in the patient infant through internal jugular vein puncture, the central venous catheter is difficult to fix due to the fact that the skin of the neck of the patient infant is wrinkled and sweaty easily. The medicine for the infant with the critical disease is various, the external infusion connector and the extension tube (hereinafter referred to as the 'accessory') of the catheter are multiple and heavy in branch, the catheter is fixed on the head by a common medical adhesive tape and is easy to move, so that the accessory is easy to separate, in addition, the accessory is directly contacted and fixed on the outer surface of the skin, and the scalp of the infant is easy to generate pressure sores.

Disclosure of Invention

The utility model discloses a solve the problem that prior art exists and propose, its purpose provides a central venous catheter and annex fixing device are put into to baby through the internal jugular vein, and its convenient to use simplifies the operation, can effectively fix and accomodate central venous catheter and annex, and is isolated annex and infant scalp, prevents that the scalp from producing and presses the sore.

In order to achieve the above object, the technical scheme of the utility model a central venous catheter and annex fixing device are put into to baby through internal jugular vein, fixing device includes fixed headgear, fixed headgear includes headgear belt loop and mounting, headgear belt loop encircles to pillow back position from the forehead, the mounting is fixed to be located headgear belt loop surface, the mounting is equipped with the passageway that is used for passing the annex, the passageway is followed headgear belt loop width direction sets up.

Further, the headgear belt ring comprises a belt body, the belt body is made of a net-shaped elastic self-adhesive bandage, and when one end of the belt body in the length direction is bonded with the other end of the belt body in the length direction, a packaging ring surrounding the forehead to the back of the pillow can be formed.

Further, the mounting is by interior to exterior including same first piece and second piece, first piece is by interior to exterior including first sponge layer and first sponge layer in proper order, the second piece is by interior to exterior including second sponge layer and second sponge layer in proper order, first piece left side sew up in second piece left side, first piece right side sew up in second piece right side.

Further, the first sheet and the second sheet both adopt a trapezoidal structure, and the opening at the lower end of the channel of the fixing piece is smaller than the opening at the upper end of the channel.

Further, the fixing device further comprises a fixing patch, the fixing patch is fixed at a central venous catheter placement port of the neck, the central venous catheter placement port is placed through the internal jugular vein, the upper end and the lower end of the fixing patch adopt first arc-shaped structures bent towards the middle side of the fixing patch, the first arc-shaped structures at the upper end of the fixing patch and the lower end of the fixing patch are symmetrically arranged along the central axis of the fixing patch in the horizontal direction, the left end and the right end of the fixing patch adopt second arc-shaped structures bent towards the middle side of the fixing patch, the second arc-shaped structure at the left end of the fixing patch and the second arc-shaped structure at the right end of the fixing patch are symmetrically arranged along the central axis of the fixing patch in the vertical direction, the transition structures between the adjacent first arc-shaped structures and the adjacent second arc-shaped structures are arranged along the vertical direction, and the fixing patch comprises a fixing portion, By two first arc structure, two the first fixed part that forms is injectd by fixed part upper left corner extension, the second fixed part that extends upper right corner, the third fixed part that extends lower left corner, the fourth fixed part that extends lower right corner by second arc structure and four transition structures.

Further, the fixing application includes:

the base layer comprises a polyester non-woven fabric layer and a transparent polyurethane layer, the corresponding area of the polyester non-woven fabric layer comprises a first fixing part, a second fixing part, a third fixing part and a fourth fixing part, an observation window is arranged in the middle of the polyester non-woven fabric layer, and the transparent polyurethane layer is arranged on the observation window;

the bonding layer is arranged on the inner surface of the base layer;

the chlorhexidine acetate gel impregnation layer is arranged at the middle position of the observation window on the inner surface of the bonding layer;

and the release paper layer is arranged on the bonding layer and the chlorhexidine acetate gel impregnated layer and is far away from one side surface of the base layer.

Further, the central angle corresponding to the first arc-shaped structure is 120 degrees, and the central angle corresponding to the second arc-shaped structure is 90 degrees.

The utility model discloses a baby puts into central venous catheter and annex fixing device through the internal jugular vein, and the annex is worn to be arranged in the passageway of mounting, makes the annex can accomodate and be fixed in the mounting, avoids the aversion that the annex overweight leads to, deviates from, and then the fixed catheter; the fixing piece is arranged on the outer surface of the fixing head sleeve, and the accessories do not directly contact with the scalp, so that pressure sores on the head of the infant patient can be avoided. The first arc-shaped structures are used for fixing the upper end and the lower end of the plaster, and can adapt to the radian of the neck of the infant; the second arc-shaped structures at the left end and the right end can be attached and fixed on the skin of a child patient, so that curling and falling off in the using process are prevented. The fixing device is convenient to use, simple to operate, low in manufacturing cost and suitable for popularization and application.

Drawings

FIG. 1 is a diagram illustrating an exemplary use of a central venous catheter and an accessory fixture for placement via the internal jugular vein of an infant in accordance with an embodiment of the present invention;

FIG. 2 is an enlarged cross-sectional view of the fastener of FIG. 1 taken along line A-A;

FIG. 3 is a schematic structural view of a fixing patch in an embodiment of the present invention;

fig. 4 is a sectional view taken along line B-B in fig. 3.

Wherein: 1. fixing a head sleeve; 11. a headgear strap loop; 111. a belt body; 12. a fixing member; 121. a channel; 122. a first sheet; 1221. a first fabric layer; 1222. a first sponge layer; 123. a second sheet; 1231. a second sponge layer; 1232. a second fabric layer; 2. fixing and applying; 211. a first arcuate structure; 212. a second arc-shaped structure; 213. a transition structure; 22. a fixed part; 23. a first fixed part; 24. a second fixed part; 25. a third fixed part; 26. a fourth fixing part; 27. a base layer; 271. a polyester non-woven fabric layer; 272. a transparent polyurethane layer; 281. an adhesive layer; 282. a chlorhexidine acetate gel impregnated layer; 29. a release paper layer; 3. an accessory; 4. a conduit;

in the figure, the length of the upper bottom of the ladder-shaped structure of the fixing piece for fixing the head cover is a, the length of the lower bottom is b and the height is c. The length of the transparent polyurethane layer of the fixed application is d, the width of the transparent polyurethane layer of the fixed application is e, the distances from the transparent polyurethane layer to the upper end closest point, the lower end closest point, the left end closest point and the right end closest point of the fixed application are f, the length of the transition structure is g, the length of the chlorhexidine acetate gel impregnation layer is h, and the width of the chlorhexidine acetate gel impregnation layer is i.

Detailed Description

The present invention will be described in detail below with reference to the accompanying drawings and examples:

as shown in fig. 1 and 2, the embodiment of the present invention provides a central venous catheter and an attachment fixing device for placing an infant into the central venous catheter through the internal jugular vein, wherein the fixing device comprises a fixing head sleeve 1, the fixing head sleeve comprises a head sleeve ring 11 and a fixing member 12, the head sleeve ring 11 surrounds the position from the forehead to the back of the pillow, the fixing member 12 is fixedly arranged on the outer surface of the head sleeve ring, the fixing member 12 is provided with a channel 121 for passing the attachment 3, and the channel is arranged along the width direction of the head sleeve ring 11.

The accessory 3 is arranged in the channel 121 of the fixing part 12 in a penetrating way, so that the accessory 3 can be accommodated and fixed in the fixing part, and the phenomenon that the accessory 3 shifts and falls off due to overweight is avoided, and the catheter 4 is further fixed; the fixing piece is arranged on the outer surface of the fixing head sleeve 1, and the accessory 3 is not directly contacted with the scalp, so that pressure sores on the head of the child patient can be avoided; in addition, the headgear strap ring 11 surrounds the head of the infant, so as to be convenient for rotating around the head of the infant to adjust the position of the attachment 3. The fixing device is convenient to use, simple to operate, low in manufacturing cost and suitable for popularization and application.

Further, as shown in fig. 2, the fixing member 12 includes a first sheet 122 and a second sheet 123 which are the same from inside to outside, the first sheet 122 includes a first cloth sheet layer 1221 and a first sponge layer 1222 from inside to outside in sequence, the first cloth sheet layer can be sewed outside the head cover belt loop 11, the first sponge layer can be adhered or sewed on the first cloth sheet layer 1221, the first sponge layer has good buffering performance, and the use comfort of the child patient can be improved. The second piece 123 comprises a second sponge layer 1231 and a second cloth layer 1232 from inside to outside in sequence, the left side of the first piece is sewn on the left side of the second piece, the right side of the first piece is sewn on the right side of the second piece, the second sponge layer 1231 can be adhered or sewn on the second cloth layer 1232, and the first sponge layer and the second sponge layer can both adopt slow rebound memory sponges.

Further, as shown in fig. 1, the first plate 122 and the second plate 123 both have a trapezoidal structure, the lower opening of the channel 121 of the fixing member 12 is smaller than the upper opening of the channel 121, the accessory 3 is located above the lower opening, the smaller lower opening can prevent the accessory 3 from sliding out of the fixing member 12, and the larger upper opening can enable the accessory 3 to move upward, so as to facilitate the adjustment of the position of the accessory 3.

Specifically, as shown in fig. 1, the headgear strap ring 11 includes a strap body 111 made of a mesh elastic self-adhesive bandage, and when one end of the strap body in the length direction is bonded to the other end of the strap body in the length direction, an encapsulation ring surrounding the forehead to the back of the pillow can be formed. Netted elasticity self-adhesion bandage quality is light, and sweat-absorbing nature is good, has good compliance, can improve infant's use comfort, and the accessible adjusts the bonding position of the one end of the area body length direction rather than the length direction's the other end, makes headgear belt loop 11 be adapted to the infant of different head diameters.

In some embodiments, as shown in fig. 3 and 4, the fixing device further comprises a fixing patch 2, the fixing patch 2 is fixed at the entrance of the central venous catheter placed through the internal jugular vein of the neck, the upper end and the lower end of the fixing patch 2 adopt a first arc-shaped structure 211 bent towards the middle side of the fixing patch 2, the first arc-shaped structure at the upper end of the fixing patch 2 and the first arc-shaped structure at the lower end of the fixing patch 2 are symmetrically arranged along the central axis of the fixing patch 2 in the horizontal direction, the left end and the right end of the fixing patch 2 adopt a second arc-shaped structure 212 bent towards the middle side of the fixing patch 2, the second arc-shaped structure at the left end of the fixing patch 2 and the second arc-shaped structure at the right end of the fixing patch 2 are symmetrically arranged along the central axis of the fixing patch 2 in the vertical direction, and the transition structures 213 between the adjacent first arc-shaped structure and the second arc-shaped structure are both arranged in the vertical direction, the fixing patch 2 includes a fixing portion 22, a first fixing portion 23 extending from the fixing portion 22 to the upper left corner, a second fixing portion 24 extending to the upper right corner, a third fixing portion 25 extending to the lower left corner, and a fourth fixing portion 26 extending to the lower right corner, which are defined by two first arc structures 211, two second arc structures 212, and four transition structures 213.

The application of using in clinical at present is mostly rectangle or oval structure, should apply ointment or plaster mainly includes 2 sizes: 6cm × 7cm, 10cm × 12 cm. When the fixing device is practically used for fixing an internal jugular vein and placing a central venous catheter, the former specification is often too small in size, the latter specification is too large in size, the two specifications are not attached to the skin of the neck, and the fixing device is easy to curl and fall off after being applied and fixed. The upper end and the lower end of the fixed application 2 are both provided with first arc-shaped structures 211 which are bent towards the middle part side of the fixed application 2 and are suitable for the radian of the neck of the infant; left end and right-hand member adopt to the crooked second arc structure 212 of fixed 2 middle part side of applying ointment or plaster, can avoid in use to produce the fold, and better laminating is fixed in infant skin, prevents to take place the turn-up in the use, drops, simultaneously, compares with present applying ointment or plaster, and this fixed applying ointment or plaster is less with the skin adhesion area, can improve infant's use comfort.

Further, as shown in fig. 4, the fixing and applying plaster 2 comprises a base layer 27, an adhesive layer 281, a chlorhexidine acetate gel-impregnated layer 282 and a release paper layer 29, wherein the base layer 27 comprises a polyester non-woven fabric layer 271 and a transparent polyurethane layer 272, the corresponding area of the polyester non-woven fabric layer 271 comprises a first fixing portion, a second fixing portion, a third fixing portion and a fourth fixing portion, an observation window is arranged in the middle of the polyester non-woven fabric layer 271, and the transparent polyurethane layer 272 is arranged on the observation window; the adhesive layer 281 is arranged on the inner surface of the base layer 27; the chlorhexidine acetate gel dipping layer 282 is arranged in the middle of the observation window on the inner surface of the adhesive layer 281; the release paper layer 29 is disposed on a side of the adhesive layer 281 and the chlorhexidine acetate gel impregnated layer 282 away from the base layer 27. The transparent polyurethane layer 272 is made of a transparent material, which facilitates observation of the state of the catheter 4 placed in the port. Preferably, the observation window is of a rectangular structure. The chlorhexidine acetate gel-impregnated layer 282 corresponds to the position of the catheter 4 in the skin of the child, and the chlorhexidine acetate gel-impregnated layer 282 contains chlorhexidine acetate with concentration of preferably 2%, has antibacterial and bactericidal effects, and can prevent the infection of the catheter 4 in the skin of the child.

In a preferred embodiment, the infant transjugular placement central catheter and accessory fixture includes a retaining cuff 1 and a retaining patch 2.

The fixing head cover 1 comprises a head cover belt ring 11 and a fixing piece 12, the head cover belt ring 11 comprises a belt body 111, the belt body is made of a netted elastic self-adhesive bandage, the length of the netted elastic self-adhesive bandage is 20cm, the width of the netted elastic self-adhesive bandage is 10cm, the fixing piece 12 is adaptable to children patients with different head sizes, the fixing piece 12 is of a trapezoidal structure, the length a of the upper bottom of the trapezoidal structure is 2cm, the length b of the lower bottom of the trapezoidal structure is 1.5cm, and the height c of the trapezoidal structure is 4 cm.

The middle part of basic unit 27 of fixed 2 of applying ointment or plaster is equipped with transparent polyurethane layer 272, basic unit 27 internal surface is equipped with adhesive linkage 281, adhesive linkage 281 internal surface observation window middle part position is equipped with chlorhexidine acetate gel impregnated layer 282, transparent polyurethane layer length d is 4cm, width e is 3cm, transparent polyurethane layer is to the fixed upper end closest point of applying ointment or plaster 2, the lower extreme closest point, the left end closest point, the distance f of the right-hand member closest point are 1.5cm, chlorhexidine acetate gel impregnated layer length h and width i are 2 cm. The fixing patch 2 comprises a fixing portion 22, a first fixing portion 23 defined by two first arc-shaped structures 211, two second arc-shaped structures 212 and four transition structures and extending from the fixing portion to the upper left corner, a second fixing portion 24 extending from the upper right corner, a third fixing portion 25 extending from the lower left corner and a fourth fixing portion 26 extending from the lower right corner, wherein the length g of the transition structure 213 is 4cm, the central angle corresponding to the first arc-shaped structure 211 is 120 degrees, and the central angle corresponding to the second arc-shaped structure 212 is 90 degrees.

The utility model discloses a baby puts into central venous catheter and annex fixing device through internal jugular vein, including fixed application of ointment or plaster 2 and fixed headgear 1, the transparent polyurethane layer 272 middle part position of the internal surface of adhesive linkage 281 of fixed application of ointment or plaster 2 is equipped with chlorhexidine acetate gel impregnated layer 282, can prevent that the pipe 4 of infant skin from putting into the mouth position and infecting, fixed application of ointment or plaster 2 upper end and lower extreme all are equipped with first arc structure 211, can paste suitable corresponding neck radian, fixed application of ointment or plaster 2 left end and right-hand member all are equipped with second arc structure 212, can avoid producing the fold in use, make fixed application of ointment or plaster 2 can better laminating be fixed in infant skin, prevent to take place the turn-up in the use, drop; fixed headgear 1 includes headgear belt loop 11 and mounting 12, and headgear belt loop 11 encircles in forehead to position behind the pillow, and 11 surfaces in headgear belt loop are located to mounting 12, and during the passageway 121 of mounting 12 was worn to locate by annex 3, can avoid the displacement that annex 3 overweight and lead to, deviate from, and annex 3 direct contact scalp not, can avoid infant's head to produce and press the sore. The fixing device is convenient to use, simple to operate, low in manufacturing cost and suitable for popularization and application.

The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims (7)

1. The utility model provides a central venous catheter and annex fixing device are put into to baby through internal jugular vein, a serial communication port, fixing device includes fixed headgear, fixed headgear includes headgear belt loop and mounting, headgear belt loop encircles to the pillow back position from the forehead, the mounting is fixed to be located headgear belt loop surface, the mounting is equipped with the passageway that is used for passing the annex, the passageway is followed headgear belt loop width direction sets up.

2. The device as claimed in claim 1, wherein the headgear strap loop comprises a strap made of a mesh elastic self-adhesive bandage, and the strap is bonded at one end to the other end in the length direction to form an enclosing ring around the forehead to the back of the pillow.

3. The infant transjugular placement central venous catheter and accessory fixation device of claim 1, wherein the fixation member comprises a first piece and a second piece that are identical from inside to outside, the first piece comprises a first sponge layer and a first sponge layer in sequence from inside to outside, the second piece comprises a second sponge layer and a second sponge layer in sequence from inside to outside, the left side of the first piece is sewn to the left side of the second piece, and the right side of the first piece is sewn to the right side of the second piece.

4. The infant transjugular intravenous central catheter and attachment securement device of claim 3, wherein said first panel and said second panel each have a trapezoidal configuration, said channel of said securement member having a lower end opening smaller than an upper end opening of said channel.

5. The device as claimed in claim 1, wherein the fixing device further comprises a fixing patch fixed at the entrance of the jugular vein-implanted central venous catheter of the neck, the fixing patch having upper and lower ends with first curved structures curving toward the middle of the fixing patch, the first curved structures at the upper end and the lower end of the fixing patch being symmetrically arranged along the horizontal central axis of the fixing patch, the left and right ends of the fixing patch having second curved structures curving toward the middle of the fixing patch, the second curved structures at the left end and the right end of the fixing patch being symmetrically arranged along the vertical central axis of the fixing patch, and the transition structures between the first curved structures and the second curved structures being vertically arranged The fixing application comprises fixing parts, a first fixing part, a second fixing part, a third fixing part and a fourth fixing part, wherein the first fixing part is formed by limiting the two first arc-shaped structures, the two second arc-shaped structures and the four transition structures, the first fixing part extends from the left upper corner of the fixing part, the second fixing part extends from the right upper corner of the fixing part, the third fixing part extends from the left lower corner of the fixing part, and the fourth fixing part extends from the right lower corner of the fixing part.

6. The infant transjugular intravenous central venous catheter and accessory securement device of claim 5, wherein said securement patch comprises:

the base layer comprises a polyester non-woven fabric layer and a transparent polyurethane layer, the corresponding area of the polyester non-woven fabric layer comprises a first fixing part, a second fixing part, a third fixing part and a fourth fixing part, an observation window is arranged in the middle of the polyester non-woven fabric layer, and the transparent polyurethane layer is arranged on the observation window;

the bonding layer is arranged on the inner surface of the base layer;

the chlorhexidine acetate gel impregnation layer is arranged at the middle position of the observation window on the inner surface of the bonding layer;

and the release paper layer is arranged on the bonding layer and the chlorhexidine acetate gel impregnated layer and is far away from one side surface of the base layer.

7. The infant transjugular access central venous catheter and accessory retention device of claim 5, wherein said first arcuate configuration corresponds to a central angle of 120 ° and said second arcuate configuration corresponds to a central angle of 90 °.

Images