DK162427B - NUTRITION FOR NUTRITION DIRECTLY IN THE GAS OF LIVE LIVE - Google Patents

NUTRITION FOR NUTRITION DIRECTLY IN THE GAS OF LIVE LIVE Download PDF

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Publication number
DK162427B
DK162427B DK149180A DK149180A DK162427B DK 162427 B DK162427 B DK 162427B DK 149180 A DK149180 A DK 149180A DK 149180 A DK149180 A DK 149180A DK 162427 B DK162427 B DK 162427B
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DK
Denmark
Prior art keywords
balloon
probe
tube
probe tube
live
Prior art date
Application number
DK149180A
Other languages
Danish (da)
Other versions
DK162427C (en
DK149180A (en
Inventor
Friedrich Gerd Lauterjung
Original Assignee
Lauterjung F G
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Lauterjung F G filed Critical Lauterjung F G
Publication of DK149180A publication Critical patent/DK149180A/en
Publication of DK162427B publication Critical patent/DK162427B/en
Application granted granted Critical
Publication of DK162427C publication Critical patent/DK162427C/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS 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
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0003Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
    • A61J15/0007Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth inserted by using a guide-wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS 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
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/003Means for fixing the tube inside the body, e.g. balloons, retaining means
    • A61J15/0046Expandable retainers inside body lumens of the enteral tract, e.g. fixing by radially contacting a lumen wall
    • A61J15/0049Inflatable Balloons

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Surgical Instruments (AREA)

Description

j. DK 162427 Bj. DK 162427 B

5 Opfindelsen angår en sonde af den i kravets indledning angivne art.The invention relates to a probe of the kind specified in the preamble of the claim.

En sådan sonde er kendt fra tysk offentliggørelsesskrift nr.Such a probe is known from German publication no.

27 21 548. Meningen og formålet med den kendte udførelse er at 10 gøre det muligt at indføre en så vidt muligt kalibersvag sondeslange aktivt i en legemshulhed under anvendelse af pilotsonden som en hjælpeindretning til hurtig indføring gennem det mindre snoningsrige indføringsafsnit, idet med en indtræden i de snoningsrige zoner det egentlige mål så bliver opnået 15 under udnyttelse af fyldevægten eller det regulerbare ballontværsnit og den naturlige peristaltik. Pilotsonden, der ligger som nabo til sondeslangen, griber ballonen omtrent på halvdelen af dens længde, så den ved indføringen ikke foldes således tilbage, at den griber spærrende ind over sondeslange-20 tværsnittet. Den væske, der danner fyldevægten, kan herved nogenlunde tilfredsstillende bringes ind i ballonen udefra.27 21 548. The purpose and purpose of the known embodiment is to enable an as far as possible calibration probe tube to be inserted as actively as possible into a body cavity using the pilot probe as an auxiliary device for rapid insertion through the less twisty insertion section, with an entry into the the twist-rich zones the actual target is then achieved by utilizing the fill weight or the adjustable balloon cross section and the natural peristalsis. The pilot probe, which is adjacent to the probe tube, engages the balloon approximately half its length so that, upon insertion, it is not folded back so that it engages the probe tube cross section. The liquid which forms the filling weight can hereby be satisfactorily introduced into the balloon from the outside.

Den foreliggende opfindelse tager sigte på at angive en sonde af den omhandlede art således, at pilotsonden, der muliggør en 25 aktiv indskydning, under bibeholdelse af sondeslangetværsnittet ikke giver nogen tværsnitsforøgelse af hele indretningen.SUMMARY OF THE INVENTION The present invention aims to provide a probe of the kind in question so that while maintaining the probe hose cross-section, the pilot probe enabling an active insertion does not provide any increase in cross-section of the entire device.

Dette opnås ifølge opfindelsen ved, at sonden er udformet som angivet i kravets kendetegnende del.This is achieved according to the invention in that the probe is designed as indicated in the characterizing part of the claim.

3030

Ved denne udformning opnår man på enkel og for brugen fordelagtig måde en så overraskende høj afstivningsgrad for den små-kalibrede, bløde sondeslange, at den aktive indføring af sondeslangen til trods herfor fungerer. Da stabiliseringstråden, 35 der danner pilotsonden, er omgivet af materialet i sondeslangen, består der hverken en fare for en skærevirkning eller for en perforation. På grund af det lille tværsnit er sondenIn this design, in a simple and advantageous way, a high degree of stiffening for the small-calibrated, soft probe tube achieves the active insertion of the probe tube in spite of this. Since the stabilizing wire forming the pilot probe is surrounded by the material in the probe tube, there is neither a danger of a cutting action nor a perforation. Because of the small cross section is the probe

2 DK 162427 B2 DK 162427 B

yderst anvendelig.extremely useful.

Ved udformning af sonden som angivet i kravets kendetegnende del, opnår man, at ballonen holdes i indføringsretning og uden 5 fare for nogen afbøjning bliver ført fremad. Ballonen, der kan være dannet af et slangeafsnit, der ganske enkelt blot er forskudt ind på den frie sondes langeende, så at det sonde-slange/stabiliseringstråd-afsnit, der strækker sig deri, kan benyttes som en afstivende finger, medens der på den anden si-10 de hen mod den fri ballonende bliver en tilstrækkelig afstand tilbage mellem den kuppelagtigt afrundede sondeslangeende og ballonens lukkeende, at den afkortning, der optræder ved fyldning af ballonen, ikke er hindret. Ved indbringelse af væsken som trækvægt eller til midlertidig tværsnitsforøgelse af bal-15 Ionen bliver stabiliseringstråden, der danner pilotsonden, udtaget .By designing the probe as indicated in the characterizing part of the claim, it is obtained that the balloon is held in the direction of insertion and without forwarding any deflection is advanced. The balloon, which may be formed by a hose section which is simply displaced onto the long end of the free probe, so that the probe tube / stabilizing wire section extending therein may be used as a stiffening finger while on it. secondly, toward the free balloon end, a sufficient distance remains between the domed rounded probe tube end and the balloon closure so that the shortening occurring when filling the balloon is not obstructed. Upon application of the liquid as tensile weight or for temporary cross-sectional enhancement of the balloon, the stabilization wire forming the pilot probe is removed.

Opfindelsen forklares nærmere under henvisning til tegningen, på hvilken 20 fig. 1 viser en udførelsesform for sonden med indført pilotsonde, se-t fra siden, fig. 2 viser et i forhold til fig. 1 væsentligt forstørret 25 sondeafsnit af sondeslangen, delvis opbrudt, idet ballonen er udeladt, fig. 3 viser et snit efter en linie III-III i fig. 2, 30 fig. 4 viser den mod ballonen vendende ende på sondeslangen med en ballonfyldning, der danner føringsvægt, idet pilotsonden er fjernet, og fig. 5 viser ballonen i tømt tilstand.The invention is further explained with reference to the drawing, in which: FIG. 1 shows an embodiment of the probe with an inserted pilot probe, side view, fig. 2 shows a comparison with FIG. 1 substantially enlarges 25 probe portions of the probe tube, partially broken up, leaving the balloon; FIG. 3 is a sectional view taken along a line III-III in FIG. 2, 30 FIG. 4 shows the end of the balloon facing the balloon with a balloon filling forming guide weight, the pilot probe being removed; and FIG. 5 shows the balloon in the emptied state.

Ernæringssonden består af en slange 1, hvis ende er forsat i en direkte tilformet eller særskilt tilhørende ballon 2. Denne 35The nutritional probe consists of a tube 1, the end of which is mounted in a directly formed or separately balloon 2. This 35

3 DK 162427 B3 DK 162427 B

består af et overordentligt tyndvægget slangelegeme. Dette legeme er påstukket på den fjerneste ende af sondeslangen 1 og fikseret ved hjælp af et hylster 21. En endeåbning 4 er lukket på enkel måde ved hjælp af en manchet 5, der kan stryges af.consists of an extremely thin walled hose body. This body is applied to the far end of the probe tube 1 and fixed by a sleeve 21. An end aperture 4 is closed in a simple manner by means of a sleeve 5 which can be ironed off.

5 Manchetten bliver ved tillukning af ballonenden skudt ind på de tilsvarende mod hinanden foldede ballonvægsafsnit I og II fra en foldevendeende, så at den sammenfatter de omfoldede afsnit og danner et ved afbøjning frembragt lukkested V 1.5 When closing the balloon end, the cuff is pushed into the corresponding balloon wall sections I and II of the folded end of a folding end so that it summarizes the folded sections and forms a closing point V 1 produced by deflection.

10 Et afsnit A mod ballonens inderside ved den fjernest liggende sondeslangeende ender i lille afstand foran lukkestedet V 1 eller den af lukkestedet dannede ballonbund 2'. Afstanden er valgt således, at bunden 2’ ved fyldning af ballonen 2 u-hindret kan løfte sig ind foran den til en kuppel udformede 15 ende på sondeslangen 1, fig. 4. Den ende, der har kuppelform, er betegnet med 8. Dette kan opnås ved indsmeltning af et delafsnit af sondeslangen. Den lukkede ende har en tykkelse, der er det flerdobbelte af vægtykkelsen for sondeslangen 1, fig.A section A toward the inside of the balloon at the farthest probe tube end ends at a small distance in front of the closure location V 1 or the balloon bottom 2 'formed by the closure location. The distance is chosen such that the bottom 2 ', when filled with the balloon 2, can be unobstructed in front of the dome-shaped end of the probe tube 1, fig. 4. The dome-shaped end is denoted by 8. This can be achieved by fusing a portion of the probe tube. The closed end has a thickness that is twice the wall thickness of the probe tube 1.

2. Den består af termoplastisk materiale. Kuppelformen udeluk-20 ker en gennemstikning af ballonvæggen.2. It consists of thermoplastic material. The dome shape excludes a protrusion of the balloon wall.

I nærheden af slangeenden har sondeslangen væggennembrydninger 14. Det drejer sig om længdeslidseragtige åbninger, der ligger forsat i højden og peger i modsat retning samt står i forbin-25 delse med inderrummet i ballonen.Near the tube end, the probe tube has wall breakthroughs 14. These are longitudinal slit-like openings which are set in height and point in the opposite direction and are in contact with the inner space of the balloon.

Til sondeslangen 1 hører der en pilotsonde 7. Denne består af en stabiliseringstråd af metal eller plast. Den når hen til sondeslangens ende og tjener til afstivning af sondeslangen 1, 30 så at denne kan indføres aktivt.The probe tube 1 includes a pilot probe 7. This consists of a stabilizing wire made of metal or plastic. It reaches the end of the probe tube and serves to stiffen the probe tube 1, 30 so that it can be actively inserted.

Den fjernest liggende ende 7’ på pilotsonden er affladet stumpt og kan anbringes mod et virksomt støtteleje W, der udelukker en gennemstikning af den pågældende zone, ved den ved 35 en tilbagesmeltning dannede fortykkede ende 8. Trådens tværsnit, ca. 1 mm, er valgt således, at der endnu findes et tilstrækkeligt spillerum til forskydning af pilotsonden 7 i son-The distal end 7 'of the pilot probe is flattened bluntly and may be positioned against an effective support bed W, which excludes a piercing of the zone concerned, at the thickened end 8. The cross-section of the wire, approx. 1 mm, is selected such that there is still sufficient clearance for displacement of the pilot probe 7 in the zone.

4 DK 162427 B4 DK 162427 B

deslangen 1. For at opnå en optimal glideevene uden anvendelse , af særlige glidemidler er en kappeflade 7'' på stabiliseringstråden gjort ru. Denne opruning kan opnås såvel mekanisk som ad kemisk vej. Den er ikke særligt vist på tegningen.The hose 1. In order to achieve an optimum sliding vein without the use of special lubricants, a cutting surface 7 '' on the stabilizing thread is roughened. This rounding can be achieved both mechanically and chemically. It is not particularly shown in the drawing.

55

En af stål eller lignende materiale dannet pilotsonde er nyttig til røntgendiagnostik. En af plastik fremstillet pilotsonde kan ved tilsætning af en kontrastdannende andel ligeledes være præpareret til røntgenkontrol.A pilot probe made of steel or similar material is useful for X-ray diagnostics. A plastic probe made of plastic may, by the addition of a contrast-forming proportion, also be prepared for X-ray control.

1010

Sonden, der er afstivet gennem stabiliseringstråden, bliver gennem næsen ført ned i maven. Stabiliseringstråden, der f.eks. består af plastik, og det bløde slangemateriale sikrer en skånsom og farefri indføring. Også ballonen 2 bliver ved 15 hjælp af det sondeslangeafsnit A, der afstiver den, holdt uden knæk. Efter fjernelse af stabiliseringstråden bliver ballonen 2 over sondeslangen 1 fyldt med væske. På grund af påvirkningen fra fyldevægt og peristaltik når sonden til det ønskede sted i intestinaltrakten.The probe, which is stiffened through the stabilization wire, is passed through the nose into the abdomen. The stabilization wire, e.g. consists of plastic, and the soft hose material ensures a gentle and danger-free insertion. Also, the balloon 2 is held without crack by means of the probe tube section A which stiffens it. After removing the stabilization wire, the balloon 2 over the probe tube 1 is filled with liquid. Due to the influence of bulk weight and peristalsis, the probe reaches the desired location in the intestinal tract.

2020

Ophævelsen af transportfunktionen af ballonen 2 sker ved en yderligere indbringning åf væske i ballonen, der derved bliver fuldt ud, fig. 4. Indertrykket bevirker en afstrygning af manchetten 5, så at næringsvæske efter udløbet af fyldevæsken kan 25 tilføres direkte til det ønskede sted.The cancellation of the transport function of the balloon 2 is effected by a further introduction of liquid into the balloon, which thereby becomes full; 4. The internal pressure causes a cuff of the cuff 5 so that, after the filling of the filling fluid, nutrient liquid can be supplied directly to the desired location.

Det er en fordel, at afsnittene I og II også, når ballonen kun er delvis fyldt, lægger sig på tværs foran ballonbunden 2', så at der ikke findes nogen del, der rager ind over det cirkel-30 runde ballontværsnit.It is an advantage that sections I and II, even when the balloon is only partially filled, lie transversely in front of the balloon bottom 2 ', so that there is no part extending over the circular 30 balloon cross section.

3535

Claims (1)

5 DK 162427 B Sonde for tilføring af næring direkte i tarmen på levende væsener, hvilken sonde omfatter en sondeslange (1), en over son-5 deslangens indføringsende (8) anordnet ballon (2) og en udtagelig, stabiliserende indersonde (7), kendetegnet ved, at ballonen (2) er indrettet til at kunne fyldes med væske gennem sondeslangen (1) og i en sådan udstrækning, at den kan fremføres ved tarmens bevægelser, og hvor ballonen om-10 fatter en lukkeende (V 1), der er indrettet til at kunne åbnes ved trykstigning efter yderligere væsketilførsel gennem sondeslangen og tilføre.tarmen væske gennem slangen, at sondeslangens indføringsende (8) rager ind i ballonen frem til dennes indføringsende (V 1) og er udformet med et støtteleje (W) 15 for indføringsenden (7’) af den som stabiliseringstråd udformede indersonde (7), og at sondeslangen i afstand fra stabiliseringstrådens støtteleje er forsynet med åbninger (14) med forbindelse til ballonens indre og til tarmens indre, når ballonens lukkeende (V 1) åbnes. 20 25 30Probe for feeding nutrients directly into the intestine of living beings, which includes a probe tube (1), a balloon (2) located above the insertion end (8) of the tube 5 and a removable, stabilizing inner probe (7), characterized in that the balloon (2) is adapted to be filled with liquid through the probe tube (1) and to such an extent that it can be advanced by the movements of the intestine, and wherein the balloon comprises a closure (V 1) which is adapted to be opened by pressure rise after additional fluid supply through the probe tube and feeds the intestinal fluid through the tube that the insertion end (8) of the probe tube projects into the balloon up to its insertion end (V 1) and is formed with a support bearing (W) 15 for the insertion end (7 ') of the stabilization wire designed as a stabilization wire (7) and the probe tube spaced apart from the stabilizing wire support bed with apertures (14) connected to the interior of the balloon and to the interior of the intestine; year the balloon closing (V 1) opens. 20 25 30
DK149180A 1979-04-11 1980-04-08 NUTRITION FOR NUTRITION DIRECTLY IN THE GAS OF LIVE LIVE DK162427C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19792914609 DE2914609A1 (en) 1979-04-11 1979-04-11 PROBE
DE2914609 1979-04-11

Publications (3)

Publication Number Publication Date
DK149180A DK149180A (en) 1980-10-12
DK162427B true DK162427B (en) 1991-10-28
DK162427C DK162427C (en) 1992-03-23

Family

ID=6068027

Family Applications (1)

Application Number Title Priority Date Filing Date
DK149180A DK162427C (en) 1979-04-11 1980-04-08 NUTRITION FOR NUTRITION DIRECTLY IN THE GAS OF LIVE LIVE

Country Status (8)

Country Link
JP (1) JPS55143167A (en)
CH (1) CH645547A5 (en)
DE (1) DE2914609A1 (en)
DK (1) DK162427C (en)
FR (1) FR2453653B1 (en)
GB (1) GB2046595B (en)
IT (2) IT8015165V0 (en)
SE (1) SE448671B (en)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3105883C2 (en) * 1981-02-18 1982-11-04 Willy Rüsch GmbH & Co KG, 7053 Kernen Probe for enteral supply or suction of gases or liquids
DE3409663A1 (en) * 1984-03-16 1985-09-19 Fresenius AG, 6380 Bad Homburg MEDICAL PROBE
SE508372C2 (en) * 1995-02-13 1998-09-28 Kjell Lindstroem Method and equipment for delivery or aspiration of substances within the gastrointestinal tract, intended for measurement of pharmacokinetic and physicochemical parameters
US7699818B2 (en) * 2005-02-08 2010-04-20 Paul J. Gilbert Insertion system and methods for nasogastric tubes
WO2013025993A1 (en) 2011-08-18 2013-02-21 Gilbert Paul J Fluid characteristic measurement

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2930377A (en) * 1958-06-02 1960-03-29 Baxter Don Inc Surgical tube
GB1475901A (en) * 1973-10-11 1977-06-10 Tech Supply Sa Catheter assembly
DE2402573C3 (en) * 1974-01-19 1978-06-29 Karl Lutz Dr. Lauterjung Probe for enteral feeding of living things
DE2721548C2 (en) * 1977-05-13 1982-11-04 Friedrich Gerd 5000 Köln Lauterjung probe

Also Published As

Publication number Publication date
FR2453653A1 (en) 1980-11-07
DK162427C (en) 1992-03-23
DE2914609C2 (en) 1987-10-01
IT8012507A0 (en) 1980-04-09
IT1136173B (en) 1986-08-27
SE8001575L (en) 1980-10-12
FR2453653B1 (en) 1985-07-19
DK149180A (en) 1980-10-12
SE448671B (en) 1987-03-16
GB2046595B (en) 1983-09-01
DE2914609A1 (en) 1980-10-23
IT8015165V0 (en) 1980-04-09
CH645547A5 (en) 1984-10-15
GB2046595A (en) 1980-11-19
JPS55143167A (en) 1980-11-08

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