201010751 九、發明說明： 【發明所屬之技術領域】 本發明係關於一種兩截式鼻胃管之結構設計，特別 是關於一種可定位於人體鼻前庭内，藉由鼻胃管裝置分設 成第一管體及第二管體，再透過第一管體設有一固定部將 鼻胃管定位於鼻前庭位置，再藉由第二管體一端之連接部 與固定部結合而形成本發明之結構設計。 ❹ 【先前技術】 鼻月管為一種醫療器材結構，為用來導入或移除流質 至病患體内外’主要功能如飯食、引流、治療等醫療行為， - 其使用時機為經常用於因病患中風或昏迷等狀況，而無法 進食或容易侧引起吸入性肺炎時，可以使用鼻胃管银食 液體狀食品，或是因上消化道出血、腸阻塞、腸胃道手術 後，可藉由鼻胃管排除胃裡多餘的物體，如金或空氣，避 免因喂吐哈到或是排除腹脹之不舒適感，亦有當醫生懷疑 ❹ 病患可财上、;肖化心之情瞒，例如有吐血或解？便之 病徵時，經常放置鼻胃管沖洗或是診斷出血情況/來進一 步研判是否需要緊急安排胃鏡或其他治療。然而鼻胃管為 -種外接置入性人體之裝置，對於病患最為不舒服的階段 A放置的過程中，經常觸碰到咽喉’依每個人的敏感度不 同’可能會有純吐或是疼痛_覺，甚㈣時會使用局 部麻醉的潤滑軟膏，來減輕病患的不舒服感。 使用鼻胃管結構診療留置體内的時間，會因個人病況 而異’短則三到七天’若是因進食情況欠佳，影響營養狀 201010751 況而使用鼻胃管之情況下，則可能留置鼻胃管更長的時 間’然由於鼻胃管為-長條軟管結構，故纽患因醫療行 為而必須裝設鼻胃管時，該鼻胃管必然於穿插過程中通過 人體之鼻腔、喉部進而進入到食道各器官，經由食道連接 人體内部之消化系統，過程極度不舒服；而該鼻胃管另一 端於人體外部-㈣設有—流質導人或移除之接設部結 構’而現今通常鼻胃管於裝置後之定位方式，為繞置於病201010751 IX. Description of the invention: [Technical field of the invention] The present invention relates to a structural design of a two-section nasogastric tube, in particular to a type that can be positioned in a human nasal vestibule, which is divided into a nasogastric tube device. a tube body and a second tube body, wherein the first tube body is provided with a fixing portion for positioning the nasogastric tube at the nasal vestibule position, and then the connecting portion of the second tube body is combined with the fixing portion to form the structure of the present invention. design. ❹ 【Prior Art】 The nasal tube is a medical device structure, which is used to introduce or remove fluid to the inside and outside of the patient's main functions such as meals, drainage, treatment and other medical activities. - The timing is often used for disease When you have a stroke or coma, and you are unable to eat or easily cause aspiration pneumonia, you can use liquid food for nasogastric tube, or for upper gastrointestinal bleeding, intestinal obstruction, or gastrointestinal surgery. The stomach tube excludes excess objects in the stomach, such as gold or air, to avoid the uncomfortable feeling of feeding or vomiting, and also when the doctor suspects that the patient can be financially ill; Have vomiting blood or solution? When the symptoms are present, the nasogastric tube is often flushed or the bleeding is diagnosed/to further investigate whether an emergency gastroscopy or other treatment is needed. However, the nasogastric tube is a device that is externally placed into the human body. During the stage of the most uncomfortable patient A, the throat is often touched. 'Depending on the sensitivity of each person', there may be pure spitting or Pain _ ment, even (four) will use a local anesthetic lubrication ointment to reduce the patient's discomfort. The time of indwelling in the body using the nasogastric tube structure will vary from one individual to three (three to seven days) depending on the individual's condition. If the condition of the food is poor, affecting the nutritional status of 201010751, the nasogastric tube may be used. The stomach tube is longer, but because the nasogastric tube is a long tube structure, when the nasogastric tube must be installed due to medical behavior, the nasogastric tube must pass through the nasal cavity and throat of the human body during the insertion process. The department then enters the organs of the esophagus, connecting the digestive system inside the human body via the esophagus, and the process is extremely uncomfortable; and the other end of the nasogastric tube is outside the human body - (4) is provided with a liquid-conducting or removing connection structure" Nowadays, the positioning of the nasogastric tube after the device is usually placed around the disease.
患之鼻頭、臉頰、衣領等位置上定位；然而前述之鼻胃管 於穿置後’留置身體時間長短不定，間接影響病患之通常 生活’經常產生下述狀況： -、由於病患於穿置鼻胃管後，無法在使用前間取出鼻 ^管，然當病患外出活動或暫出醫療場所時，必須纏繞鼻 月管於身上’因此造成病患外觀上的雜，且^於被他人 以異樣的絲看待’此種狀鱗於身錄為不健康的 人容易造成身心負面的壓力。 二、病患於穿置鼻胃管後翻身活動時，導致到會有不小 心拉扯造成管路脫落，或岐職靜舰麻醉藥品時，可 能出現下意識的拉扯拔除的動作。 -…、重新穿置鼻胃管’病患必須再—次經歷極為不舒 ，之醫=程，甚而護理人貝為了避免病患反抗動作發 I、、t日可能會執純護約束，將病患賴，造成病患 座^之壓力與排斥’對於已處於病痛狀態的病人產 生更不良的影響。 ❼_-所不之習知鼻胃管結構，該鼻胃管結構 201010751 50為自鼻前庭(Vestibule)内穿設至食道内至人體胃部等器 官位置’而鼻胃管結構50 —端為侵入人體内之插入端51 ’ 另一端則為預留於人體外部之接設部52，該接設部52結 構主要為供連結灌食器等物品注入流質灌食，或連接抽取 裝置做抽出體内物質之作用，故該鼻胃管50可選用與人 體相合度南之熱塑性塑膠材質，例如聚乙稀(Polyethylene, PE)、聚丙烯（Polypropylene，PP)、聚氣乙烯 參 （Poly vinylchloride，PVC)等材質’製作成一具有光滑平面之 管體；然由第一圖顯可得知由於鼻胃管50之軟質塑膠材 質可能因形狀容易受外力擠壓扭曲，故鼻胃管的管徑必須 - 兼顧安全及強度及抗體内酸度的情況，因此必然有一定的 管徑寬度，也因管徑必須有一定的要求，故必然於穿設醫 療過程中，另病患感到痛苦難耐。 【發明内容】 本發明人有感於病患接受鼻胃管治療時所承受之痛 ❹ 苦與心理層面的壓力，為求改善鼻胃管治療的醫療品質， 並兼顧病患之身心健康，因此研發出本發明之兩截式鼻胃 管結構，藉以改善醫療腸胃消化系統經常使用之鼻胃管結 構，不但可有效將鼻胃管定位於鼻前庭内，且透過可二二 之結構設計使病患可免除重複插拔鼻胃管的身體痛苦，並 可減輕病患因外觀改變所承受之心理壓力。 請參閱圖二所示之側面剖視實施例圖所示，本發明兩 截式鼻胃管結構係分設成第一管體10及第二管體2〇，其 特點為第一管體10於鼻前庭(Vestibule)内，設有一與鼻前 201010751 庭外型相似之固定部11，藉由鼻前庭(Vestibule)較鼻腔 (Nasal cavity)前之鼻閾(Limen nasi)開口有更大面積之特 性，使該固定部11可留置於鼻前庭(Vestibule)内，其固定 部11 一端外緣形狀構造設計係配合鼻前庭(Vestibule)内部 形狀，進而與鼻前庭(Vestibule)内腔表面表皮抵靠，而不 會向内滑移移動到相對於鼻前庭(Vestibule)表面積較小之 人體氣管内部；而第二管體20相對於第一管體1〇固定部 ❹ 11之一端則設有一連接部21，該連接部21可連接或分離 於固定部11上，使第二管體20可隨時的接設於第一管體 10上而形成完整的鼻胃管結構，或分離取下而避免患者行 * 動時還必須纏繞不可分離的鼻胃管，導致產生前述習用鼻 胃管諸多對患者產生的不便。 以下將配合圖式進一步說明本發明的實施方式，下述 所列舉的實施例係用以闡明本發明之結構特徵，但並非碣 以限定本發明之範圍，任何熟習此技藝者，在不脫離本欲 〇 明之精神和技術應用範圍内，當可做些許更動與潤飾，因 此本發明之權利請求範圍，當視後附之申請專利範圍所界 定者為準。 【實施方式】 請視圖三及圖四所示之本發明兩截式鼻胃管結構輯 佳實施例設計，本發明設有一可供侵入人體内部之第一管 體10及一連結第一管體10之第二管體20,其中第一管贌 1〇之一端設有一固定部11與第一管體10連接，該固定鄯 U —端開設有一套設端111之桿狀體，其可以為透過超香 201010751 波融合或黏合等方式使固定部11與第一管體10之軟管12 連結成一體，該固定部11之結構特徵為其為穿入人體後 置於鼻前庭(Vestibule)内空間中’且面積大於較前述之鼻 閾(Limen nasi)之開口面積大，透過該鼻閾(Limen咖丨)表皮 内部為硬骨構造，故不會有擴張的可能，使得固定部u 抵頂於鼻前庭(Vestibule)内空間後，可安全的限制於抵頂 於鼻閾(Limen nasi)外，且特別明該鼻前庭(Vestibule)之表 皮組織與體外皮膚組織相同，故可如皮膚組織一般可接觸 物體表面而不會有所感染或產生傷害的狀況，因此固定部 11裝設於鼻前庭(Vestibule)内空間後不會產生對其表皮組 織有所影響，而第一管體10相對於固定部11之另一端則 按傳統插管之方式侵入人體體内，而該固定部U上之一 處設計有一通氣孔112供固定部11置入鼻前庭(Vestibule) 後提供鼻腔内更多的通氣管道，而固定部11相對於與套 設端111之另一端則開設有一接合端113，在本較佳實施 例中，該接合端113為螺桿之設計，使其供第二管體2〇 與其螺接’另固定部11更可於靠近接合端113之一側緣 凸設有一勾狀之定位體114，使該定位體114於固定部u 置入鼻前庭(Vestibule)後藉其勾狀形體勾持於鼻部外圍， 增加穩定性’固定部11中心更設有一内管徑115導通於 套設端111與接合端113間；而連接於第一管體10之固定 部11外之第二管體20 —端’其設有一連接部21，其中該 第二管體20為連接固定部11露出於人體鼻腔外部，另一 端同樣設有與習用鼻胃管50相同之接設部（圖未示），其 201010751 中該連接部21於本實施例中之設計，為設有一與前述之 接合端113相螺接之螺帽結構，供螺鎖於接合端113上， 此邛之δ又计為提供使用者可快速接合第二管體於第一 g體10之設計，且該接合方式較為穩定、安全，主要是 提供意識JL常且不會排斥之病患使用，該連接部21再連 設-桿體23後，與第二管體2〇之軟管24接設而形成一 體。 _ 再請參閱圖五及圖六所示之另一較佳實施例所示之 結構設計，該固定部11與連接部21之結構設計更可為固 定部11相對於連接部21之一端為以筒體構造之套合端 • 116設計為連接之設計，其中該套合端116之開口端外凸 有一凸緣，而第二管體20套接前述套合端116位置設有 -套接端22’其中該套接端22内徑設有一嵌入套合端⑽ 内之接桿222，而其外圍設有叩合邊221之形體，透過該 叩合邊221内緣設有與固定部u之套合端ι16之凸緣开^ 〇 體相扣合之凸緣構造，使叩合邊221與套合端116接^ 時，透過兩凸緣相叩合後定位，此一另一實施例固定部Η 與連接部21之叩合結構設，主要在於提供實施鼻胃管穿 置之病患若有精神不能自主導致拔管或活動能力不良導 致經常卡勾到鼻胃管之狀況所設計，該叩合邊221與套合 端116接合後，僅具有-定之固持力’超過預設之固持: 之瞬間力道會導致脫離，使穿置後之鼻胃管之第一管體ι〇 仍能留置於體内’不需再從新穿置，而如欲抽離第一管體 10，仍可自鼻腔中取出第一管體1()。 201010751 綜上所述，本發明之兩截式鼻胃管，透過第一管體及 第二管體，以及翻定部及連接部之料，提供病患於使 用本發明結構時，可依實際狀況分離第二管體，俾便外出 且較具美觀，且避免重複穿置鼻胃管之不適感，增加病患 之自信心等功效；且本發明結構設計並無近似之專利申ς 在先，實已符合專利法中之可專利要件，爰依法提出發明 專利申請。 參 【圖式簡單說明】 第一圖：係習用結構之使用示意圖。 第二圖：係本發明之側面剖視組裝示意圖。 第三圖：係本發明之部分結構分解示意圖。 第四圖：係本發明之部分結構分解剖視示意圖。 第五圖：係本發明之另一實施例部分結構剖視組裴示意 圖。 ^ ❺ 第六圖：係本發明之另一實施例側面剖視組裝示意圖。 【主要元件符號說明】 10…第一管體11…固定部 m··.套設端112·.·通氣孔 113···接合端 114·.·定位體 115···内管徑 116."套合端 12…軟管 20···第二管體21_連接部 11 201010751 22…套接端 221…叩合邊 222···接桿23…桿體 24…軟管Positioned on the nose, cheeks, collar, etc.; however, the above-mentioned nasogastric tube after the placement of the 'indwelling body for a long period of time, indirectly affecting the normal life of the patient' often produces the following conditions: - due to the patient After wearing the nasogastric tube, the nose tube cannot be taken out before use. However, when the patient goes out for activities or temporarily leaves the medical facility, the nose tube must be wrapped around the body, thus causing the appearance of the patient, and It is easy for people who are unhealthy to be exposed to the negative pressure of being physically and mentally treated by others. Second, when the patient turns over during the wearing of the nasogastric tube, it may lead to a subconscious pull-up action when there is a tendency to pull the tube off, or when the narcotic drug is used. -..., re-applying the nasogastric tube's patients must be again - experience extremely uncomfortable, the doctor = Cheng, even the nursing person in order to avoid the patient's resistance to action I, t may may impose pure protective constraints, will The patient's affliction causes the stress and rejection of the patient's seat to have a more adverse effect on patients who are already in a state of illness. ❼ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ The insertion end 51' of the human body is the connection portion 52 reserved outside the human body, and the connection portion 52 is mainly configured for injecting liquids into the liquid feeder or the like, or connecting the extraction device to extract the body substance. The role of the nasogastric tube 50 can be selected from the thermoplastic material of the South, such as Polyethylene (PE), Polypropylene (PP), Polyvinylchloride (PVC), etc. The material 'made into a tube with a smooth plane; however, it can be seen from the first figure that since the soft plastic material of the nasogastric tube 50 may be easily deformed by the external force due to the shape, the diameter of the nasogastric tube must be taken into consideration And the strength and the acidity of the antibody, so there must be a certain tube diameter, but also because the tube diameter must have certain requirements, it is necessary to wear the medical process, and the patient feels painful. SUMMARY OF THE INVENTION The present inventors are aware of the pain, pain and psychological stress experienced by patients undergoing nasogastric tube treatment, in order to improve the medical quality of the nasogastric tube treatment, and to take into account the physical and mental health of the patient, The invention has developed a two-section nasogastric tube structure, thereby improving the nasogastric tube structure frequently used in the medical gastrointestinal digestive system, and not only effectively positioning the nasogastric tube in the nasal vestibule, but also designing the disease through the structural design of the second and second Suffering from the pain of repeated insertion and removal of the nasogastric tube, and reducing the psychological pressure on the patient due to changes in appearance. Referring to the side cross-sectional embodiment shown in FIG. 2, the two-section nasogastric tube structure of the present invention is divided into a first tube body 10 and a second tube body 2, which are characterized by a first tube body 10 In the nasal vestibule (Vestibule), there is a fixed portion 11 similar to the front of the nose of the 201010751, with a larger area of the nasal vestibule (Vestibule) than the nasal opening of the Nasal cavity (Limen nasi). The feature is such that the fixing portion 11 can be left in the nasal vestibule, and the outer edge of the fixing portion 11 is configured to match the inner shape of the nasal vestibule (Vestibule), thereby abutting the surface of the nasal vestibular surface. Without sliding inwardly to the inside of the human trachea having a smaller surface area relative to the nasal vestibule (Vestibule); and the second tubular body 20 is provided with a connecting portion with respect to one end of the first tubular body 1〇 fixing portion 11 21, the connecting portion 21 can be connected or separated from the fixing portion 11, so that the second tube body 20 can be attached to the first tube body 10 at any time to form a complete nasogastric tube structure, or separated and removed to avoid the patient. Lines must also be wrapped around an inseparable nasogastric tube, resulting in The aforementioned nasogastric tubes have many inconveniences to patients. The embodiments of the present invention will be further described in conjunction with the drawings, which are set forth to illustrate the structural features of the present invention, but are not intended to limit the scope of the present invention. The scope of the claims of the present invention is intended to be limited by the scope of the appended claims. [Embodiment] Please design a preferred embodiment of the two-section nasogastric tube structure of the present invention shown in FIG. 3 and FIG. 4, the present invention is provided with a first tube body 10 for invading the human body and a connecting first tube body. a second tubular body 20, wherein one end of the first tubular rafter 1 is provided with a fixing portion 11 connected to the first tubular body 10, and the fixed cymbal U-shaped end is provided with a rod-shaped body having a set end 111, which may be The fixing portion 11 is integrally connected with the hose 12 of the first tube body 10 by ultrasonic fusion or bonding, and the structure of the fixing portion 11 is such that it is inserted into the human body and placed in the nasal vestibule (Vestibule). In the space, the area is larger than the opening area of the aforementioned nasal threshold (Limen nasi), and the inside of the epidermis through the nasal threshold (Limen curry) is a hard bone structure, so there is no possibility of expansion, so that the fixing portion u is at the top. After the space inside the nasal vestibule (Vestibule), it can be safely restricted to the outside of the nasal threshold (Limen nasi), and it is particularly clear that the epidermal tissue of the nasal vestibule (Vestibule) is the same as the in vitro skin tissue, so it can be as good as skin tissue. Contact the surface of the object without infection or production The condition of the damage, so that the fixed portion 11 is installed in the inner space of the nasal vestibule (Vestibule) does not affect its epidermal tissue, and the other end of the first tubular body 10 relative to the fixed portion 11 is conventionally intubated. The method is intruded into the human body, and one of the fixing portions U is provided with a venting hole 112 for the fixing portion 11 to be placed in the nasal vestibule (Vestibule) to provide more ventilation ducts in the nasal cavity, and the fixing portion 11 is opposite to the sleeve The other end of the end 111 defines an engaging end 113. In the preferred embodiment, the engaging end 113 is designed as a screw for the second tubular body 2 to be screwed to the other fixed portion 11. A hook-shaped positioning body 114 is protruded from a side edge of the engaging end 113, so that the positioning body 114 is placed in the nasal vestibule (Vestibule) at the fixing portion u, and the hook-shaped body is hooked on the periphery of the nose to increase stability. The center of the fixing portion 11 is further provided with an inner tube diameter 115 extending between the sleeve end 111 and the joint end 113; and the second tube body 20 connected to the fixing portion 11 of the first tube body 10 is provided with a connecting portion. 21, wherein the second tube body 20 is connected to the fixing portion 11 and exposed to the human nasal cavity The other end is also provided with the same connection portion (not shown) as the conventional nasogastric tube 50. In 201010751, the connecting portion 21 is designed in the embodiment, and is provided with a screw joint with the aforementioned engaging end 113. The nut structure is screwed to the engaging end 113, and the δ of the cymbal is further provided to provide a design that the user can quickly join the second tube body to the first g body 10, and the joining manner is relatively stable and safe. The main purpose is to provide a patient whose consciousness JL is often not excluded. The connecting portion 21 is further connected to the rod body 23, and is connected to the hose 24 of the second tube body 2 to be integrated. Referring to the structural design shown in FIG. 5 and FIG. 6 , the structural design of the fixing portion 11 and the connecting portion 21 may be such that the fixing portion 11 is opposite to one end of the connecting portion 21 . The sleeve end of the barrel structure is designed to be connected. The open end of the sleeve end 116 has a flange protruding outwardly, and the second tube body 20 is sleeved with the sleeve end 116. 22', wherein the inner end of the sleeve end 22 is provided with a post 222 embedded in the sleeve end (10), and a peripheral portion of the sleeve end 221 is provided with a body of the coupling edge 221, and the inner edge of the coupling edge 221 is provided with a fixing portion u The flange of the sleeve end ι16 is opened and the flange structure of the body is fastened, so that the coupling edge 221 and the sleeve end 116 are connected, and the two flanges are coupled and positioned, and this other embodiment is fixed. The combination structure of the part Η and the connecting portion 21 is mainly designed to provide a condition for the patient who performs the nasogastric tube wearing, if the spirit is unable to cause the tube to be pulled or the activity is poor, and the hook is often hooked to the nasogastric tube. After the kneading edge 221 is engaged with the nesting end 116, only the holding force of the fixed end 221 exceeds the preset holding: the instantaneous force The road will lead to detachment, so that the first tube of the nasogastric tube after the placement can still be left in the body' no need to be newly worn, and if the first tube 10 is to be withdrawn, it can still be from the nasal cavity. Take out the first tube 1 (). 201010751 In summary, the two-section nasogastric tube of the present invention provides the patient with the structure of the present invention through the first tube body and the second tube body, and the materials of the tumbling portion and the connecting portion. The second tube is separated from the condition, the sputum is out and more beautiful, and the discomfort of repeatedly wearing the nasogastric tube is avoided, and the self-confidence of the patient is increased; and the structural design of the present invention has no similar patent application. It has already met the patentable requirements in the Patent Law and has filed an invention patent application in accordance with the law. Reference [Simple description of the diagram] The first picture: a schematic diagram of the use of the structure. Second Figure: A side cross-sectional assembly schematic view of the present invention. Third drawing: is a schematic exploded view of a part of the structure of the present invention. Figure 4 is a schematic cross-sectional view showing a part of the structure of the present invention. Fig. 5 is a cross-sectional view showing a partial structure of another embodiment of the present invention. ^ 第六 Fig. 6 is a side cross-sectional assembly view of another embodiment of the present invention. [Description of main component symbols] 10...first pipe body 11...fixed portion m··. socket end 112·.·ventilation hole 113···joining end 114···positioning body 115···inner pipe diameter 116. "Clamping end 12...Hose 20···Second pipe body 21_Connection part 11 201010751 22...Sleeve end 221...Clamping side 222···Pole 23...Rod body 24...Hose
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