CN216855382U - A long-term hemodialysis catheter with balloon - Google Patents
A long-term hemodialysis catheter with balloon Download PDFInfo
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- CN216855382U CN216855382U CN202123139900.9U CN202123139900U CN216855382U CN 216855382 U CN216855382 U CN 216855382U CN 202123139900 U CN202123139900 U CN 202123139900U CN 216855382 U CN216855382 U CN 216855382U
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- 238000001631 haemodialysis Methods 0.000 title claims abstract description 21
- 230000000322 hemodialysis Effects 0.000 title claims abstract description 21
- 230000007774 longterm Effects 0.000 title claims abstract description 18
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 43
- 238000005507 spraying Methods 0.000 claims abstract description 9
- 239000000463 material Substances 0.000 claims description 9
- 238000007789 sealing Methods 0.000 claims description 7
- 239000004033 plastic Substances 0.000 claims description 6
- 238000007920 subcutaneous administration Methods 0.000 abstract description 13
- 230000000740 bleeding effect Effects 0.000 abstract description 11
- 239000003814 drug Substances 0.000 abstract description 5
- 208000034656 Contusions Diseases 0.000 abstract description 3
- 210000004204 blood vessel Anatomy 0.000 abstract description 3
- 230000009519 contusion Effects 0.000 abstract description 3
- 230000006378 damage Effects 0.000 abstract description 3
- 229940079593 drug Drugs 0.000 abstract description 3
- 210000004872 soft tissue Anatomy 0.000 abstract description 3
- 206010040047 Sepsis Diseases 0.000 abstract 1
- 208000037815 bloodstream infection Diseases 0.000 abstract 1
- 239000008280 blood Substances 0.000 description 11
- 210000004369 blood Anatomy 0.000 description 11
- 208000015181 infectious disease Diseases 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 208000007536 Thrombosis Diseases 0.000 description 5
- 238000011282 treatment Methods 0.000 description 5
- 238000000746 purification Methods 0.000 description 4
- 208000031729 Bacteremia Diseases 0.000 description 3
- 230000023597 hemostasis Effects 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 206010003226 Arteriovenous fistula Diseases 0.000 description 2
- 208000001647 Renal Insufficiency Diseases 0.000 description 2
- 208000007502 anemia Diseases 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 2
- 229940088710 antibiotic agent Drugs 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000000502 dialysis Methods 0.000 description 2
- 201000006370 kidney failure Diseases 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 239000007921 spray Substances 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 230000002924 anti-infective effect Effects 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000012959 renal replacement therapy Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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Abstract
本实用新型公开了一种带气囊的长期血透导管,包括:Y形管体、环形气囊、打药管和水囊;所述Y形管体包括管腔以及分叉端的动脉连接管和静脉连接管,管腔内包括动脉管腔和静脉管腔;所述环形气囊设置在管腔外部包裹住cuff和管腔分叉端之间,并在分叉端侧设置有进气口;所述打药管埋设在管腔的管壁内位于环形气囊下方,两个开口分别设置在环形气囊两侧;在动脉管腔和静脉管腔壁内分别设置有水囊,所述水囊通过埋设在Y形管体内的水管连通外部。本实用新型结构新颖,使用便捷,可以有效防止在皮下隧道建立过程中出现小血管损伤或皮下软组织挫伤导致的反复渗血,可快速止血,并可有效减少导管相关血流感染的发生。
The utility model discloses a long-term hemodialysis catheter with an airbag, which comprises a Y-shaped tube body, an annular airbag, a drug spraying tube and a water bladder; the Y-shaped tube body includes a tube lumen and an arterial connection tube and a venous connection at a bifurcated end. a tube, the lumen includes an arterial lumen and a venous lumen; the annular balloon is arranged outside the lumen to wrap the cuff and the bifurcated end of the lumen, and an air inlet is provided on the side of the bifurcation end; the spraying medicine The tube is embedded in the tube wall of the lumen and located below the annular air bag, and the two openings are respectively arranged on both sides of the annular air bag; water bags are respectively arranged in the arterial lumen and the venous lumen wall, and the water bags are embedded in the Y-shaped air bag. The water pipe in the pipe body communicates with the outside. The utility model has novel structure and convenient use, can effectively prevent repeated bleeding caused by small blood vessel damage or subcutaneous soft tissue contusion during the establishment of a subcutaneous tunnel, can quickly stop bleeding, and can effectively reduce the occurrence of catheter-related bloodstream infection.
Description
技术领域technical field
本实用新型属于医用装置领域,特别涉及一种用于血透病人的带气囊的长期血透导管。The utility model belongs to the field of medical devices, in particular to a long-term hemodialysis catheter with a balloon for hemodialysis patients.
背景技术Background technique
血液净化治疗主要用于肾功能衰竭的肾替代治疗主要治疗手段之一。长期血透导管置入给予动静脉内瘘成熟充分的时间,同时对于没有动静脉内瘘手术条件的患者建立生命线。长期血透导管置入过程尤其是在皮下隧道建立过程中出现小血管损伤或皮下软组织挫伤导致的导管口渗血,严重渗血不止可能需要拔除血管通路,反复渗血亦可能导致皮下隧道感染。肾衰竭患者贫血发生率高,长时间渗血容易导致贫血加重、导管口感染,快速有效的止血对控制失血,避免感染有重要意义。血透间隙血液进入导管容易导致血栓形成,导管流量不佳减少导管使用年限。同时导管发生感染时,将导管封闭可保证导管内封管的药物浓度,同时阻挡导管内的细菌进一步释放入血,避免菌血症的发生。避免血液在透析间隙进入导管可有效减少导管内血栓的形成、感染进一步的扩散。Blood purification is one of the main treatments for renal replacement therapy for renal failure. Long-term hemodialysis catheter placement allows adequate time for the arteriovenous fistula to mature and establishes a lifeline for patients without surgical conditions for the arteriovenous fistula. In the process of long-term hemodialysis catheter placement, especially during the establishment of the subcutaneous tunnel, small blood vessel damage or subcutaneous soft tissue contusion may cause bleeding at the catheter port. Severe bleeding may require removal of the vascular access, and repeated bleeding may also lead to infection of the subcutaneous tunnel. The incidence of anemia in patients with renal failure is high. Prolonged oozing of blood can easily lead to aggravation of anemia and infection of the catheter orifice. Rapid and effective hemostasis is of great significance to control blood loss and avoid infection. Blood entering the catheter during the hemodialysis interval is likely to cause thrombosis, and poor catheter flow reduces the service life of the catheter. At the same time, when the catheter is infected, sealing the catheter can ensure the drug concentration in the catheter, and at the same time prevent the bacteria in the catheter from being further released into the blood, so as to avoid the occurrence of bacteremia. Preventing blood from entering the catheter during the dialysis interval can effectively reduce the formation of thrombosis in the catheter and the further spread of infection.
目前临床中使用纱布、绷带进行导管皮下隧道周围皮肤组织压迫止血,或加缝数针,但止血效果差,且常常影响透析导管的流量。导管预充抗凝药物、抗生素后,但仍可见血液进入导管内。At present, gauze and bandage are used in clinic to compress the skin tissue around the subcutaneous tunnel of the catheter to stop bleeding, or add a few stitches, but the hemostasis effect is poor, and the flow of the dialysis catheter is often affected. After the catheter was prefilled with anticoagulants and antibiotics, blood was still seen entering the catheter.
实用新型内容Utility model content
本实用新型的目的是针对现有长期血透导管容易渗血、感染的现状,提供一种用于血透病人的带气囊的长期血透导管。The purpose of the utility model is to provide a long-term hemodialysis catheter with a balloon for hemodialysis patients in view of the current situation that the existing long-term hemodialysis catheters are prone to bleeding and infection.
为了实现上述目的,本实用新型采用以下技术方案:一种带气囊的长期血透导管,包括:Y形管体、环形气囊、打药管和水囊;In order to achieve the above purpose, the utility model adopts the following technical solutions: a long-term hemodialysis catheter with a balloon, comprising: a Y-shaped tube body, an annular balloon, a spray tube and a water balloon;
所述Y形管体包括管腔以及分叉端的动脉连接管和静脉连接管,管腔内包括动脉管腔和静脉管腔,动脉管腔与动脉连接管连通,静脉管腔与静脉连接管连通,动脉管腔的长度短于静脉管腔长度,管腔外部设置有cuff;The Y-shaped pipe body includes a lumen and an arterial connecting pipe and a venous connecting pipe at the bifurcated end, the lumen includes an arterial lumen and a venous lumen, the arterial lumen is communicated with the arterial connecting pipe, and the venous lumen is communicated with the venous connecting pipe. , the length of the arterial lumen is shorter than the length of the venous lumen, and a cuff is arranged outside the lumen;
所述环形气囊设置在管腔外部包裹住cuff和管腔分叉端之间,并在分叉端侧设置有进气口;所述打药管埋设在管腔的管壁内位于环形气囊下方,两个开口分别设置在环形气囊两侧;在动脉管腔和静脉管腔壁内分别设置有水囊,所述水囊通过埋设在Y形管体内的水管连通外部。The annular air bag is arranged on the outside of the lumen between the wrapped cuff and the bifurcated end of the lumen, and an air inlet is arranged on the side of the bifurcated end; The two openings are respectively arranged on both sides of the annular balloon; water balloons are respectively arranged in the walls of the arterial lumen and the venous lumen, and the water balloons communicate with the outside through the water pipes embedded in the Y-shaped pipe body.
进一步的,环形气囊采用硬质医用塑料材料制成。Further, the annular airbag is made of hard medical plastic material.
进一步的,水囊采用弹性医用橡胶材料制成,水管采用硬质医用塑料材料制成,两个水管的开口设置在动脉连接管和静脉连接管尾端,并在开口处设置有密封盖。Further, the water bladder is made of elastic medical rubber material, the water pipe is made of hard medical plastic material, the openings of the two water pipes are arranged at the tail ends of the arterial connection pipe and the venous connection pipe, and a sealing cover is arranged at the openings.
进一步的,水囊分别设置于动脉管腔和静脉管腔开口的位置,水囊充水后可将动脉管腔或静脉管腔封堵住。Further, the water bladders are respectively arranged at the openings of the arterial lumen and the venous lumen, and the water bladder can seal the arterial lumen or the venous lumen after being filled with water.
进一步的,打药管位于环形气囊靠近分叉端的开口设置有弹性密封口。Further, an elastic sealing port is provided at the opening of the spraying tube located at the annular airbag near the bifurcated end.
本申请的长期血透导管,在植入皮下隧道的开口位置设置有环形气囊,通过向气囊里充气对导管皮下隧道周围皮肤组织压迫止血,同时可以通过打药管向皮下隧道内注射药物。在血液净化治疗结束后,通过向水囊内注射少量水,将动脉管腔和静脉管腔封堵住,减少导管内血栓的发生,同时出现导管相关血流感染时,导管内预充药物后可以保证导管内抗生素的有效浓度,减少菌血症的发生。在需要进行血液净化治疗时,可抽出水,使动脉管腔和静脉管腔重新畅通。The long-term hemodialysis catheter of the present application is provided with an annular balloon at the opening position of the implanted subcutaneous tunnel. By inflating the balloon, the skin tissue around the catheter subcutaneous tunnel is compressed to stop bleeding, and medicine can be injected into the subcutaneous tunnel through a drug spraying tube. After the blood purification treatment, inject a small amount of water into the water bladder to seal the arterial lumen and venous lumen to reduce the occurrence of thrombosis in the catheter. It can ensure the effective concentration of antibiotics in the catheter and reduce the occurrence of bacteremia. When blood purification treatment is required, water can be withdrawn to re-open the arterial and venous lumen.
本实用新型结构新颖,使用便捷,可以有效防止在皮下隧道建立过程中出现小血管损伤或皮下软组织挫伤导致的反复渗血,可快速止血,并可有效减少管内血栓形成、感染进一步扩散。The utility model has novel structure and convenient use, can effectively prevent repeated bleeding caused by small blood vessel damage or subcutaneous soft tissue contusion during the establishment of the subcutaneous tunnel, can quickly stop bleeding, and can effectively reduce the formation of thrombosis in the tube and the further spread of infection.
附图说明Description of drawings
图1是实施例带气囊的长期血透导管的结构示意图。FIG. 1 is a schematic structural diagram of an embodiment of a long-term hemodialysis catheter with a balloon.
图2是实施例带气囊的长期血透导管的剖面图。2 is a cross-sectional view of an embodiment of a long-term hemodialysis catheter with a balloon.
具体实施方式Detailed ways
为了使本技术领域的人员更好地理解本申请方案,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分的实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本申请保护的范围。In order to make those skilled in the art better understand the solutions of the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application. Obviously, the described embodiments are only The embodiments are part of the present application, but not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the scope of protection of the present application.
需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。It should be noted that the terms "comprising" and "having" in the description and claims of the present application and the above-mentioned drawings, as well as any variations thereof, are intended to cover non-exclusive inclusion, for example, including a series of steps or units The processes, methods, systems, products or devices are not necessarily limited to those steps or units expressly listed, but may include other steps or units not expressly listed or inherent to such processes, methods, products or devices.
如图1和2所示的带气囊的长期血透导管,包括:Y形管体、环形气囊1、打药管2和水囊(3a、3b)。The long-term hemodialysis catheter with balloon as shown in Figures 1 and 2 includes: a Y-shaped tube body, an
Y形管体包括管腔4以及分叉端的动脉连接管5和静脉连接管6,管腔内包括动脉管腔7和静脉管腔8,动脉管腔与动脉连接管连通,静脉管腔与静脉连接管连通,动脉管腔的长度短于静脉管腔长度。管腔外部设置有cuff 9。The Y-shaped tube body includes a
环形气囊设置在管腔外部包裹住cuff和管腔分叉端之间,并在分叉端侧设置有进气口10。环形气囊采用硬质医用塑料材料制成。The annular air bag is arranged between the enveloped cuff outside the lumen and the bifurcated end of the lumen, and an
打药管埋设在管腔的管壁内位于环形气囊下方,两个开口分别设置在环形气囊两侧。打药管位于环形气囊靠近分叉端的开口设置有弹性密封口11。The spraying tube is embedded in the tube wall of the lumen and located below the annular air bag, and the two openings are respectively arranged on both sides of the annular air bag. An
在动脉管腔和静脉管腔壁内分别设置有水囊,水囊分别设置于动脉管腔和静脉管腔开口的位置,水囊通过埋设在Y形管体内的水管(12a、12b)连通外部。水囊采用弹性医用橡胶材料制成,没有水的时候,水囊回缩与管腔内壁贴合不影响血流通过。水管采用硬质医用塑料材料制成,两个水管的开口设置在动脉连接管和静脉连接管尾端,并在开口处设置有密封盖(13a、13b)。通过开口进行注水,水囊充水后可将动脉管腔或静脉管腔封堵住。Water bladders are respectively arranged in the arterial lumen and venous lumen walls. The water bladders are respectively arranged at the openings of the arterial lumen and the venous lumen. The water bladders communicate with the outside through the water pipes (12a, 12b) embedded in the Y-shaped tube body. . The water bladder is made of elastic medical rubber material. When there is no water, the retraction of the water bladder and the inner wall of the lumen will not affect the blood flow. The water pipes are made of hard medical plastic materials, the openings of the two water pipes are arranged at the tail ends of the arterial connection pipe and the venous connection pipe, and sealing caps (13a, 13b) are arranged at the openings. Water is injected through the opening, and the water bladder can be filled with water to seal the arterial or venous lumen.
本申请的长期血透导管,在植入皮下隧道的开口位置设置有环形气囊,通过向气囊里充气对导管皮下隧道周围皮肤组织压迫止血,同时可以通过打药管向皮下隧道内注射药物,进行局部止血或抗感染治疗。在血液治疗结束后,通过向水囊内注射少量水,将动脉管腔和静脉管腔封堵住,减少导管内血栓的发生,同时导管相关血流感染时可以保证导管内抗生素的有效浓度,减少菌血症的发生。在需要进行血液净化治疗时,可抽出水,使动脉管腔和静脉管腔重新畅通。The long-term hemodialysis catheter of the present application is provided with a ring-shaped balloon at the opening position of the implanted subcutaneous tunnel. By inflating the balloon, the skin tissue around the catheter's subcutaneous tunnel can be compressed to stop bleeding. Hemostasis or anti-infective therapy. After the blood treatment, inject a small amount of water into the water bladder to seal the arterial lumen and venous lumen to reduce the occurrence of thrombosis in the catheter. Reduce the occurrence of bacteremia. When blood purification treatment is required, water can be withdrawn to re-open the arterial and venous lumen.
上所述仅为本实用新型的优选实施例而已,并不用于限制本实用新型,对于本领域的技术人员来说,本实用新型可以有各种更改和变化。凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.
Claims (5)
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