KR20210061631A - Device for preventing dissection of nasogastric tube - Google Patents
Device for preventing dissection of nasogastric tube Download PDFInfo
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- KR20210061631A KR20210061631A KR1020190149424A KR20190149424A KR20210061631A KR 20210061631 A KR20210061631 A KR 20210061631A KR 1020190149424 A KR1020190149424 A KR 1020190149424A KR 20190149424 A KR20190149424 A KR 20190149424A KR 20210061631 A KR20210061631 A KR 20210061631A
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- 238000002224 dissection Methods 0.000 title 1
- 230000002265 prevention Effects 0.000 claims description 18
- 238000000034 method Methods 0.000 claims description 4
- 210000005069 ears Anatomy 0.000 claims description 2
- 230000002496 gastric effect Effects 0.000 claims description 2
- 210000001331 nose Anatomy 0.000 description 12
- 210000002784 stomach Anatomy 0.000 description 7
- 238000010586 diagram Methods 0.000 description 5
- 238000003780 insertion Methods 0.000 description 3
- 210000000941 bile Anatomy 0.000 description 2
- 210000003736 gastrointestinal content Anatomy 0.000 description 2
- 210000003128 head Anatomy 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000003928 nasal cavity Anatomy 0.000 description 2
- 235000015097 nutrients Nutrition 0.000 description 2
- 208000000884 Airway Obstruction Diseases 0.000 description 1
- 206010062631 Cholecystitis infective Diseases 0.000 description 1
- 206010014568 Empyema Diseases 0.000 description 1
- 208000022072 Gallbladder Neoplasms Diseases 0.000 description 1
- 206010033372 Pain and discomfort Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 201000009036 biliary tract cancer Diseases 0.000 description 1
- 208000020790 biliary tract neoplasm Diseases 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 235000015111 chews Nutrition 0.000 description 1
- 208000003167 cholangitis Diseases 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 230000006837 decompression Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 201000010175 gallbladder cancer Diseases 0.000 description 1
- 208000001130 gallstones Diseases 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 235000012054 meals Nutrition 0.000 description 1
- 239000012567 medical material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003899 penis Anatomy 0.000 description 1
- 210000003800 pharynx Anatomy 0.000 description 1
- CVHZOJJKTDOEJC-UHFFFAOYSA-N saccharin Chemical compound C1=CC=C2C(=O)NS(=O)(=O)C2=C1 CVHZOJJKTDOEJC-UHFFFAOYSA-N 0.000 description 1
- 229940081974 saccharin Drugs 0.000 description 1
- 235000019204 saccharin Nutrition 0.000 description 1
- 239000000901 saccharin and its Na,K and Ca salt Substances 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
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- 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
- A61J15/0053—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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
-
- 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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
-
- 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
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/08—Tubes; Storage means specially adapted therefor
-
- 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
- A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
- A61M2025/0226—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the nose
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Hematology (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Otolaryngology (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Description
본 발명은 환자가 자신에게 삽입되어 있는 비위관을 고의나 실수로 당겼을 때 인체에 삽입된 부위가 잘 빠지지 않도록 하며, 당김이 없어지면 비위관이 원위치로 회복되도록 하는 비위관 빠짐 방지기구에 관한 것이다.The present invention relates to a nasogastric tube prevention mechanism that prevents a part inserted into the human body from being pulled out when a patient intentionally or accidentally pulls a nasogastric tube inserted into the patient, and allows the nasogastric tube to return to its original position when the pull is gone. .
카테터(의학: catheter)는 의료용 소재를 압출 성형하여 만든 얇은 관으로 신체의 강, 관, 혈관에 삽입되어 이를 통해 액체나 기체를 빼내거나 주입하는 용도로 활용되는 의료용 기구이다. 재료나 만드는 방식에 따라 심혈관, 비뇨기과, 위장, 신경 혈관, 안과 등 다양한 분야에서 사용되고 있다.A catheter (medicine: catheter) is a medical device that is a thin tube made by extrusion molding a medical material and is inserted into a cavity, tube, or blood vessel of the body and used to extract or inject liquid or gas through it. It is used in various fields, such as cardiovascular, urology, gastrointestinal, neurovascular, and ophthalmology, depending on the material or method of making.
카테터의 일종인 비위관(nasogastric tube, Levin tube)은 위 내용물의 배액, 위장관 감압, 위 내 세척 및 경장관 영양 공급 등의 목적으로 코-비강-인두-식도를 통과하여 위장에 삽입되는 관이다(도 1 a 참조). 특히 중환자실에서는 수술 후 위 내용물 배액 및 감압, 의식저하 환자에서는 위 내용물이 폐로 흡인되는 것의 예방, 경장관 영양 공급 등의 이유로 코를 통해서 튜브를 환자의 위로 삽입하는 사례가 빈번하다. 입을 통해 튜브를 삽입하는 것이 불가능한 것은 아니지만 불편한 감각이 더 심하고, 환자가 무의식적으로 튜브를 씹거나 구부러트리는 일이 빈번하기 때문에 특별한 경우가 아니면 비위관이 적용되는 것이 일반적이다.The nasogastric tube (Levin tube), a type of catheter, is a tube inserted into the stomach through the nose, nasal cavity, pharynx, and esophagus for the purpose of draining the contents of the stomach, decompressing the gastrointestinal tract, washing the stomach and supplying nutrients to the enteral tract. (See Fig. 1 a). In particular, in the intensive care unit, a tube is frequently inserted through the nose into the patient's stomach for reasons such as drainage and decompression of the stomach contents after surgery, prevention of aspiration of the stomach contents into the lungs in patients with low consciousness, and supply of nutrients to the enteral tube. Although it is not impossible to insert a tube through the mouth, it is more common to use a nasogastric tube, unless it is a special case, because the uncomfortable sensation is more severe and the patient frequently chews or bends the tube involuntarily.
한편, 비위관이 삽입되면 답답하고 불편하기 때문에 환자가 의식적 또는 무의식적으로 비위관을 잡아 빼게 되면 도 1c에 개념적으로 도시한 것처럼, 위장에 삽입되었던 비위관 말단이 부분적으로 또는 완전히 딸려 나오는 사고가 발생하게 된다(도 1c에서 비위관에 표시된 청색원은 도 1b에서의 부착테이프와 같은 고정도구임). 이렇게 되면 의료관계자가 비위관 삽입을 다시 반복해야 하는 불편함이 있을 뿐만 아니라, 비위관을 통해 급식 중 비위관 빠짐에 의한 관급식 액체가 기도로 들어가 흡입성 폐렴 또는 기도 폐색 등 심각한 합병증을 유발하기도 한다. 따라서 비위관 빼는 것을 방지하기 위해 비위관을 환자의 코나 안면에 테이프 등의 고정도구를 이용하여 고정하거나(도 1b 참조) 심지어는 불가피하게 환자에게 벙어리 장갑을 끼우거나 억제대로 결박하는 경우(도 1d 참조)도 있다.On the other hand, when the nasogastric tube is inserted, it is frustrating and uncomfortable, so if the patient consciously or unconsciously pulls out the nasogastric tube, an accident occurs in which the end of the nasogastric tube inserted into the stomach is partially or completely attached, as conceptually shown in Fig. 1c. (The blue circle marked on the nasogastric tube in FIG. 1C is a fixing tool such as the attachment tape in FIG. 1B). In this case, not only does the medical personnel have to repeat the insertion of the nasogastric tube again, but also the tube feeding liquid due to the nasal tube removal during feeding through the nasogastric tube enters the airways, causing serious complications such as inhaled pneumonia or airway obstruction. do. Therefore, in order to prevent the nasogastric tube from being pulled out, the nasogastric tube is fixed to the patient's nose or face using a fixing tool such as tape (see Fig. 1b), or even inevitably wearing a mitten on the patient or binding with a restraint (Fig. 1d). See also).
비위관 이외에도 농흉이나 흉수 배액을 위해 외부에서 흉부로 삽입되는 흉부 카테터, 담석이 있거나 담도염, 담도암 환자로부터 담즙 배액을 위해 외부에서 삽입되는 경피경간 담도배액 카테터, 쓸개염이나 쓸개암 환자의 담즙 배액을 위해 외부에서 삽입되는 경피경간 당낭배액 카테터, 방광내의 소변을 배출하기 위해 피부 또는 음경을 통해 삽입되는 도뇨관 등도 고의 또는 실수로 빠지는 경우 매우 심각한 피해를 줄 수 있다.In addition to the nasogastric tube, a thoracic catheter that is inserted from the outside into the chest for empyema or pleural drainage, a transcutaneous interstitial biliary drainage catheter that is inserted from the outside for bile drainage from patients with gallstones or cholangitis, biliary tract cancer, and bile drainage from patients with gallbladder infection or gallbladder cancer For example, a percutaneous transcutaneous saccharin drainage catheter inserted from the outside, a catheter inserted through the skin or penis to drain urine in the bladder, etc., can cause very serious damage if it is deliberately or accidentally dropped.
US 2009/0292256, US 8,348,901, 중국 공개 103170045 등은 삽입된 비위관을 고정시키기 위해 소정의 기구/도구로 비위관을 잡아서 귀에 걸거나, 머리에 두르거나 코에 장착하는 개념이 소개되어 있다. 그러나 이들 선행기술은 환자가 비위관을 어느 정도 세기 이상으로 잡아당기면 기구/도구가 탈락되어 비위관이 빠지거나 비위관이 절단될 수 있다. 나아가 이들은 별도의 기구/도구를 환자에게 장착하는 것이어서 환자에게 또 다른 답답함과 불편함을 주게 된다.US 2009/0292256, US 8,348,901, Chinese publication 103170045, etc. introduce the concept of holding a nasogastric tube with a predetermined instrument/tool and hanging it on the ear, wearing it on the head, or wearing it on the nose to fix the inserted nasogastric tube. However, in these prior art, when the patient pulls the nasogastric tube for a certain strength or more, the instrument/tool may be removed and the nasogastric tube may be removed or the nasogastric tube may be cut. Furthermore, since these are to be equipped with separate instruments/tools on the patient, they are given another frustration and discomfort to the patient.
본 발명은 삽입된 비위관이 고의나 실수로 당겨지더라도 인체에 삽입된 부위가 잘 빠지지 않고, 당김이 사라지면 원위치로 회복되도록 하는 비위관 빠짐 방지기구를 제공하는 것을 목적으로 한다. It is an object of the present invention to provide a mechanism for preventing the nasogastric tube from being pulled out of which the inserted nasogastric tube is not easily pulled out even if the inserted nasogastric tube is pulled out by mistake and is restored to its original position when the pulling disappears.
전술한 목적을 달성하기 위한 본 발명은 The present invention for achieving the above object
(A) 일측 말단에 환자에 삽입된 비위관의 노출부에 부착되는 관부착부; (B) 타측 말단에 비위관이 삽입된 환자의 신체에 부착되는 인체부착부; 및 (C) 상기 관부착부와 인체부착부 사이에 기재된 탄성신축부;를 포함하고 있는 비위관이 삽입된 환자에 장착되는 비위관 빠짐 방지기구인 것을 특징으로 한다. (A) a tube attachment portion attached to the exposed portion of the nasogastric tube inserted into the patient at one end; (B) a human body attachment part attached to the body of the patient having a nasogastric tube inserted at the other end; And (C) an elastic elastic portion described between the tube attachment portion and the human body attachment portion; and a nasogastric tube prevention mechanism that is mounted on a patient into which a nasogastric tube is inserted.
이상과 같이 본 발명에 의한 방지기구가 적용되면, 비위관의 노출부가 고의나 실수로 당겨지더라도 탄성신축부가 늘어나므로 종래 고정기구와는 달리 고정기구가 탈락되거나(=망가지거나) 비위관이 절단되는 현상이 대폭 줄어들게 된다. 또한 당겨지는 외력이 소멸되면 상기 탄성신축부의 당김작용에 의해 부분적으로 빠져나왔던 비위관이 처음의 위치로 자동 복귀된다.As described above, when the prevention mechanism according to the present invention is applied, the elastic elastic portion increases even if the exposed portion of the nasogastric tube is intentionally or accidentally pulled, so unlike the conventional fixing mechanism, the fixing mechanism is removed (= broken) or the nasogastric tube is cut. The phenomena that are being used are greatly reduced. In addition, when the external force to be pulled is extinguished, the nasogastric tube partially exited by the pulling action of the elastic elastic part is automatically returned to the initial position.
따라서 본 발명에 의하면 비위관이 빠져나오는 현상이 줄어들어 비위관 재삽입 시술이 줄어들고 비위관 빠짐에 의한 안전사고가 방지되는 효과를 얻을 수 있다.Therefore, according to the present invention, the phenomenon that the nasogastric tube is pulled out is reduced, the reinsertion procedure of the nasogastric tube is reduced, and the safety accident due to the nasogastric tube is removed can be obtained.
또한 본 발명에 의하면, 종래 불가피하게 환자에게 벙어리 장갑을 끼우거나 억제대로 결박하는 일이 최소화되므로 환자의 고통을 대폭 줄일 수 있으며, 비위관 빠짐에 의해 비위관 재삽입을 반복하는 불편함의 해소, 관급식 중 비위관 빠짐에 의해 관급식이 기도로 들어가는 사고의 방지 등 효과를 얻을 수 있게 된다.In addition, according to the present invention, since it is possible to significantly reduce the pain of the patient since it is inevitable to put on a mitten or bind with a restraint to the patient inevitably in the prior art, it is possible to significantly reduce the pain of the patient, and to eliminate the inconvenience of repeating the re-insertion of the nasogastric tube by dropping the nasogastric tube. It is possible to obtain effects such as prevention of accidents in which the official meal enters the airways due to the absence of the nasogastric tube during feeding.
이와는 별도로, 종래 비위관을 코에 고정하는 테이프가 수시로 떨어져서 새 테이프로 재부착 해야 하는 불편함이 사라지게 된다.Separately, the conventional tape for fixing the nasogastric tube to the nose often falls off, thereby eliminating the inconvenience of having to reattach with a new tape.
도 1a는 종래기술에 의한 비위관의 일예 사진.
도 1b는 테이프를 이용하여 비위관을 환자의 코에 고정한 예를 보여주는 사진.
도 1c는 종래기술에 의한 비위관이 인체에 삽입된 상태와, 외력에 의해 당겨졌을 때의 상태 개념도.
도 1d는 비위관 빼는 것을 방지하기 위하여 환자의 행동을 억제하는 예를 보여주는 사진.
도 2는 본 발명에 의한 방지기구가 장착되어 작동하는 방식을 보여주는 개념도.
도 3은 본 발명에 의한 방지기구의 일예를 보여주는 개념도.Figure 1a is an example photograph of a nasogastric tube according to the prior art.
1B is a photograph showing an example of fixing a nasogastric tube to a patient's nose using a tape.
1C is a conceptual diagram illustrating a state in which a nasogastric tube according to the prior art is inserted into a human body and a state when it is pulled by an external force.
Figure 1d is a photograph showing an example of suppressing the behavior of the patient to prevent nasogastric tube removal.
Figure 2 is a conceptual diagram showing a manner in which the prevention mechanism according to the present invention is installed and operated.
Figure 3 is a conceptual diagram showing an example of the prevention mechanism according to the present invention.
이하 첨부된 도면을 참조하여 본 발명을 보다 상세히 설명한다. 그러나 첨부된 도면은 본 발명의 기술적 사상의 내용과 범위를 쉽게 설명하기 위한 예시일 뿐, 이에 의해 본 발명의 기술적 범위가 한정되거나 변경되는 것은 아니다. 이러한 예시에 기초하여 본 발명의 기술적 사상의 범위 안에서 다양한 변형과 변경이 가능함은 당업자에게는 당연할 것이다.Hereinafter, the present invention will be described in more detail with reference to the accompanying drawings. However, the accompanying drawings are only examples for easily explaining the content and scope of the technical idea of the present invention, thereby not limiting or changing the technical scope of the present invention. It will be obvious to those skilled in the art that various modifications and changes are possible within the scope of the technical idea of the present invention based on these examples.
전술하였듯이 본 발명은 신체 외부에서 내부로 삽입되는 비위관의 빠짐을 방지하기 위한 것으로서, (A) 일측 말단에 환자에 삽입된 비위관의 노출부에 부착되는 관부착부; (B) 타측 말단에 비위관이 삽입된 환자의 신체에 부착되는 인체부착부; 및 (C) 상기 관부착부와 인체부착부 사이에 기재된 탄성신축부;를 포함하고 있는 비위관이 삽입된 환자에 장착되는 비위관 빠짐 방지기구에 관한 것이다. 단순하게 표현하면, 본 발명은 탄성신축부 양단에 각각 관부착부와 인체부착부가 결합되어 있는 기구이다. As described above, the present invention is to prevent the nasogastric tube inserted from the outside of the body from falling out, (A) a tube attachment portion attached to the exposed portion of the nasogastric tube inserted into the patient at one end; (B) a human body attachment part attached to the patient's body with a nasogastric tube inserted at the other end; And (C) an elastic elastic portion described between the tube attachment portion and the human body attachment portion; and a nasogastric tube prevention mechanism mounted on a patient into which a nasogastric tube is inserted. In simple terms, the present invention is a mechanism in which a tube attachment portion and a human body attachment portion are coupled to both ends of the elastic elastic portion.
도 2에 본 발명에 의한 방지기구가 장착되었을 경우, 각각 당기는 외력이 있을 때와 외력이 사라졌을 때의 상태 개념도를, 도 3에 본 발명에 의한 방지기구의 일예를 보여주는 개념도를 도시하였다. 도면에서 탄성신축부의 크기, 재질과 탄성도, 탄성신축부의 양단에 결합되어 있는 관부착부와 인체부착부의 유형과 형태 등은 적절하게 결정할 수 있음은 당연할 것이다. When the prevention mechanism according to the present invention is mounted in FIG. 2, a conceptual diagram showing a state when there is an external force pulling and when the external force disappears, and FIG. 3 is a conceptual diagram showing an example of the prevention mechanism according to the present invention. In the drawings, it will be natural that the size, material and elasticity of the elastic elastic portion, the type and shape of the tube attachment portion and the human body attachment portion coupled to both ends of the elastic elastic portion can be appropriately determined.
이하 도면에서는 코일형 구조의 탄성신축부를 예시하였으나 이에 한정되는 것은 아니다. 본 발명에서 상기 인체부착부와 관부착부는, 상기 탄성신축부의 양측 말단을 각각 인체(예를 들면 코 부위)와 비위관의 노출부에 결합시키는 단순한 '테이프'일 수 있다. 본 발명에서 상기 인체부착부는 환자의 양쪽 귀에 걸쳐지는 귀걸이 형태이거나, 환자의 머리 또는 목에 둘러지는 밴드형일 수 있다. 도면에서는 인체부착부와 관부착부가 단순한 테이프인 것을 예로 도시하였다.In the drawings below, the elastic elastic part of the coil-type structure is illustrated, but the present invention is not limited thereto. In the present invention, the human body attachment portion and the tube attachment portion may be a simple'tape' that couples both ends of the elastic elastic portion to the human body (for example, the nose portion) and the exposed portion of the nasogastric tube, respectively. In the present invention, the human body attachment part may be in the form of an earring that spans both ears of the patient, or may be in the form of a band that surrounds the patient's head or neck. In the drawings, the body attachment portion and the tube attachment portion are illustrated as an example of a simple tape.
종래 비위관과, 본 발명에 의한 비위관을 신체에 적용한 상태에서 노출된 부분이 외력에 의해 당겨졌을 때 발생하는 현상을 도 1c 및 도 2를 참조하여 살펴본다.A conventional nasogastric tube and a phenomenon occurring when an exposed portion is pulled by an external force in a state in which the nasogastric tube according to the present invention is applied to the body will be described with reference to FIGS. 1C and 2.
먼저 동일한 방식으로 비위관의 일측 말단이 비강을 통해 환자의 위장으로 도입된다. 이후, 종래의 경우 주로 테이프 등과 같은 고정도구(도 1c 에서 환자의 코 부분에 표시된 청색원)로 비위관을 환자의 코에 비탄성적으로 고정한다. 반면 본 발명에 의하면 비위관을 인체(예를 들면 코)에 직접 고정하는 것이 아니라 본 발명에 의한 방지기구를 매개로 인체에 탄성적으로 고정된다. 즉 "관부착부~탄성신축부~인체부착부"로 이루어진 방지기구가 수축된 상태에서 양단의 관부착부와 인체부착부를 각각 비위관의 노출부와 환자의 신체(예를 들면 코)에 부착시킨다. First, in the same way, one end of the nasogastric tube is introduced into the patient's stomach through the nasal cavity. Thereafter, in the conventional case, the nasogastric tube is inelasticly fixed to the patient's nose with a fixing tool such as a tape (a blue circle indicated on the patient's nose in FIG. 1C). On the other hand, according to the present invention, the nasogastric tube is not directly fixed to the human body (for example, the nose), but is elastically fixed to the human body through the prevention mechanism according to the present invention. In other words, the tube attachment part and the human body attachment part at both ends are attached to the exposed part of the nasogastric tube and the patient's body (for example, the nose), respectively, while the prevention mechanism consisting of "tube attachment part ~ elastic stretch part ~ human body attachment part" is contracted. Let it.
비위관이 삽입/고정된 상태에서 고의나 실수로 비위관 노출부가 잡아 당겨질 수 있다. 이렇게 비위관이 당겨지면 종래 비위관의 경우 도 1c에서 볼 수 있듯이 고정도구(예를 들면 코에 붙인 테이프)가 함께 떨어지면서 비위관 말단이 위장에서 이탈하여 빠져나오게 된다. 그리고 일단 어느 정도 빠져나온 비위관은 비위관을 더 이상 당기지 않더라도 어느 정도 빠져나온 상태 그대로 유지된다. 이어서 또 한번 당기게 되면 비위관이 완전히 빠져나오는 사고가 발생하게 된다.While the nasogastric tube is inserted/fixed, the exposed nasogastric tube may be pulled out intentionally or accidentally. When the nasogastric tube is pulled in this way, in the case of the conventional nasogastric tube, as shown in FIG. 1C, the fixing tool (for example, a tape attached to the nose) falls together, and the end of the nasogastric tube is separated from the stomach and comes out. And once the nasogastric tube has been pulled out to some extent, the nasogastric tube remains in a state that has come out to some extent even if the nasogastric tube is no longer pulled. Then, if you pull it again, an accident occurs in which the nasogastric tube is completely pulled out.
그러나 도 2에 도시되어 있듯이, 본 발명에 의하면 비위관은 탄성신축부를 가지는 방지기구를 매개로 인체에 고정되어 있어 탄성신축부에 의한 완충효과를 받게 된다. 즉 평소에는 당김이 없어서 삽입된 비위관이 정해진 위치에 있게 된다(도 2에서 왼쪽 그림). 그러다가 환자가 한번 비위관을 당기면 비위관이 어느 정도 빠져나오고 이때 탄성신축부는 그에 대응하여 늘어나게 된다(도 2에서 오른쪽 그림). 그러다가 당기는 힘이 사라지면 탄성신축부가 다시 원상복귀되므로 비위관은 원래의 위치로 복귀(도 2에서 왼쪽 그림)되는 것이다. 다음번에 다시 당기더라도 비위관이 빠져나오는 일은 발생하지 않는다.However, as shown in FIG. 2, according to the present invention, the nasogastric tube is fixed to the human body through a prevention mechanism having an elastic elastic portion, so that it receives a buffering effect by the elastic elastic portion. That is, there is usually no pull, so the inserted nasogastric tube is in a predetermined position (left picture in Fig. 2). Then, once the patient pulls the nasogastric tube, the nasogastric tube is pulled out to some extent, and at this time, the elastic elastic part is stretched correspondingly (the right picture in Fig. 2). Then, when the pulling force disappears, the elastic elastic part is restored to its original state, so the nasogastric tube is returned to its original position (left figure in FIG. 2). The next time it is pulled again, the nasogastric tube does not come out.
이렇듯 본 발명에 의한 방지기구를 사용한다면 종래의 비위관을 간접적·탄성적으로 신체에 고정하게 되어 삽입된 비위관이 의도치 않은 당김에 의해 사고가 발생하는 상황을 없애거나 대폭 줄이는 효과를 낸다. 따라서 비위관 삽입 환자 및 담당 의료진의 고통과 불편함이 대폭 줄어들 뿐 아니라 비위관 빠짐에 의한 사고를 방지할 수 있게 된다.As described above, if the prevention device according to the present invention is used, the conventional nasogastric tube is indirectly and elastically fixed to the body, thereby eliminating or significantly reducing the situation in which an accident occurs due to unintentional pulling of the inserted nasogastric tube. Therefore, the pain and discomfort of the nasogastric tube insertion patient and the medical staff in charge can be greatly reduced, and accidents caused by the nasogastric tube dropout can be prevented.
Claims (4)
(B) 타측 말단에 비위관이 삽입된 환자의 신체에 부착되는 인체부착부; 및
(C) 상기 관부착부와 인체부착부 사이에 기재된 탄성신축부;를 포함하고 있는 비위관이 삽입된 환자에 장착되는 비위관 빠짐 방지기구.
(A) a tube attachment portion attached to the exposed portion of the nasogastric tube inserted into the patient at one end;
(B) a human body attachment part attached to the body of the patient having a nasogastric tube inserted at the other end; And
(C) a nasogastric tube disengagement prevention mechanism that is mounted on a patient into which a nasogastric tube is inserted, including; an elastic elastic portion described between the tube attachment portion and the human body attachment portion.
상기 탄성신축부는 코일형 구조인 것을 특징으로 하는 비위관 빠짐 방지기구.
The method according to claim 1,
The non-gastric tube prevention mechanism, characterized in that the elastic elastic part has a coil-type structure.
상기 인체부착부는,
환자의 양쪽 귀에 걸쳐지는 것을 특징으로 하는 카테터 빠짐 방지기구.
The method according to claim 1 or 2,
The human body attachment part,
A catheter drop prevention device, characterized in that over both ears of the patient.
상기 인체부착부는,
환자의 머리 또는 목에 둘러지는 것을 특징으로 하는 카테터 빠짐 방지기구.The method according to claim 1 or 2,
The human body attachment part,
A catheter drop prevention device, characterized in that it is wrapped around the patient's head or neck.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| KR1020190149424A KR20210061631A (en) | 2019-11-20 | 2019-11-20 | Device for preventing dissection of nasogastric tube |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
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| KR1020190149424A KR20210061631A (en) | 2019-11-20 | 2019-11-20 | Device for preventing dissection of nasogastric tube |
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| KR20210061631A true KR20210061631A (en) | 2021-05-28 |
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| KR1020190149424A KR20210061631A (en) | 2019-11-20 | 2019-11-20 | Device for preventing dissection of nasogastric tube |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090292256A1 (en) | 2008-05-22 | 2009-11-26 | Ed Cubberly | Nasogastric tube fastener |
| US8348901B2 (en) | 2008-11-13 | 2013-01-08 | Reba Luhrs | Nasal device and method of positioning nasogastric tubing within a patient |
| CN103170045A (en) | 2013-04-17 | 2013-06-26 | 兰天 | Porous nasogastric tube with fixing device and guide wire |
-
2019
- 2019-11-20 KR KR1020190149424A patent/KR20210061631A/en not_active Application Discontinuation
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090292256A1 (en) | 2008-05-22 | 2009-11-26 | Ed Cubberly | Nasogastric tube fastener |
| US8348901B2 (en) | 2008-11-13 | 2013-01-08 | Reba Luhrs | Nasal device and method of positioning nasogastric tubing within a patient |
| CN103170045A (en) | 2013-04-17 | 2013-06-26 | 兰天 | Porous nasogastric tube with fixing device and guide wire |
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