M312987 八、新型說明： 【新型所屬之技術領域】M312987 Eight, new description: [New technology field]
本創作係關於一種減重用之鼻胃管裝置，其為連 、卜 球狀物的鼻胃管。 、 有/X 【先前技術】 隨著現代人飲食習慣及生活作自的 丨戸w的改艴，肥胖為文明社 會漸形重視的課題。肥胖不止影響個人的外在美觀，更進 而引發身心健康的危機。過度肥胖已成為—種疾病。因 :’適當治療肥胖，可為個人帶來自信，並達到身心健 目前治療肥胖’有舉凡飲食、運動、藥物、心理辅導、 及外科手㈣Μ。然而，料錢性科，目前僅有外 科手術為真正有效的治療方法。 、目則面界發展的外科減重手術，主要係以降低胃容量以 減少食物攝取，並促使產生飽足感，以相對減低了熱量攝 取’進而達到卓越的減重功效。 早期利用上述原理的外科減重手術為胃隔間（gastric partitioning)手術，幾經改良而成為現今普遍採用的垂直加帶 胃隔間術（vertical banded gastr〇plasty)，其係在胃部分隔出小空 間，利用約束帶調整該空間出口，降低胃排空以產生飽足 感接著’發展了胃束帶（lapa band)，其原理類似於胃隔 ’ 一利用可调節石夕膠胃束帶（adjustable silicon gastric banding) 環繞胃部而形成小空間，並利用位於皮下之注射器輸打生 理食鹽水，使環繞處膨脹而調節出口大小，藉此束紮患者 111132.doc M312987 的上胃部或下食道，以控制進食量且產生飽足感。雖胃隔 間與月束帶皆可利用腹腔鏡完成，以降低術後創傷、提高 復原速度，但仍存在開刀的危險性，其術後感染及術後併 發症造成的死亡案例仍時有所聞。 為避免開刀的不便及危險性，近年來發展出胃水球 (intmgastnc balloon)放置術，其利用内視鏡將耐胃酸的矽膠水 球從口腔放置於胃部内，然後注入食鹽水，使水球鼓脹且 佔據胃内部分空間，&而產生飽^感而降低食慾。例如， 美國第4,485,805號專利揭示一種胃内減重系統裝置及方法， 其包括一膨脹裝置（即胃水球）、置放該膨脹裝置於胃内的 裝置、以液體膨脹該裝置的額外裝置及將該置放裝置及膨 脹裝置取出的額外裝置。然而，胃水球經過胃酸腐蝕，須 在半年後即時取出，而取出過程有其複雜性，且水球破裂 尚會引發腸阻塞，甚至導致死亡。 疋以，仍有需要發展一種風險更低、操作更為簡便的減 重裝置。 【新型内容】 本創作之減重用鼻胃管裝置係利用接有水球之鼻胃管， 並將其置入胃[縮小胃的體積以達到減少食量而減重的 效果。本創作之減重用鼻胃管裝置不須利用如外科手術等 之侵入性方式，不須專科醫師（例如腸胃科醫師），一般診 所的各科醫師即可置入或取出本創作之減重用鼻胃管裝 置。再者，水球係固定連接於鼻胃管，可減少因未固定而 破裂的風險。 111132.doc M312987 狀；關於一種減重用鼻胃管裝置1包含-彈性條 二π汽球狀物及一封閉裝置；其中該彈性條 ㈣且中空的第-管腔及第二管腔，該二管腔各 弟-‘部’其中該第一管腔之第一及第二端部 均為開放端且該第：端部接有—圓錐狀結構，以及其中兮 =二管腔之第-端部的外表面係與該可膨脹的汽球狀物緊 松連接’且該第三端部係由該封閉裝置所封閉。 【實施方式】This creation is about a nasogastric tube device for weight loss, which is a nasogastric tube with a continuous ball. Having /X [Prior Art] With the improvement of modern people's eating habits and life, obesity is a subject that civilization society has gradually paid attention to. Obesity not only affects the external beauty of the individual, but also leads to a crisis of physical and mental health. Obesity has become a disease. Because: 'Appropriate treatment of obesity can bring confidence to the individual and achieve physical and mental health. Currently treating obesity, there are diets, sports, drugs, psychological counseling, and surgical hands (4). However, in the Department of Nursing, only surgical surgery is currently a truly effective treatment. Surgical weight loss surgery, which is developed in the face of the situation, is mainly to reduce the gastric capacity to reduce food intake and promote satiety, so as to reduce the calorie intake to achieve superior weight loss. The early surgical weight loss surgery using the above principle is a gastric partitioning operation, which has been improved to become a vertical banded gastr〇plasty which is commonly used in the stomach. Space, using the restraint band to adjust the space exit, reducing gastric emptying to create satiety and then 'developing the lapa band, the principle is similar to the gastric septum' - using the adjustable Shishi gum gastric band ( Adjustable silicon gastric banding) A small space is formed around the stomach, and the saline is placed in the subcutaneous syringe to expand the circumference to adjust the size of the outlet, thereby bundling the upper stomach or lower esophagus of the patient 111132.doc M312987 To control the amount of food intake and produce a feeling of fullness. Although the gastric compartment and the lumbar ligament can be completed by laparoscopy to reduce postoperative trauma and improve recovery rate, there is still a risk of surgery. The postoperative infection and postoperative complications may still be caused by death cases. smell. In order to avoid the inconvenience and danger of surgery, in recent years, the intmgastnc balloon placement technique has been developed, which uses an endoscope to place a gastric acid-resistant gel water ball from the oral cavity into the stomach, and then injects saline to cause the water balloon to bulge and Occupy part of the stomach, & and produce a sense of fullness and reduce appetite. For example, US Patent No. 4,485,805 discloses an intragastric weight loss system device and method comprising an expansion device (ie, a gastric water balloon), a device for placing the expansion device in the stomach, an additional device for expanding the device with liquid, and The placement device and the additional device removed by the expansion device. However, the stomach water ball is corroded by gastric acid and must be taken out immediately after half a year. The removal process has its complexity, and the water ball rupture still causes intestinal blockage and even death. As a result, there is still a need to develop a weight-reducing device that is less risky and easier to operate. [New content] The nasogastric tube device for weight loss in this creation uses a nasogastric tube with a water polo and puts it into the stomach [reducing the volume of the stomach to reduce the amount of food and reduce the weight. The creation of the weight-reducing nasogastric tube device does not require an invasive manner such as surgery, and does not require a specialist (for example, a gastroenterologist), and the general clinic practitioner can place or remove the created weight-reducing nose. Stomach tube device. Furthermore, the water polo is fixedly attached to the nasogastric tube to reduce the risk of rupture due to unfixed. 111132.doc M312987; a nasogastric tube device 1 for weight reduction comprising: an elastic strip two π balloon and a closure device; wherein the elastic strip (four) and the hollow first lumen and the second lumen, the second Each of the lumens - 'section' wherein the first and second ends of the first lumen are open ends and the first end is connected with a conical structure, and wherein the first end of the second lumen The outer surface of the portion is loosely connected to the expandable balloon and the third end is closed by the closure. [Embodiment]
本創作減重用鼻胃管裝置之實施係詳述於下列說明。 圖1係本創作減重用鼻胃管裝置之示意圖。如圖i所示， 本創作之減重用鼻胃管裝置包含一彈性條狀管1，-可膨 服的汽球狀物2及-封閉裝i3。f亥彈性條狀管含相鄰 且中空的第一管腔4及第二管腔5。任何適當的彈性材料均 ^用於製備料性條狀管。較佳地，㈣性條狀管係由橡 膠、聚胺基甲酸g旨（polyurethane)、不透χ射線的聚胺基甲酸 酯、聚氯乙烯（PVC)或矽膠製成。較佳地，該鼻胃管之外 管壁設有公分刻度以測定鼻胃管置入胃中的深度。更佳 地w亥公分刻度為放射線不透過之刻度，可利用X光探知 鼻胃管置放的正確性。此外，該彈性管可塗覆親水性潤滑 劑。該彈性管的長度範圍在50至140公分之間，寬度為2至 4毫米。較佳地，其長度為70至120公分及寬度為2·5至35 毫米。 第一管腔4具有均為開放端的第一端部6及第二端部7。 该第一管腔係用於測定本創作鼻胃管是否置於適當位置。 lH132.doc M312987 該測定係由第二端部7打入空氣，並以聽診器於體外靜 診’以探測鼻胃管於胃部之位置，並適當調整鼻胃管的位 置。此外’該第-管腔4亦可用於灌食，使過於肥胖且患 有其他疾病而無法自行進食的病患得以達到同時減重及灌 食的功能。第二端部7係外露於鼻孔外部，其放大圖請參 見圖3。 第二管腔5亦具有第一端部8及第二端部9，其中第一端 部8的外表面係與該可膨脹的汽球狀物2緊密連接，且該第 二端部9係由該封閉裝置3所封閉。將生理食鹽水自第二端 部9注入第二管腔5，使連 ^ ^ 鳊邛8外表面的汽球狀 =膨脹’藉由佔據胃部使胃容量縮，卜以達到減重的效 π球狀物2以注入的食鹽水量調整到所需大小。例 =至8。毫升。較佳為2。至5〇毫升。該可膨服的汽球狀 由任何適當的彈性材料製成。較佳地，該彈性材料 為橡膠、矽膠或石夕後狀♦卜 ^ Γ # # 一橡膠。该汽球狀物可具有中空夾層結 構’於該中空部分可力 + 立即得知。 土監。如汽球狀物破裂’即可 閉第腔5之第二端部9的開口係由該封閉裝置3所封 二端^地，該封_置3係包含詩該第二管腔5之該第 端物^螺叙溝紋及—螺旋栓蓋。該封閉裝置3可將第二 圖2 !栓緊:避免其中之生理食鹽水逆流而出。 圖，㈠Λ作減重用鼻胃管裝置之彈性條狀管1之截面 管腔4與第二管腔5均為中空，且第一管腔 ，、邊一官腔5相鄰。 Π1132.doc M312987 圖3係本創作減重料胃管裝置外露於鼻孔之開放端部 分之放大圖。JL翩一 # _ ”♦、、具不弟二端部7接有一圓錐狀結構10，使 本創作鼻胃管可+ /士 & 7丨 田Μ 冗孔’使其不會通過鼻孔，以防止該 r月&、、、工鼻孔掉入消化道。較佳地，言亥圓錐狀結構的錐狀The implementation of the nasogastric tube device for weight loss is described in detail in the following description. Figure 1 is a schematic view of the nasogastric tube device for weight loss. As shown in Fig. i, the nasogastric tube device for weight reduction of the present invention comprises an elastic strip tube 1, an inflatable balloon 2 and a closed device i3. The f-elastic strip tube comprises an adjacent and hollow first lumen 4 and a second lumen 5. Any suitable elastomeric material is used to prepare the strip of material. Preferably, the (iv) strips are made of rubber, polyurethane, radiopaque polyurethane, polyvinyl chloride (PVC) or silicone. Preferably, the wall of the nasogastric tube is provided with a centimeter scale to determine the depth of placement of the nasogastric tube into the stomach. More preferably, the hhai centimeter scale is a scale that does not transmit radiation, and X-rays can be used to detect the correctness of the nasogastric tube placement. Further, the elastic tube may be coated with a hydrophilic lubricant. The elastic tube has a length ranging from 50 to 140 cm and a width of 2 to 4 mm. Preferably, it has a length of 70 to 120 cm and a width of 2.5 to 35 mm. The first lumen 4 has a first end 6 and a second end 7 which are both open ends. The first lumen is used to determine if the nasogastric tube of the present invention is in place. lH132.doc M312987 The assay is performed by injecting air from the second end 7 and in vitro by a stethoscope to detect the position of the nasogastric tube in the stomach and to properly adjust the position of the nasogastric tube. In addition, the first lumen 4 can also be used for feeding, so that patients who are too obese and have other diseases and cannot eat by themselves can achieve the functions of simultaneous weight loss and feeding. The second end portion 7 is exposed to the outside of the nostril, and its enlarged view is shown in Fig. 3. The second lumen 5 also has a first end portion 8 and a second end portion 9, wherein the outer surface of the first end portion 8 is closely connected to the expandable balloon 2, and the second end portion 9 is It is closed by the closure device 3. The physiological saline is injected into the second lumen 5 from the second end portion 9, so that the balloon shape of the outer surface of the joint is swollen, and the stomach volume is reduced by occupying the stomach, thereby achieving the effect of reducing weight. The π sphere 2 is adjusted to the desired size by the amount of the injected saline. Example = to 8. ML. It is preferably 2. Up to 5 〇 ml. The expandable balloon shape is made of any suitable elastomeric material. Preferably, the elastic material is rubber, silicone or post-stone ♦ ^ ^ # # # a rubber. The balloon may have a hollow sandwich structure 'forced in the hollow portion + immediately known. Soil supervision. If the balloon ruptures, the opening of the second end portion 9 of the closed cavity 5 is closed by the closing device 3, and the sealing device 3 includes the second cavity 5 The first end material is a spiral groove and a spiral cap. The closure device 3 can be bolted to the second Figure 2 to prevent the physiological saline solution from flowing back. Fig. 1(a) The cross section of the elastic strip tube 1 for the weightless nasogastric tube device The lumen 4 and the second lumen 5 are both hollow, and the first lumen is adjacent to the side. Π1132.doc M312987 Figure 3 is an enlarged view of the open end of the created weight-loss gastric tube device exposed to the nostril. JL翩一# _ ♦ ♦, with the two ends of the 7 is connected with a conical structure 10, so that the creation of the nasogastric tube can be + / 士 & 7 丨 Μ 冗 冗 ' ' ' ' ' ' ' ' ' ' Prevent the r month &,,, and the nose of the worker from falling into the digestive tract. Preferably, the conical shape of the conical structure
開端外側黏有親水性人工皮敷料i i。該親水性人工皮敷 料11自圓錐狀結構10向外延伸約數公分（較佳為約3公分）且 較佳為圓錐狀。較佳地，該親水性人工皮敷料自開放端向 内部方向具有4條縱向剪裁線。該親水性人卫皮敷料為具 係為已知之產品’其為膚色且其上有類似皮膚的紋路；例 uoDem^ 口口（c〇nvaTec Co” New Jersey，U.S.A.)。 圖4為圖一3所示親水性人工皮敷料沿剪裁線剪開後之展開 圖八”、、員不痃親水性人工皮敷料可延剪裁線剪開，展開後 撕開保護膜即可黏貼於鼻翼並固定。 藉由本創作之風險低且操作簡單之鼻胃管，可達到良好 的減重效果。 【圖式簡單說明】 圖1係本創作減重用鼻胃管裝置之示意圖。 圖2係本創作減重用鼻胃營奘罟 々里π ,月&表置之弹性條狀管之截面 圖3係本創作減重用鼻胃管裝置外露於鼻孔之開放端部 份之放大圖。 圖4為圖3所示親水性人工皮敷料沿剪裁線剪開後之展開 圖。 【主要元件符號說明】 111132.doc M312987A hydrophilic artificial skin dressing i i is adhered to the outside of the open end. The hydrophilic artificial skin dressing 11 extends outward from the conical structure 10 by a few centimeters (preferably about 3 cm) and is preferably conical. Preferably, the hydrophilic artificial skin dressing has four longitudinal cut lines from the open end to the inner direction. The hydrophilic human skin dressing is a product known as 'the skin color and has a skin-like texture thereon; for example, uoDem^ mouth (c〇nvaTec Co" New Jersey, USA). Figure 4 is a figure 3 The illustrated hydrophilic artificial skin dressing is cut along the cutting line and unfolded in the figure VIII. The hydrophilic artificial leather dressing can be cut by the cutting line. After unfolding, the protective film can be peeled off and fixed on the nose. A good weight-reducing effect can be achieved by the nasogastric tube of this creation with low risk and simple operation. [Simple description of the diagram] Figure 1 is a schematic diagram of the nasogastric tube device for weight loss. Fig. 2 is a cross-sectional view of the elastic strip tube of the π, yue & in the nasogastric sputum of the present invention. Fig. 3 is an enlarged view of the open end portion of the nasogastric tube device exposed to the nostril. . Figure 4 is a development view of the hydrophilic artificial skin dressing of Figure 3 taken along a cutting line. [Main component symbol description] 111132.doc M312987
1 彈性條狀管 2 可膨脹的汽球狀物 3 封閉裝置 4 第一管腔 5 第二管腔 6 第一管腔之第一端部 7 第一管腔之第二端部 8 第二管腔之第一端部 9 第二管腔之第二端部 10 接於第二端部之圓錐狀結構 11 親水性人工皮敷料1 elastic strip tube 2 inflatable balloon 3 closure device 4 first lumen 5 second lumen 6 first lumen first end 7 first lumen second end 8 second tube The first end of the cavity 9 the second end of the second lumen 10 is connected to the conical structure of the second end 11 hydrophilic artificial skin dressing
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