DE2412553A1 - Stomach tube preventing inhalation of vomit - is for use under narcosis while allowing removal of comparatively solid material from stomach - Google Patents
Stomach tube preventing inhalation of vomit - is for use under narcosis while allowing removal of comparatively solid material from stomachInfo
- Publication number
- DE2412553A1 DE2412553A1 DE2412553A DE2412553A DE2412553A1 DE 2412553 A1 DE2412553 A1 DE 2412553A1 DE 2412553 A DE2412553 A DE 2412553A DE 2412553 A DE2412553 A DE 2412553A DE 2412553 A1 DE2412553 A1 DE 2412553A1
- Authority
- DE
- Germany
- Prior art keywords
- stomach
- tube
- vomit
- solid material
- use under
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0003—Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/003—Means for fixing the tube inside the body, e.g. balloons, retaining means
- A61J15/0046—Expandable retainers inside body lumens of the enteral tract, e.g. fixing by radially contacting a lumen wall
- A61J15/0049—Inflatable Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0069—Tubes feeding directly to the intestines, e.g. to the jejunum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0073—Multi-lumen tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0096—Provisions for venting
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Hematology (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Engineering & Computer Science (AREA)
- Child & Adolescent Psychology (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Doppelballonmagenschlauch Die Erfindung betrifft einen Doppelballonmagenschlauch, insbesondere zur Vermeidung der Aspiration von Mageninhalt, zur Verhütung von Koiplikationen, wenn Patienten mit vollem Magen mit Ileus, mit erhöhtem intraabdominellen Druck und/oder verlängerter Verweildauer der Speisen eine Allgemeinnarkose erhalten müssen u. ä.Double gastric tube The invention relates to a double gastric tube, in particular to avoid aspiration of stomach contents, to prevent co-plications, when patients with a full stomach with ileus, with increased intra-abdominal pressure and / or prolonged dwell time of the food must be given a general anesthetic etc.
Die Aspiration von Mageninhalt läßt sich heute vor allem durch die Intubation, d.h. durch die Einführung eines die Trachea abdichtenden Manschettentubus vermeiden. Die Intubation erfolgt entweder in Lokalanaesthesie oder in Narkose.The aspiration of gastric contents can nowadays mainly be done by the Intubation, i.e. through the introduction of a cuff tube that seals the trachea avoid. The intubation takes place either under local anesthesia or under general anesthesia.
Bei der Intubation in Narkose werden zur Aspirationsprophylaze eine Reihe von Vorsichtsmaßnahmen angewandt, u. a. Einführung eines Magenballonschlauches, bzw. zur Kompensation blutender Ösophagus-Varizen wird eine Sonde nach Sengstaken benutzt, bei der zwei Manschetten zur Anwendung kommen.During intubation under anesthesia, an aspiration prophylaxis is used A number of precautionary measures were applied, including: Introduction of a gastric balloon tube, or to compensate for bleeding esophageal varices, a Sengstaken probe is used is used, where two cuffs are used.
Die Intubation mittels Lianschettentubus ist eine sichere Liethode zur Verineidung der Aspiration während der Narkose, jedoch sind ihrer Anwendung Grenzen gesetzt. Die Intubation erfordert wegen der notwendigen Relaxierung des Patienten und der sich daraus ergebenden Erstickungsgefahr sowohl einen mit diesem Eingriff vertrauten Arzt als auch eine umfangreiche Technik, Beide sind oft, in Katastrophenfällen aber mit Sicherheit nicht, bzw. nicht in genügendem Umfang vorhanden. Des weiteren ist die Intubation in Lokalanaesthesie für den Patienten mit unangenehmen Begleiterscheinungen verbunden und wird deshalb heute kaum noch vorgenommen. Kinder sollen auf Grund ihrer anatomischen und physiologischen Besonderheiten möglichst mit manschettenlosen Tuben intubiert werden. Die Intubationszeit ist wegen der Gefahr von Ulcerationen und Vernarbungen begrenzt. Eine Aspiration von Hageninhalt droht ferner nach abschluß der Operation, wenn Patienten extuciort werden müssen, da sie den Tubus nicht mehr tolerieren, die Schutzreflexe jedoch noch nicht vollständig wiedergekehrt sind. Dies gilt besonders für Alte, Debile und Patienten mit neurologischen Erkrankungen. Die Tiagenausheberung und die Intubation in Lokalanaesthesie erfordern Zeit, die bei Kotoperationen häufig nicht zur Verfugung steht.Intubation with a liancette tube is a safe method to avoid aspiration during anesthesia, but their application There are limits. Intubation requires relaxation because of the Patient and the resulting risk of suffocation as well as a doctor familiar with this procedure as well as an extensive technique, both are often, but certainly not in the event of a disaster, or not sufficient Scope present. Furthermore, the intubation is in local anesthesia for the patient associated with unpleasant side effects and is therefore hardly ever used today performed. Children should be based on their anatomical and physiological peculiarities be intubated with cuffless tubes if possible. The intubation time is due the risk of ulcerations and scarring is limited. An aspiration of the contents of the Hague further threatens after completion of the operation, if patients have to be extuciort, because they no longer tolerate the tube, but the protective reflexes not yet completely have returned. This is especially true for the elderly, debilitating and neurological patients Diseases. The excavation and intubation under local anesthesia require Time that is often not available during fecal surgery.
Der Ballonmagenschlauch hat zum Flachteil, daß dieser im Magen verrutschen kann, außerdem dichtet der Ballon nicht immer vollständig ab. Die Sonde nach Sengstalsen zur Therapie der Ösophagus-Varizenblutung wird zur Aspirationsprophylsxe nicht benutzt, da das tragende Teil, die Sonde, wegen ihres geringen lumens es nicht ermöglicht, im Magen befindliche festere Nahrungs- und Tablettenbestandteile abzusaugen.The flat part of the balloon stomach tube has to slip in the stomach can, in addition, the balloon does not always seal completely. The probe to Sengstalsen for the treatment of esophageal variceal bleeding, aspiration prophylaxis is not used, as the supporting part, the probe, due to its small lumen, does not allow sucking off solid food and tablet components in the stomach.
Der Zweck der Erfindung besteht darin, sowohl die Aspiration von Mageninhalt vor, während bzw. an Ende der Allgemein-Narkose sicher zu vermeiden und in Katastrophensituationen eine Aspirationsprophylaxe bei Narkose zu ermöglichen, als auch ohne umfangraiche Technik eine Magenausheberung bei Vergifteten ohne großen technischen Aufwand vornehmen zu können.The purpose of the invention is both the aspiration of gastric contents Safe to avoid before, during or at the end of general anesthesia and in disaster situations to enable aspiration prophylaxis during anesthesia, as well as without extensive Technique to lift the stomach in poisoned people without great technical effort to be able to.
Der Erfindung liegt die Aufgabe zu Grunde, durch die Anordnung von aufblasbaren Manschetten und voluminöse Ausbildung des Magenschlauches, den Mageneingang zuverlässig zu verschließen und totzdem festeren [ageninhalt entnehmen zu können.The invention is based on the object by the arrangement of inflatable cuffs and voluminous formation of the stomach tube, the stomach entrance to close reliably and still be able to remove more solid contents.
Erfindungsgemäß wird die Aufgabe dadurch gelöst, daß an einen an sich bekannten elastischen Magenschlauch, obere halb der im Magen gelegenen Öffnung, i Im bestimmten Abstand voneinander zwei getrennt aufblasbare, vorzugsweise dehnbahre Manschetten angeordnet werden, wobei die untere eine fast kugelförmige und die darüberliegende eine längliche, vorzugsweise schlauchförmige Gestalt nach dem Aufblasen annehmen. Die kugelfömmige Manschette liegt im Magen dem Mageneingang an, dagegen soll die zweite so weit und so benessen sein, daß sie den Ösophagus vorzugsweise in der unteren Hälfte zwischen Aortenenge und Zwerchfellenge abdichtet. Beide Manschetten werden durch am Magenschlauch befsetigte und mit diesen parallellaufende Luftschläuche gebläht, an denen sich oberhalb, außerhalb des Mundes des Patienten liegende Kontrollballons befinden.According to the invention the object is achieved in that a per se known elastic stomach tube, upper half of the opening in the stomach, i Two separately inflatable, preferably stretchable, at a certain distance from each other Cuffs are arranged, the lower one being almost spherical and the one above it assume an elongated, preferably tubular shape after inflation. The spherical cuff lies against the stomach entrance in the stomach, whereas the second so far and so wet that it is preferably in the lower esophagus Half between aortic narrow and diaphragm sealed. Both cuffs will through air tubes attached to the stomach tube and running parallel to it distended control balloons located outside the patient's mouth are located.
Dabei ist vorteilhaft, wenn der zur oberen Manschette gehörende Luftschlauch deß Magenschlauch über den zur unteren Manschette gehörenden Luftechlauch verläßt.It is advantageous if the air hose belonging to the upper cuff The gastric tube exits through the air tube belonging to the lower cuff.
Zur Kontrolle der richtigen Lage des Gerätes befinden sich als oberen Ende des Magenschlauches Markierungen für die Lage der Zähne des Patienten, bei richtigem Sitz des Doppelballonmagenschlauches.To check the correct position of the device are located as above End of the stomach tube markings for the location of the patient's teeth, at correct fit of the double balloon stomach tube.
Die Erfindung soll nachstchend an einem Ausführungsbeispiel näher erläutert werden. In den zugehörigen Zeichnungen zeigen: Fig. 1: den Doppelballonmagenschlauch Pig. 2: die richtige xage des Doppelballonmagenschlauches im Patienten.The invention is to be described in more detail below on the basis of an exemplary embodiment explained. The accompanying drawings show: FIG. 1: the double balloon stomach tube Pig. 2: the correct xage of the double gastric tube in the patient.
Der Doppelballonmagenschlauch wird zunächst wie jeder herkömmliche Magenschlauch dem Patienten eingeführt.The double gastric tube is initially like any conventional one Gastric tube inserted into the patient.
Durch Einspritzen von Luft in den unteren luftechlauch 4 wird die untere, im Magen befindliche Manschette 7 gebläht und der zuführende Luftschlauch 4 am Ende verschlossen.By injecting air into the lower air hose 4, the the lower cuff 7 located in the stomach is inflated and the supplying air tube 4 closed at the end.
Dann wird das Gerät zurückgezogen, bis ein Widerstand zu spüren ist. Er läßt die richtige Lage der unteren 2Manschette 7 an der Cardia 12 erkennen. Die Lage der Markierung 9 an der Zahnreihe gestattet eine zusätzliche Kontrolle des richtigen Sitzes. Nun kann durch Einspritzen von Luft in den oberen Luftschlauch 2 die obere Manschette 6 gebläht werden. Dieser Luftschlauch 2 wird dann ebenfalls verschlossen. Bei richtiger Lage des Doppelballonmgenschlauches wird die untere Manschette 7 vor der Cardia und die obere Manschette 6 lin Ösophagus 11 einen Reflux von Mageninhalt verhindern, die obere Manschette 6 fixiert gleichzeitig das Gerät.Then the device is withdrawn until resistance is felt. It shows the correct position of the lower 2 cuff 7 on the cardia 12. the The position of the marking 9 on the row of teeth allows additional control of the correct fit. Now it can be done by injecting air into the upper air hose 2 the upper cuff 6 is inflated. This air hose 2 is then also locked. With the correct position of the double balloon tube, the lower Cuff 7 in front of the cardia and the upper cuff 6 lin esophagus 11 prevent gastric contents from refluxing, the upper cuff 6 fixes at the same time the device.
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE2412553A DE2412553A1 (en) | 1974-03-15 | 1974-03-15 | Stomach tube preventing inhalation of vomit - is for use under narcosis while allowing removal of comparatively solid material from stomach |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE2412553A DE2412553A1 (en) | 1974-03-15 | 1974-03-15 | Stomach tube preventing inhalation of vomit - is for use under narcosis while allowing removal of comparatively solid material from stomach |
Publications (1)
Publication Number | Publication Date |
---|---|
DE2412553A1 true DE2412553A1 (en) | 1975-09-25 |
Family
ID=5910202
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE2412553A Pending DE2412553A1 (en) | 1974-03-15 | 1974-03-15 | Stomach tube preventing inhalation of vomit - is for use under narcosis while allowing removal of comparatively solid material from stomach |
Country Status (1)
Country | Link |
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DE (1) | DE2412553A1 (en) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS53685A (en) * | 1976-06-21 | 1978-01-06 | Dow Corning | Percutaneous gastrointestinal tract |
DE3640034A1 (en) * | 1986-11-24 | 1988-05-26 | Georg E Prof Dr Med Vogel | Oesophageal probe |
DE8808484U1 (en) * | 1988-07-01 | 1988-08-18 | Roewer, Norbert, Dr., 2000 Hamburg, De | |
WO1990014859A1 (en) * | 1989-05-30 | 1990-12-13 | Chelyabinskaya Oblastnaya Klinicheskaya Bolnitsa N 1 | Device for arresting bleeding in the esophagus |
EP0697205A1 (en) | 1994-08-17 | 1996-02-21 | Roewer, Norbert, Dr. | Gastric probe |
US5613949A (en) * | 1994-04-01 | 1997-03-25 | Advanced Cardiovascular Systems, Inc. | Double balloon catheter assembly |
DE19654910C2 (en) * | 1996-09-10 | 2003-03-27 | Fred Goebel Patentverwaltung G | feeding tube |
US6551272B2 (en) | 1996-09-10 | 2003-04-22 | Goebel Fred G. | Stomach probe |
DE102005007411A1 (en) * | 2005-02-18 | 2006-08-24 | Universitätsklinikum Schleswig-Holstein | Stomach tube for use in continuous positive airway pressure treatment methods, has opening between two dilatation units |
FR2897540A1 (en) * | 2006-02-20 | 2007-08-24 | Philippe Zerbib | Stomach tube for avoiding e.g. gastro-oesophageal reflux, has tubular element with distal cuff placed near element`s distal end, and with proximal cuff inflated by inflating unit and placed upstream of distal cuff |
GB2460091A (en) * | 2008-05-17 | 2009-11-18 | Ifeoma Ebelechukwu Ikwueke | Apparatus for the nasogastric intubation |
WO2014126710A1 (en) * | 2013-02-15 | 2014-08-21 | Pneumoflex Systems, Llc | Device with active valve to block emesis and reflux blockage device and associated system and method |
US9005122B2 (en) | 2013-02-15 | 2015-04-14 | Pneumoflex Systems, Llc | Device with passive valve to block emesis and/or reflux and associated system and method |
US9005124B2 (en) | 2013-02-15 | 2015-04-14 | Pneumoflex Systems, Llc | Device to block emesis and reflux and associated system and method |
-
1974
- 1974-03-15 DE DE2412553A patent/DE2412553A1/en active Pending
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS53685A (en) * | 1976-06-21 | 1978-01-06 | Dow Corning | Percutaneous gastrointestinal tract |
DE3640034A1 (en) * | 1986-11-24 | 1988-05-26 | Georg E Prof Dr Med Vogel | Oesophageal probe |
DE8808484U1 (en) * | 1988-07-01 | 1988-08-18 | Roewer, Norbert, Dr., 2000 Hamburg, De | |
WO1990014859A1 (en) * | 1989-05-30 | 1990-12-13 | Chelyabinskaya Oblastnaya Klinicheskaya Bolnitsa N 1 | Device for arresting bleeding in the esophagus |
US5613949A (en) * | 1994-04-01 | 1997-03-25 | Advanced Cardiovascular Systems, Inc. | Double balloon catheter assembly |
EP0697205A1 (en) | 1994-08-17 | 1996-02-21 | Roewer, Norbert, Dr. | Gastric probe |
DE19654910C2 (en) * | 1996-09-10 | 2003-03-27 | Fred Goebel Patentverwaltung G | feeding tube |
US6551272B2 (en) | 1996-09-10 | 2003-04-22 | Goebel Fred G. | Stomach probe |
US6745773B1 (en) | 1996-09-10 | 2004-06-08 | Dr. Fred Goebel Patentverwaltung Gmbh | Tracheal tube |
DE102005007411B4 (en) * | 2005-02-18 | 2006-10-26 | Universitätsklinikum Schleswig-Holstein | feeding tube |
DE102005007411A1 (en) * | 2005-02-18 | 2006-08-24 | Universitätsklinikum Schleswig-Holstein | Stomach tube for use in continuous positive airway pressure treatment methods, has opening between two dilatation units |
FR2897540A1 (en) * | 2006-02-20 | 2007-08-24 | Philippe Zerbib | Stomach tube for avoiding e.g. gastro-oesophageal reflux, has tubular element with distal cuff placed near element`s distal end, and with proximal cuff inflated by inflating unit and placed upstream of distal cuff |
GB2460091A (en) * | 2008-05-17 | 2009-11-18 | Ifeoma Ebelechukwu Ikwueke | Apparatus for the nasogastric intubation |
GB2459941A (en) * | 2008-05-17 | 2009-11-18 | Ifeoma Ebelechukwu Ikwueke | Apparatus for the nasogastric intubation |
GB2459941B (en) * | 2008-05-17 | 2010-11-24 | Ifeoma Ebelechukwu Ikwueke | Nasogastric tube |
GB2460091B (en) * | 2008-05-17 | 2010-12-01 | Ifeoma Ebelechukwu Ikwueke | Nasogastric tube |
WO2014126710A1 (en) * | 2013-02-15 | 2014-08-21 | Pneumoflex Systems, Llc | Device with active valve to block emesis and reflux blockage device and associated system and method |
US9005123B2 (en) | 2013-02-15 | 2015-04-14 | Pneumoflex Systems, Llc | Device with active valve to block emesis and reflux blockage device and associated system and method |
US9005122B2 (en) | 2013-02-15 | 2015-04-14 | Pneumoflex Systems, Llc | Device with passive valve to block emesis and/or reflux and associated system and method |
US9005124B2 (en) | 2013-02-15 | 2015-04-14 | Pneumoflex Systems, Llc | Device to block emesis and reflux and associated system and method |
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