IT201600115884A1 - containment device for P.E.G. (Percutaneous Endoscopic Gastrostomy) - Google Patents
containment device for P.E.G. (Percutaneous Endoscopic Gastrostomy)Info
- Publication number
- IT201600115884A1 IT201600115884A1 IT102016000115884A IT201600115884A IT201600115884A1 IT 201600115884 A1 IT201600115884 A1 IT 201600115884A1 IT 102016000115884 A IT102016000115884 A IT 102016000115884A IT 201600115884 A IT201600115884 A IT 201600115884A IT 201600115884 A1 IT201600115884 A1 IT 201600115884A1
- Authority
- IT
- Italy
- Prior art keywords
- percutaneous endoscopic
- containment device
- endoscopic gastrostomy
- ties
- containment
- Prior art date
Links
- 239000000463 material Substances 0.000 claims description 5
- 229920000742 Cotton Polymers 0.000 claims description 3
- 241001272720 Medialuna californiensis Species 0.000 claims description 3
- 239000004744 fabric Substances 0.000 claims description 3
- 239000013013 elastic material Substances 0.000 claims 1
- 239000000523 sample Substances 0.000 description 10
- 238000000034 method Methods 0.000 description 4
- 208000015181 infectious disease Diseases 0.000 description 3
- 208000012902 Nervous system disease Diseases 0.000 description 2
- 208000025966 Neurological disease Diseases 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 206010012289 Dementia Diseases 0.000 description 1
- 208000010201 Exanthema Diseases 0.000 description 1
- 208000005314 Multi-Infarct Dementia Diseases 0.000 description 1
- 206010028372 Muscular weakness Diseases 0.000 description 1
- 206010068871 Myotonic dystrophy Diseases 0.000 description 1
- 206010028885 Necrotising fasciitis Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000018737 Parkinson disease Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 201000004810 Vascular dementia Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 206010000269 abscess Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 206010002026 amyotrophic lateral sclerosis Diseases 0.000 description 1
- 239000003518 caustics Substances 0.000 description 1
- 230000003970 cerebral vascular damage Effects 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 201000005884 exanthem Diseases 0.000 description 1
- 208000019014 inability to feed Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 210000001370 mediastinum Anatomy 0.000 description 1
- 230000036473 myasthenia Effects 0.000 description 1
- 201000007970 necrotizing fasciitis Diseases 0.000 description 1
- 239000004745 nonwoven fabric Substances 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
- 230000035764 nutrition Effects 0.000 description 1
- 210000003300 oropharynx Anatomy 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000001175 peptic effect Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 201000000196 pseudobulbar palsy Diseases 0.000 description 1
- 206010037844 rash Diseases 0.000 description 1
- 231100000046 skin rash Toxicity 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 230000009747 swallowing Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- 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
- A61J15/0053—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0206—Holding devices, e.g. on the body where the catheter is secured by using devices worn by the patient, e.g. belts or harnesses
Description
DESCRIZIONE DESCRIPTION
La presente invenzione si inserisce sia nell’ambito dei dispositivi medici, in particolare dei dispositivi di contenimento di cateteri, che nell’ambito più genericamente sanitario dei bendaggi. The present invention is included both in the field of medical devices, in particular of catheter containment devices, and in the more generically sanitary field of bandages.
La Gastrostomia Endoscopia Percutanea (PEG) è una procedura endoscopica che collega la cavità gastrica verso l’esterno, mediante un tubicino di 5-7 rum di diametro, per permettere l’assunzione di cibi e liquidi in soggetti che hanno difficoltà a deglutire (per malattie organiche o funzionali). Percutaneous Endoscopy Gastrostomy (PEG) is an endoscopic procedure that connects the gastric cavity to the outside, through a tube of 5-7 rum in diameter, to allow the intake of food and liquids in subjects who have difficulty swallowing (for organic or functional diseases).
La PEG è una procedura che viene utilizzata nei pazienti in cui sia presente un’incapacità temporanea (superiore ad un mese) o permanente ad alimentarsi per bocca e nei quali, comunque, sia possibile raggiungere endoscopicamente la cavità gastrica. Ciò si verifica in patologie che interessino l’orofaringe, l’esofago, il mediastino (tumori, lesioni da caustici, stenosi peptiche, ecc.). PEG is a procedure that is used in patients in whom there is a temporary (more than one month) or permanent inability to feed by mouth and in which, however, it is possible to reach the gastric cavity endoscopically. This occurs in pathologies affecting the oropharynx, the esophagus, the mediastinum (tumors, caustic lesions, peptic stenosis, etc.).
In particolare costituisce la tecnica di scelta per la NED (Nutrizione Enterale Domiciliare) in pazienti con esiti disfagici di patologie neurologiche acute (traumi cranio-encefalici, danno cerebro vascolare) e in molte affezioni neurologiche croniche (sclerosi laterale amiotrofìca, accidenti cerebrovascolari, demenza di Alzheimer, sindrome Pseudobulbare, distrofia miotonica, miastenia, Morbo di Parkinson e demenza multinfartuale). In particular, it constitutes the technique of choice for NED (Home Enteral Nutrition) in patients with dysphagic outcomes of acute neurological diseases (cranio-encephalic trauma, cerebral vascular damage) and in many chronic neurological diseases (amyotrophic lateral sclerosis, cerebrovascular accidents, dementia of Alzheimer's, Pseudobulbar syndrome, myotonic dystrophy, myasthenia, Parkinson's disease and multi-infarct dementia).
La P.E.G. è una procedura sicura, gravata da una bassa incidenza di complicanze maggiori (1,2%). La complicanza più frequente è rappresentata dall’infezione della cute intorno alla stomia, che va dal semplice eritema cutaneo fino all’ascesso ed alla fascite necrotizzante. La durata media di una protesi è di circa 1 anno, ma può variare in base al materiale utilizzato ed alla manutenzione. P.E.G. it is a safe procedure, burdened by a low incidence of major complications (1.2%). The most frequent complication is represented by infection of the skin around the stoma, ranging from simple skin rash to abscess and necrotizing fasciitis. The average duration of a prosthesis is about 1 year, but it can vary according to the material used and the maintenance.
La gestione della P.E.G. è piuttosto complicata sia dal punto di vista della medicazione della ferita che della pulizia della sonda stessa (in media ogni 8 ore). Attualmente, la porzione di tubicino (sonda) che sporge dal corpo viene fissata al corpo mediante cerotti oppure lasciata libera. The management of P.E.G. it is quite complicated both from the point of view of the wound dressing and the cleaning of the probe itself (on average every 8 hours). Currently, the portion of the tube (probe) that protrudes from the body is fixed to the body by means of patches or left free.
In commercio vi sono, inoltre, delle fasce elastiche in materiale plastico utilizzate per impermeabilizzare la P.E.G., le quali però possono essere utilizzate per un lasso di tempo piuttosto breve (in genere il tempo necessario per il bagno). On the market there are also elastic bands in plastic material used to waterproof the P.E.G., which, however, can be used for a rather short period of time (generally the time necessary for the bath).
1 pazienti che ricorrono alla P.E.G. devono mantenere la sonda per diversi mesi, a volte per tutta la vita, per cui è preferibile preservare la sonda per evitare infezioni e quindi sostituzioni periodiche con fastidiosi interventi sul paziente. 1 patients who use P.E.G. they must keep the probe for several months, sometimes for life, so it is preferable to preserve the probe to avoid infections and therefore periodic replacements with annoying interventions on the patient.
Altro elemento critico della P.E.G. è la somministrazione di cibi e bevande in luoghi deversi dalla propria abitazione (ad esempio in viaggio), quando non è possibile un’accurata pulizia esterna della sonda ed eventuali tracce di alimenti possono restare sulla sonda stessa e macchiare gli abiti. Another critical element of P.E.G. is the administration of food and drinks in different places from one's home (for example while traveling), when it is not possible to thoroughly clean the outside of the probe and any traces of food may remain on the probe itself and stain clothes.
E inoltre importante per i pazienti portatori di P.E.G. mantenere un buona qualità della vita, rendendo la P.E.G. meno visibile e meno fastidiosa possibile. It is also important for patients with P.E.G. maintain a good quality of life, making P.E.G. less visible and less annoying as possible.
Un primo scopo della presente invenzione è quello di fornire un dispositivo che consenta di ridurre la frequenza di sostituzione della sonda, in particolare di fornire un dispositivo di contenimento che consenta sia di contenere la parte esterna della sonda che preservare la stomia da evenutali infezioni. A first object of the present invention is to provide a device which allows to reduce the frequency of replacement of the probe, in particular to provide a containment device which allows both to contain the external part of the probe and to preserve the stoma from possible infections.
Lo scopo suindicato è ottenuto con un sistema costituito da un dispositivo di contenimento della sonda costituito da una fascia in stoffa, preferibilmente di cotone sterilizzabile, ripiegata verso Γ interno e chiusa sui due lati in modo da formare una tasca; la fascia sarà dotata di almeno due legacci elastici di lunghezza utile a cingere la vita del paziente che la indosserà. The above purpose is achieved with a system consisting of a probe containment device consisting of a cloth band, preferably of sterilizable cotton, folded inwards and closed on both sides to form a pocket; the band will be equipped with at least two elastic ties of useful length to surround the waist of the patient who will wear it.
Detti legacci elastici consentiranno al dispositivo di adattarsi alle esigenze fisiche e motorie dell’utente. These elastic ties will allow the device to adapt to the physical and motor needs of the user.
La tasca interna sarà sagomata a forma di mezza luna al fine di non contrastare, nel posizionamento, la P.E.G. The inside pocket will be shaped in the shape of a half moon in order not to contrast the P.E.G.
Altro vantaggio della presente invenzione risulta dalla possibilità di rendere impermeabile la parte interna (tasca) del dispositivo di contenimento in modo da contenere eventuali piccole fuoriuscite di alimenti dovute ad una non perfetta chiusura della sonda. Another advantage of the present invention results from the possibility of making the internal part (pocket) of the containment device waterproof so as to contain any small leaks of food due to an imperfect closure of the probe.
Inoltre, essendo il dispositivo realizzato con stoffa generalmente di cotone, può essere caratterizzato da innumerevoli fantasie cromatiche tali da renderlo psicologicamente accettabile anche da pazienti in tenera età. Furthermore, since the device is made generally of cotton fabric, it can be characterized by innumerable chromatic fantasies such as to make it psychologically acceptable even by patients at an early age.
Per Γ utilizzo del dispositivo negli ambienti ospedalieri è prevista inoltre la realizzazione in materiale monouso, ad esempio tessuto non tessuto. For Γ use of the device in hospital environments, it is also envisaged to be made in disposable material, such as non-woven fabric.
Ulteriori caratteristiche e vantaggi della presente invenzione industriale appariranno maggiormente chiari dalla descrizione indicativa, e pertanto non limitativa, di un esempio di utilizzo del dispositivo di contenimento per P.E.G., come illustrato nei disegni allegati in cui: Further characteristics and advantages of the present industrial invention will become clearer from the indicative, and therefore non-limiting, description of an example of use of the containment device for P.E.G., as illustrated in the attached drawings in which:
- La Fig. 1 è una vista prospettica esterna di una forma di realizzazione del dispositivo dove il particolare (A) rappresenta i legacci elastici per il fissaggio del dispositivo (B). - Fig. 1 is an external perspective view of an embodiment of the device where the detail (A) represents the elastic ties for fixing the device (B).
- La fig. 2 è una vista prospettica interna del dispositivo raffigurato nelle Fig. 1 dove il particolare (C) rappresenta la tasca interna a fonna di mezza luna utile al contenimento della P.E.G. (D). - Fig. 2 is an internal perspective view of the device depicted in Fig. 1 where detail (C) represents the internal half-moon shaped pocket useful for containing the P.E.G. (D).
- La fig. 3 è una vista della P.E.G. (D) lasciata libera. - Fig. 3 is a view of the P.E.G. (D) vacated.
- La fig. 4 è una vista del dispositivo (B) indossato e tenuto a mezzo legacci elastici (A) nelFatto di contenere la P.E.G.. - Fig. 4 is a view of the device (B) worn and held by elastic straps (A) in order to contain the P.E.G ..
- La Fig.5 è una vista prospettica del dispositivo in un'altra forma di realizzazione dove i legacci (A) sono passanti in apposite asole (G) realizzate sul dispositivo (B) e sono dotati di un sistema di chiusura con velcro (E) (F) regolabile. - Fig. 5 is a perspective view of the device in another embodiment where the ties (A) pass through special slots (G) made on the device (B) and are equipped with a Velcro closure system (E ) (F) adjustable.
- La Fig. 6 è una vista prospettica del dispositivo in una ulteriore forma di realizzazione dove i legacci (A) si fissano al dispositivo (B) mediante bottoni a pressione (H). - Fig. 6 is a perspective view of the device in a further embodiment where the ties (A) are fixed to the device (B) by means of press studs (H).
- La Fig. 7 è una vista prospettica del dispositivo in un’altra forma di realizzazione dove i legacci (A) dotati di asole (I) disposte lungo la parte terminale degli stessi, si fissano sul dispositivo (B) mediante appositi bottoni (L) cuciti sul dispositivo (B). - Fig. 7 is a perspective view of the device in another embodiment where the ties (A) equipped with slots (I) arranged along the terminal part of the same, are fixed on the device (B) by means of suitable buttons (L ) sewn on the device (B).
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IT102016000115884A IT201600115884A1 (en) | 2016-11-17 | 2016-11-17 | containment device for P.E.G. (Percutaneous Endoscopic Gastrostomy) |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IT102016000115884A IT201600115884A1 (en) | 2016-11-17 | 2016-11-17 | containment device for P.E.G. (Percutaneous Endoscopic Gastrostomy) |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| IT201600115884A1 true IT201600115884A1 (en) | 2018-05-17 |
Family
ID=58347752
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| IT102016000115884A IT201600115884A1 (en) | 2016-11-17 | 2016-11-17 | containment device for P.E.G. (Percutaneous Endoscopic Gastrostomy) |
Country Status (1)
| Country | Link |
|---|---|
| IT (1) | IT201600115884A1 (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1514571A2 (en) * | 2003-09-12 | 2005-03-16 | Sun Medical Technology Research Corporation | Skin-penetrating medical object holder and blood pump system |
| US7661152B2 (en) * | 2007-03-07 | 2010-02-16 | Raul Manzano-Rivera | Gastrostomy garment |
| DE202010009001U1 (en) * | 2010-02-26 | 2011-04-07 | Lin, Li-Ying, Taipei City | Carrying strap for percutaneous endoscopic gastrostomy |
| US20110230863A1 (en) * | 2006-05-25 | 2011-09-22 | Nedda Joy Lentini | Post-surgical drain facilitating belt and method of use |
| US20110319828A1 (en) * | 2010-06-29 | 2011-12-29 | Nancy Standridge Starnes | Feeding tube pouch |
| US20130296814A1 (en) * | 2012-05-02 | 2013-11-07 | Joanie Antholz | Carry Belt for Vacuum Surgical Drains |
-
2016
- 2016-11-17 IT IT102016000115884A patent/IT201600115884A1/en unknown
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1514571A2 (en) * | 2003-09-12 | 2005-03-16 | Sun Medical Technology Research Corporation | Skin-penetrating medical object holder and blood pump system |
| US20110230863A1 (en) * | 2006-05-25 | 2011-09-22 | Nedda Joy Lentini | Post-surgical drain facilitating belt and method of use |
| US7661152B2 (en) * | 2007-03-07 | 2010-02-16 | Raul Manzano-Rivera | Gastrostomy garment |
| DE202010009001U1 (en) * | 2010-02-26 | 2011-04-07 | Lin, Li-Ying, Taipei City | Carrying strap for percutaneous endoscopic gastrostomy |
| US20110319828A1 (en) * | 2010-06-29 | 2011-12-29 | Nancy Standridge Starnes | Feeding tube pouch |
| US20130296814A1 (en) * | 2012-05-02 | 2013-11-07 | Joanie Antholz | Carry Belt for Vacuum Surgical Drains |
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