TWI653067B - Percutaneous nephrostomy device - Google Patents
Percutaneous nephrostomy device Download PDFInfo
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Abstract
一種經皮腎造口術固定裝置,適用於固定一引流管與一尿管的連接交界處,該經皮腎造口術固定裝置包含一管夾本體、一第一限位體及一第二限位體。該管夾本體包括一界定一管路安裝空間的管壁及一形成於該管壁的安裝卡槽,該管壁具有一第一端部及一第二端部,該安裝卡槽由該第一端部延伸至該第二端部,適用於供接合後的該引流管及該尿管進入該管路安裝空間。該第一限位體連接於該第一端部並具有一適用於供該引流管通過的第一開口。該第二限位體連接於該第二端部並具有一適用於供該尿管通過的第二開口。該第一限位體及該第二限位體分別適用於限制該引流管及該尿管之彎折角度。 A percutaneous nephrostomy device for fixing a junction of a drainage tube and a catheter, the percutaneous nephrostomy fixture comprising a tube holder body, a first limiting body and a second Limit body. The pipe clamp body includes a pipe wall defining a pipe installation space and a mounting card groove formed on the pipe wall, the pipe wall has a first end portion and a second end portion, and the mounting card slot is configured by the first One end extends to the second end and is adapted to engage the drainage tube and the catheter into the tube installation space. The first limiting body is coupled to the first end and has a first opening adapted for passage of the drainage tube. The second limiting body is coupled to the second end and has a second opening adapted for passage of the catheter. The first limiting body and the second limiting body are respectively adapted to limit the bending angle of the drainage tube and the urine tube.
Description
本發明是有關於一種經皮腎造口術固定裝置,特別是指一種適用於保護管路的經皮腎造口術固定裝置。 The present invention relates to a percutaneous nephrostomy device, and more particularly to a percutaneous nephrostomy device suitable for protecting a catheter.
人體中尿液的製造與排泄路徑是由腎臟、輸尿管、膀胱及尿道所共同完成。當此路徑阻塞時,由於腎臟仍持續製造尿液,將導致上游尿路管腔擴大,進而導致腎臟功能不良或引起尿毒症。當造成阻塞的原因無法以外科手術方法或服用藥物排除時,只能藉由經皮腎造口術(Percutaneous Nephrostomy,簡稱PCN)處理,詳細地說,是經由穿刺針及金屬導線的輔助,將引流管經由皮膚放入腎臟的集尿系統,將被阻塞的尿液引流至體外,並經由與引流管連接的尿管及集尿袋收集尿液。 The manufacturing and excretion of urine in the human body is done by the kidney, the ureter, the bladder and the urethra. When this path is blocked, the kidneys continue to produce urine, which will cause the lumen of the upstream urinary tract to expand, which may lead to kidney dysfunction or uremia. When the cause of the obstruction cannot be removed by surgical methods or medication, it can only be treated by Percutaneous Nephrostomy (PCN), in detail, through the aid of a puncture needle and a metal wire. The drainage tube is placed in the urine collection system of the kidney via the skin, and the blocked urine is drained to the outside of the body, and the urine is collected through the catheter and the urine collection bag connected to the drainage tube.
由於患者需長時間利用引流管將尿液引流至體外,故引流管及尿管皆設計為方便病人活動的軟管。但實際操作時,由於軟質的引流管及尿管容易破損且易於彎折,容易導致尿液漏出及尿液引流不順暢等異常情況。 Since the patient needs to drain the urine to the outside of the body by using the drainage tube for a long time, the drainage tube and the urinary catheter are designed as a hose for the patient to move. However, in actual operation, the soft drainage tube and the urinary catheter are easily broken and easily bent, which may cause abnormalities such as leakage of urine and unsmooth drainage of urine.
因此,本發明之其中另一目的,即在提供一種能保護管路的經皮腎造口術固定裝置。 Accordingly, it is another object of the present invention to provide a percutaneous nephrostomy fixture that protects a tubing.
於是,本發明經皮腎造口術固定裝置在一些實施態樣中,適用於 固定一引流管與一尿管的連接交界處,該經皮腎造口術固定裝置包含一管夾本體、一第一限位體及一第二限位體。該管夾本體包括一界定一管路安裝空間的管壁及一形成於該管壁且與該管路安裝空間連通的安裝卡槽,該管壁具有一第一端部及一相反於該第一端部的第二端部,該安裝卡槽則由該第一端部延伸至該第二端部,適用於供接合後的該引流管及該尿管進入該管路安裝空間。該第一限位體連接於該第一端部並具有一第一開口,該第一開口與該管路安裝空間連通並適用於供該引流管通過,該第一限位體適用於限制該引流管之彎折角度。該第二限位體連接於該第二端部並具有一第二開口,該第二開口與該管路安裝空間連通並適用於供該尿管通過,該第二限位體適用於限制該尿管之彎折角度。 Thus, the percutaneous nephrostomy device of the present invention is suitable for use in some embodiments. The junction of a drainage tube and a urinary catheter is fixed. The percutaneous nephrostomy fixture comprises a tube holder body, a first limiting body and a second limiting body. The pipe clamp body includes a pipe wall defining a pipe installation space and a mounting card slot formed on the pipe wall and communicating with the pipe installation space, the pipe wall having a first end portion and a opposite to the first The second end of the one end portion extends from the first end portion to the second end portion, and is adapted to be used for the joined drainage tube and the urine tube to enter the pipeline installation space. The first limiting body is connected to the first end portion and has a first opening, the first opening is in communication with the pipeline installation space and is adapted for the passage of the drainage tube, and the first limiting body is adapted to limit the The bending angle of the drainage tube. The second limiting body is connected to the second end portion and has a second opening, the second opening is connected to the pipeline installation space and is suitable for the passage of the urine tube, and the second limiting body is adapted to limit the The bending angle of the urinary catheter.
在一些實施態樣中,該管壁具有一內壁面及一相反於該內壁面的外壁面,該管夾本體還包括二彼此相間隔地形成於該內壁面的凸緣,適用於分別夾固該引流管及該尿管。 In some embodiments, the tube wall has an inner wall surface and an outer wall surface opposite to the inner wall surface, and the tube holder body further includes two flanges formed on the inner wall surface at intervals from each other, and is adapted to be respectively clamped The drainage tube and the catheter.
在一些實施態樣中,該第一限位體連接於該第一端部的端緣並朝該第二端部延伸收縮呈漏斗狀,該第一開口則由該第一限位體的中心延伸至該安裝卡槽。 In some embodiments, the first limiting body is coupled to the end edge of the first end portion and extends toward the second end portion to form a funnel shape, the first opening being centered by the first limiting body Extend to the mounting card slot.
在一些實施態樣中,該第二限位體包括二分別由該第二端部向外延伸的翼部,該等翼部分別位於該安裝卡槽的兩側,並共同界定該第二開口。 In some embodiments, the second limiting body includes two wings extending outward from the second end, the wings are respectively located at two sides of the mounting slot, and jointly define the second opening .
在一些實施態樣中,還包括一設置於該管壁且相反於該安裝卡槽的連接片。 In some embodiments, a connecting piece disposed on the wall of the tube and opposite to the mounting slot is further included.
本發明至少具有以下功效:藉由該管壁保護位於該管路安裝空間內的引流管及尿管,藉由該安裝卡槽達到方便組裝的效果,並藉由該第一限位體及該第二限位體達到限制該引流管及該尿管之彎折角度的效果。 The present invention has at least the following effects: the drainage tube and the urinary tube located in the installation space of the pipeline are protected by the tube wall, and the installation of the card slot achieves the effect of facilitating assembly, and the first limiting body and the The second limiting body achieves the effect of limiting the bending angle of the drainage tube and the urinary catheter.
1‧‧‧管夾本體 1‧‧‧ pipe clamp body
11‧‧‧管壁 11‧‧‧ wall
111‧‧‧第一端部 111‧‧‧First end
112‧‧‧第二端部 112‧‧‧ second end
113‧‧‧內壁面 113‧‧‧ inner wall
114‧‧‧外壁面 114‧‧‧ outer wall
12‧‧‧安裝卡槽 12‧‧‧Installation card slot
13‧‧‧凸緣 13‧‧‧Flange
2‧‧‧第一限位體 2‧‧‧First Limiter
21‧‧‧第一開口 21‧‧‧ first opening
3‧‧‧第二限位體 3‧‧‧Second limiter
31‧‧‧翼部 31‧‧‧ wing
32‧‧‧第二開口 32‧‧‧second opening
4‧‧‧連接片 4‧‧‧Connecting piece
5‧‧‧引流管 5‧‧‧Drainage tube
51‧‧‧接頭 51‧‧‧Connectors
6‧‧‧尿管 6‧‧‧ urinary catheter
61‧‧‧接頭 61‧‧‧Connectors
7‧‧‧集尿袋 7‧‧‧ urine bag
8‧‧‧大腿 8‧‧‧Thighs
S1‧‧‧管路安裝空間 S1‧‧‧Pipe installation space
本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中:圖1是一立體分解圖,說明本發明經皮腎造口術固定裝置的一實施例與一引流管及一尿管的配合態樣;圖2是該實施例的一立體圖;圖3是該實施例的一前視圖;圖4是該實施例的一前視剖視示意圖;圖5是該實施例的一俯視示意圖;圖6是該實施例之一另一角度的立體圖;及圖7是該實施例之一立體示意圖,說明該經皮腎造口術固定裝置與該引流管及該尿管組裝後,連接於人體的大腿皮膚的態樣。 Other features and effects of the present invention will be apparent from the embodiments of the present invention. FIG. 1 is an exploded perspective view showing an embodiment and a drainage of the percutaneous nephrostomy apparatus of the present invention. Fig. 2 is a perspective view of the embodiment; Fig. 3 is a front view of the embodiment; Fig. 4 is a front cross-sectional view of the embodiment; Fig. 5 is a schematic view of the embodiment FIG. 6 is a perspective view of another embodiment of the embodiment; and FIG. 7 is a perspective view of the embodiment, illustrating the percutaneous nephrostomy device and the drainage tube and the catheter After assembly, it is attached to the skin of the thigh of the human body.
在本發明被詳細描述之前,應當注意在以下的說明內容中,類似的元件是以相同的編號來表示。 Before the present invention is described in detail, it should be noted that in the following description, similar elements are denoted by the same reference numerals.
參閱圖1與圖2,本發明經皮腎造口術固定裝置之一實施例,適用於固定一引流管5與一尿管6的連接交界處,該引流管5及該尿管6各自具有一個 接頭51、61,適用於將彼此連通並固定。該引流管5為適用於經皮腎造口術的引流管,該尿管6則為適用於經皮腎造口術的尿管,該引流管5以一端穿入人體之腎臟(圖未示),另一端以其接頭51與該尿管6一端連接,該尿管6的另一端則伸入一集尿袋7,可藉由該引流管5、該尿管6及該集尿袋7的配合,將人體之腎臟所製造的尿液引流至該集尿袋7。 Referring to FIG. 1 and FIG. 2, an embodiment of the percutaneous nephrostomy device of the present invention is suitable for fixing a connection junction between a drainage tube 5 and a urine tube 6, and the drainage tube 5 and the urine tube 6 each have a One The joints 51, 61 are adapted to be connected to each other and fixed. The drainage tube 5 is a drainage tube suitable for percutaneous nephrostomy, and the urine tube 6 is a urine tube suitable for percutaneous nephrostomy, and the drainage tube 5 penetrates into the kidney of the human body at one end (not shown) The other end is connected to one end of the catheter 6 with its joint 51, and the other end of the catheter 6 extends into a urine collection bag 7, which can be passed through the drainage tube 5, the urine tube 6 and the urine collection bag 7. In cooperation, the urine produced by the kidneys of the human body is drained to the urine collection bag 7.
參閱圖2,該經皮腎造口術固定裝置包含一管夾本體1、一第一限位體2、一第二限位體3,及一連接片4。以下針對各細部元件進行詳細介紹。 Referring to FIG. 2, the percutaneous nephrostomy device comprises a tube holder body 1, a first limiting body 2, a second limiting body 3, and a connecting piece 4. The details of each detail component are described below.
參閱圖2及圖3,該管夾本體1包括一管壁11、一安裝卡槽12及二凸緣13。該管壁11呈中空圓管狀界定一管路安裝空間S1,該管壁11適用於包覆保護該引流管5、該尿管6,並具有一第一端部111、一相反於該第一端部111的第二端部112、一內壁面113及一相反於該內壁面113的外壁面114。該管夾本體1以塑膠等具有一定彈性的材料製成。 Referring to FIGS. 2 and 3, the pipe clamp body 1 includes a pipe wall 11, a mounting slot 12 and two flanges 13. The pipe wall 11 defines a pipe installation space S1 in a hollow circular tube shape, and the pipe wall 11 is adapted to cover and protect the drainage pipe 5 and the urine pipe 6, and has a first end portion 111 and a first opposite to the first The second end portion 112 of the end portion 111, an inner wall surface 113, and an outer wall surface 114 opposite to the inner wall surface 113. The pipe clamp body 1 is made of a material having a certain elasticity such as plastic.
參閱圖1、圖2及圖3,該安裝卡槽12形成於該管壁11且與該管路安裝空間S1連通,以供使用者將接合後的該引流管5及該尿管6壓入該管路安裝空間S1。詳細地說,該安裝卡槽12是由該第一端部111呈一直線地延伸至該第二端部112,且該安裝卡槽12的寬度略小於該引流管5、該尿管6之最大外徑,此設計能使位於該管路安裝空間S1的該引流管5及該尿管6不易脫離該管路安裝空間S1。於本實施例中,該安裝卡槽12呈一直線,但並不以此為限,於其他實施態樣中,可依據實際需求更改該安裝卡槽12的形狀。 Referring to FIG. 1 , FIG. 2 and FIG. 3 , the mounting slot 12 is formed in the tube wall 11 and communicates with the tube installation space S1 for the user to press the engaged drainage tube 5 and the catheter 6 into the tube. This pipe installation space S1. In detail, the mounting slot 12 extends in a straight line from the first end portion 111 to the second end portion 112, and the width of the mounting slot 12 is slightly smaller than the diameter of the drainage tube 5 and the catheter 6 The outer diameter is such that the draft tube 5 and the urine tube 6 located in the pipe installation space S1 are not easily separated from the pipe installation space S1. In this embodiment, the mounting slot 12 is in a straight line, but is not limited thereto. In other implementations, the shape of the mounting slot 12 can be changed according to actual needs.
參閱圖1、圖2及圖4,該等凸緣13彼此相間隔地形成於該管壁11 的該內壁面113,其中一個凸緣13靠近該第一端部111,另一個凸緣13靠近該第二端部112。於本實施例中,該兩凸緣13分別呈C型,適用於分別夾固該引流管5及該尿管6,但該等凸緣13的數量與形狀並不以此為限,於其他實施態樣中,可依據實際需求將所述凸緣13的數量變更為一個或多個,也可以將所述凸緣13設計為其他幾何形狀。 Referring to Figures 1, 2 and 4, the flanges 13 are formed at intervals along the wall 11 of the tube wall 11 The inner wall surface 113 has one flange 13 adjacent to the first end portion 111 and the other flange 13 adjacent to the second end portion 112. In this embodiment, the two flanges 13 are respectively C-shaped, and are suitable for respectively clamping the drainage tube 5 and the urine tube 6, but the number and shape of the flanges 13 are not limited thereto. In an embodiment, the number of the flanges 13 may be changed to one or more according to actual needs, and the flanges 13 may be designed to have other geometric shapes.
參閱圖1、圖4及圖5,該第一限位體2連接於該第一端部111的端緣,並朝該第二端部112延伸收縮呈漏斗狀。該第一限位體2具有一與該管路安裝空間S1連通並適用於供該引流管5通過的第一開口21,詳細的說,該第一開口21由該第一限位體2的中心延伸至該安裝卡槽12。由於該第一限位體2為漸縮的漏斗型設計,故能限制該引流管5之彎折角度於一定範圍內,保持該引流管5暢通且不易破損。於本實施例中,該第一限位體2呈漸縮之漏斗狀,但並不以此為限,於其他實施態樣中,該第一限位體2也可以設計為其他造型,只要能達到限制該引流管5之彎折角度於一定範圍內的效果即可。 Referring to FIG. 1 , FIG. 4 and FIG. 5 , the first limiting body 2 is connected to the end edge of the first end portion 111 and extends toward the second end portion 112 to form a funnel shape. The first limiting body 2 has a first opening 21 communicating with the pipeline installation space S1 and suitable for the passage of the drainage tube 5. In detail, the first opening 21 is defined by the first limiting body 2 The center extends to the mounting card slot 12. Since the first limiting body 2 has a tapered funnel type design, the bending angle of the drainage tube 5 can be restricted within a certain range, and the drainage tube 5 can be kept clear and not easily broken. In this embodiment, the first limiting body 2 has a tapered funnel shape, but is not limited thereto. In other embodiments, the first limiting body 2 can also be designed into other shapes, as long as The effect of limiting the bending angle of the draft tube 5 within a certain range can be achieved.
參閱圖1、圖3及圖4,該第二限位體3包括二分別由該第二端部112向外延伸的翼部31,該等翼部31分別位於該安裝卡槽12的兩側並呈圓弧片狀,該等翼部31共同界定一第二開口32,該第二開口32與該管路安裝空間S1連通並適用於供該尿管6通過,由於該第二限位體3的該等翼部31呈向外延伸的圓弧片狀,故能限制該尿管6之彎折角度於一定範圍內,保持該尿管6暢通且不易破損。於本實施例中,該第二限位體3為二呈圓弧片狀且向外延伸的翼部31,但並不以此為限,於其他實施態樣中,該第二限位體3也可以設計為其他造型, 只要能達到限制該尿管6之彎折角度於一定範圍內的效果即可。 Referring to FIG. 1 , FIG. 3 and FIG. 4 , the second limiting body 3 includes two wings 31 extending outward from the second end 112 , and the wings 31 are respectively located on opposite sides of the mounting slot 12 . And having a circular arc shape, the wings 31 collectively define a second opening 32, the second opening 32 is in communication with the pipe installation space S1 and is adapted for the passage of the urine pipe 6, due to the second limiting body The wing portions 31 of the third portion are formed in an outwardly extending circular arc shape, so that the bending angle of the urine tube 6 can be restricted within a certain range, and the urine tube 6 can be kept clear and not easily broken. In this embodiment, the second limiting body 3 is a wing portion 31 that is in the shape of a circular arc and extends outward, but is not limited thereto. In other embodiments, the second limiting body 3 can also be designed for other shapes, As long as the effect of limiting the bending angle of the catheter 6 within a certain range can be achieved.
參閱圖2及圖6,該連接片4設置於該管壁11上相反於該安裝卡槽12的一側,該連接片4呈一倒T字型片狀,適用於塗膠或黏貼雙面膠後黏貼於人體皮膚上,由於該連接片4呈片狀設計,能提昇與皮膚表面連接的面積,使用少量黏膠或雙面膠即可達到一定的牢固性,進而改善以往需以多條膠帶纏繞固定於皮膚的情況,讓使用者更為舒適。於本實施例中,該連接片4呈一倒T字型片狀,但並不以此為限,於其他實施態樣中,該連接片4也可以依需求設計為其他形狀。 Referring to FIG. 2 and FIG. 6 , the connecting piece 4 is disposed on a side of the tube wall 11 opposite to the mounting slot 12 . The connecting piece 4 has an inverted T-shaped shape and is suitable for applying glue or pasting two sides. After the glue is adhered to the human skin, since the connecting piece 4 has a sheet shape, the area connected with the skin surface can be improved, and a certain amount of adhesive or double-sided tape can be used to achieve a certain firmness, thereby improving the number of pieces required in the past. The tape is wrapped around the skin to make the user more comfortable. In the embodiment, the connecting piece 4 has an inverted T-shaped sheet shape, but is not limited thereto. In other embodiments, the connecting piece 4 can also be designed into other shapes according to requirements.
參閱圖1及圖7,以下介紹該經皮腎造口術固定裝置與該引流管5、該尿管6的配合方式:首先,以該引流管5的接頭51與該尿管6一端連接,該尿管6的另一端則伸入一集尿袋7。再來,將該引流管5與該尿管6的連接交界處由該安裝卡槽12壓入該管壁11內的管路安裝空間S1,使該引流管5被較靠近該第一端部111的凸緣13卡固,並使該尿管6被較靠近該第二端部112的凸緣13卡固。此時,該引流管5會通過該第一限位體2的該第一開口21,而該尿管6通過該第二限位體3的該第二開口32,且該引流管5及該尿管6的該等接頭51、61會位於該等凸緣13之間。由於該第一限位體2為漸縮的漏斗型設計,故能限制該引流管5之彎折角度於一定範圍內。由於該第二限位體3的該等翼部31呈向外延伸的圓弧片狀,故能限制該尿管6之彎折角度於一定範圍內。最後,於該連接片4表面塗膠或黏貼雙面膠,即可直接將整個經皮腎造口術固定裝置貼附於大腿8外側皮膚或人體其他部位的皮膚表面,完成該引流管5、該尿管6之固定。 Referring to FIG. 1 and FIG. 7, the following describes the manner in which the percutaneous nephrostomy device is coupled to the drainage tube 5 and the catheter 6: first, the connector 51 of the drainage tube 5 is connected to one end of the catheter 6 The other end of the catheter 6 extends into a collection of urine bags 7. Then, the connection boundary between the drainage tube 5 and the catheter 6 is pressed into the tube installation space S1 in the tube wall 11 by the mounting slot 12, so that the drainage tube 5 is closer to the first end portion. The flange 13 of the 111 is snapped and the catheter 6 is secured by the flange 13 closer to the second end 112. At this time, the drainage tube 5 passes through the first opening 21 of the first limiting body 2, and the urine tube 6 passes through the second opening 32 of the second limiting body 3, and the drainage tube 5 and the The joints 51, 61 of the urinary catheter 6 will be located between the flanges 13. Since the first limiting body 2 is a tapered funnel type design, the bending angle of the drainage tube 5 can be limited within a certain range. Since the wing portions 31 of the second limiting body 3 have an outwardly extending arcuate shape, the bending angle of the catheter 6 can be restricted to a certain range. Finally, the surface of the connecting piece 4 is glued or adhered to the double-sided adhesive, and the whole percutaneous nephrostomy fixing device can be directly attached to the skin surface of the outer side of the thigh 8 or other parts of the human body, and the drainage tube 5 is completed. The catheter 6 is fixed.
綜上所述,本發明經皮腎造口術固定裝置,藉由該管壁11保護位於該管路安裝空間S1內的引流管5及尿管6,藉由該安裝卡槽12達到方便組裝的效果,並藉由該第一限位體2及該第二限位體3的設計達到限制該引流管5及該尿管6之彎折角度的效果。此外,藉由該等凸緣達到夾固該引流管5及該尿管6。另外,藉由該連接片4提昇與皮膚表面連接的面積,使用少量黏膠或雙面膠即可達到一定的牢固性,進而讓使用者更為舒適,故確實能達成本發明之目的。 In summary, the percutaneous nephrostomy device of the present invention protects the drainage tube 5 and the urinary catheter 6 located in the tube installation space S1 by the tube wall 11, and the assembly is achieved by the installation of the card slot 12. The effect of the first limiting body 2 and the second limiting body 3 is to limit the bending angle of the drainage tube 5 and the urine tube 6. In addition, the drainage tube 5 and the catheter 6 are clamped by the flanges. In addition, by connecting the connecting piece 4 to the area connected to the skin surface, a certain amount of adhesive or double-sided tape can be used to achieve a certain degree of firmness, thereby making the user more comfortable, so that the object of the present invention can be achieved.
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 However, the above is only the embodiment of the present invention, and the scope of the invention is not limited thereto, and all the equivalent equivalent changes and modifications according to the scope of the patent application and the patent specification of the present invention are still The scope of the invention is covered.
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