M356513 八、新型說明： 【新型所屬之技術領域】 本新型係有關於一種醫療用導管的組合結構，特別是 有關於用以避免醫療用導管在組合後内管徑不一致之醫療 用導管的組合結構。 【先前技術】 在現今醫療過程中，有時需由病患的體内建立出對外 的長期性通道，以進行特定的醫療行為，例如：腹膜透析 導管置入術（ImPlantation 〇f C〇ntinu〇us Ambulat〇ryM356513 VIII. New type of description: [New technical field] The present invention relates to a combined structure of a medical catheter, and in particular to a combined structure of a medical catheter for avoiding inconsistent inner diameter of a medical catheter after assembly. . [Prior Art] In today's medical procedures, it is sometimes necessary to establish an external long-term passage from the patient's body for specific medical behavior, such as peritoneal dialysis catheterization (ImPlantation 〇f C〇ntinu〇 Us Ambulat〇ry
Peritonea! Dialysis Catheter)，其係在病患的身體置入腹臈 透析導管，而導管具有-連接端外露於人體，用以連接於 醫療器材來進行腹膜透析治療。但導管之連接端容易在長 時間使用後損壞’ 0而無法用以連接至醫療器材。此時， 其中一解決辦法係切除導管之連接端的損壞部分，接著， 組合另一導管於原醫療用導管的連接端’以彌補原連接端 的損壞部分。 然而’通常此另一導管之内管徑係小於原導管之連接 端的内管徑，藉以使此另一導管可插入原導管之連接端來 組合成-體，導致在組合後醫療用導管的連接端處具有内 管徑不一致的情形，當流體流經醫療用導管的連接端時， 流體容易在内管徑不-致處產生堝流’導致在醫療用導管 的連接端處容易滋生細菌’嚴重影響醫療衛生品質。 【新型内容】 M356513 因此，本新型之一方而及 面係在於提供一種醫療用導管的 組合結構，藉以避免醫瘆其 '、用導g在組合後内管徑不一致的 情形，因而減少細菌在管内滋生的可能性，提升衛生品質。 '之又方面係在於提供一種醫療用導管的組合 、、’口構’藉以快速地進行鑿底 冑療料#的組合，增加醫療用導 管修復的便利性。 本新型之又-方面係在於提供一種醫療用導管的組合 結構，藉由在醫療用導f之連接端的内管壁環設凹陷部， 以增加醫療用導管的組合穩固性。 根據本新型之實施例，本新型之醫療用導管的組合結 構至少包含第-導管、第二導管及熱塑連接膜。第一導管 具有第一端和第二端，#中第—端係用以置人人體内，而 第二端係外露於人體。第二導管制以抵接於第—導管的 第端&塑連接膜係包覆於第一導管與第二 處，用以在加熱後組合第一導管和該第二導管成一體:接 因此’本新型之醫療用導管的組合結構係用以组合内 管徑相同的第—導瞢茶埜-造 帀导“口第一導管，其中第一導管係用以置 入人體’以避免醫療用導管在組合後内管徑不—致時所產 生的問題’例如：$易滋生細菌。另外，本新型藉由熱塑 連接膜來快速且簡單地組合第-導管和第二導管’因而可 提升醫療用導管的修復便利性。 【實施方式】 一請參照第1圖至第2C圖’第1SI係繪示依照本新型第 一實施例之醫療用導管的組合流程圖’第2A圖係繪示依照 M356513 本新型第-實施例之導管之組合結構的爆炸示意圖第四 圖係繪示依照本新型第一實施例之導管之組合結構的剖面 二意圖’第2C圖係繪示依照本新型第—實施例之導管之组 合結構的結構示意圖。本實關之f療用導管的組合方 包括有提供第-導管⑻）；提供第二導管2⑽⑽广 抵接第二導管的連接端210於第-導管HH)⑽）；以 及包覆並加熱熱塑連接《 300於第二導管200肖第—導管 1〇〇的抵接處（1G4)，以組合第—導f丨⑼和第二導管^ 成一體。本實施例之醫療料管的組合結構包括有第一導 管1〇〇、第二導管200及熱塑連接膜300。第一導管1〇〇係 用乂置人人體’藉以連接醫療器材對人體進行特定醫療行 為。第二導管200係用以組合第一導管1〇〇，以彌補第二導 管100不足的管長，因而回復第-導f⑽的使用功能。 熱塑連接臈300係用以組合第一導管1〇〇和第二導管· 如第2A Η至第2C圖所示，本實施例之第—導管刚 2係·腹膜透析㈣、錢透析導管、腎臟導管、胸腔 導吕、心臟導管或輸尿導管。其用以置於人體内，以進行 療行為’例如：Μ透析治療、錢透析治療或 排尿導引。第一導管刚的材質例如係：PVC、ρρ、ΡΕ、 々PU ΤΡΕ或ΡΕΒΑΧ等醫療級無毒塑膠材料。第一導 管100的用途類型例如係屬：單腔導 導管、增强型導管、微型導管、多排導管/、薄壁 + ^ ^ v B夕排導管或x光顯影導管。 本實施例之第一導t 100具有第一端(未 110’當進行醫療行為時，第-導管_的第-端係 M356513 體内’第二端11G係外露於人體，以連接外界的醫療器材， 其中第一導管100的第二端11〇具有第一内管徑a。當第一 導管100的第二端U〇具有部分損壞而無法使用時，即切 除第二端110的損壞部分，並連接第二導管2〇〇來彌補第 一導管100的管長，以回復第一導管1〇〇的使用功能（連接 外界的醫療器材）。本實施例之第二導管200的材質、用途 類型或導管形狀可相同於第一導管100，以增加第一導管 100和第二導管200在連接後的相容性。第二導管2〇〇具有 預疋管長，藉以彌補第一導管100所切除的損壞部分。 第二導管200具有連接端21〇，用以抵接於第一導管1〇〇 ，第一端110’其中第二導管200的連接端21〇具有第二内 管徑b’而第二内管徑b係實質相同於第一導管1〇〇的第一 内徑a，因而第一導管100和第二導管2〇〇在連接成一體後 可避免發生導管之内管徑不一致的情形，使流體（例如：透 析液或血液）可順暢地流經醫療用導管，而不致在導管連接 處產生渦流或細菌滋生的情形。本實施例之熱塑連接膜3 〇 〇 例如係由：聚乙烯或聚丙烯等熱塑性材質所製成，用於包 覆於第一導管100和第二導管2〇〇的抵接處，藉以在熱塑 連接膜300經過加熱後可熱塑成型，並固定第一導管1〇〇 和第二導管200之連接，因而快速地組合第一導管1〇〇和 第二導管200成一體。 如第1圖所示，當進行本實施例之醫療用導管的組合 方法時，首先，提供第一導管1〇〇(步驟1〇1)，此時，第一 導管100的第一端係置於人體内，而第二端11〇係外露於 人體。接著，提供第二導管2〇〇(步驟1〇2)，其中第二導管 M356513 綱之連接端2H)的第二内管徑b係實f相同於第一導管 ⑽的第-内管徑a。接著，抵接第二導管2⑽的連接端21〇 於第-導管100的第二端11〇(步驟1〇3)，此時第一導管_ 之第二端110的管σ係對應接合於第二導管細之連接端 210的管口。其中當第二導管200抵接至第一導管100時， 可使第一導官200朝第一導管100擠壓，以避免第一導管 1〇〇和第r導管的連接處產生空隙。然後，包覆熱塑連 接膜300於第―導管i⑽與第二導f 之抵接處的外圍， 並力熱此熱塑連接膜3〇〇，以使熱塑連接膜3〇〇熱塑成型， 藉以組合第一導管100和第二導管200成一體(步驟104)。 其中此熱塑連接膜的加熱方式例如：利用線圈來通入 電/”L加熱，或利用導熱金屬構件來加熱。由於熱塑連接膜 300可在加熱後迅速地熱塑成型，因而第一導管和第二 導g 200可快速地形成組合。因此，本實施例之組合方法 可快速地組合第一導管100和第二導管200,其中第一導管 00 /、弟一導管200具有相同的内管徑，以避免導管之内管 徑不一致所導致的導管衛生品質不佳情形。 請參照第3A圖至第3C圖，第3A圖係繪示依照本新 型第一實施例之醫療用導管的組合結構的爆炸示意圖，第 3B圖係繞不依照本新型第二實施例之醫療用導管的組合結 構的d面示意圖，第3C圖係繪示依照本新型第二實施例之 4療用導；的組合結構的結構示意圖。相較於第一實施 例，第二實施例之第二導管2〇〇a的外管徑大於第一導管 100的外管徑，且第二導管2〇〇a之連接端2i〇a具有一凹陷 部211a’其環設於連接端21〇a的内管壁處藉以使第一導 M356513 管100的第二端可卡掣於此凹陷部211&處。因此，當第一 導管100和第二導管2〇〇a進行組合時，第—導管1〇〇的第 二端可先套置於第二導管200a的凹陷部211a，以增加第一 導管100和第二導管200a的組合穩固性，避免發生第—導 管100和第二導管2〇〇a的組合鬆脫情形。 請參照第4圖’其緣示依照本新型第三實施例之醫療 用導官的組合結構的剖面示意圖。相較於第二實施例，第 二實施例之第二導管2〇〇b的外管徑僅在連接端21补處（第 一導管1〇〇和第二導管200b的連接處）大於第一導管 的外管徑，且第二導管2〇(^之連接端2i〇b具有一凹陷部 211b，其環設於連接端21〇b的内管壁處，藉以使第一導管 1〇〇的第二端可卡掣於此凹陷部2111?處。因此，當第一導 管100和第二導管200b進行組合時，第一導管ι〇〇的第二 端可先套置於第二導管2〇〇b的凹陷部2iib，以增加第一導 g 100和第一導官200b的組合穩固性，避免發生第一導管 100和第二導管200b的組合鬆脫情形。 由上述本新型之實施例可知，本新型之醫療用導管的 組合結構可組合内管徑相同的第一導管和第二導管，以避 免醫療用導管在組合後内管徑不一致時所產生的問題。另 外，本新型可藉由熱塑連接膜來快速且簡單地組合第一導 管和第二導管，因而可提升醫療用導管的修復便利性。 雖然本新型已以一較佳實施例揭露如上，然其並非用 以限定本新型，任何熟習此技藝者，在不脫離本新型之精 神和範圍内’當可作各種之更動與潤飾，因此本新型之保 護範圍當視後附之申請專利範圍所界定者為準。 10 M356513 【圖式簡單說明】 為讓本新型之上述和其他目的、特微 能更明顯易懂’所附圖式之詳細說明如下：優，（、實施例 第1圖係緣示根據本新型第一實施例 組合流程圖。 晋厣用導s的 第2A圖係繪示根據本新型第一實施例之醫 之組合結構的爆炸示意圖。 ’、導s 第2B圖係繪示根據本新型第一實施例 之組合結構的結構示意圖。 ’、 3Peritonea! Dialysis Catheter) is a dialysis catheter placed in the patient's body, and the catheter has a connector-exposed end that is attached to the medical device for peritoneal dialysis. However, the connecting end of the catheter is easily damaged after a long period of use and cannot be used to connect to medical equipment. At this time, one of the solutions is to cut off the damaged portion of the connecting end of the catheter, and then combine the other catheter at the connecting end of the original medical catheter to compensate for the damaged portion of the original connecting end. However, 'the inner diameter of the other catheter is usually smaller than the inner diameter of the connecting end of the original catheter, so that the other catheter can be inserted into the connection end of the original catheter to be combined into a body, resulting in the connection of the medical catheter after the combination. In the case where the inner diameter is inconsistent at the end, when the fluid flows through the connection end of the medical catheter, the fluid tends to generate turbulence at the inner diameter of the inner tube, resulting in easy growth of bacteria at the connection end of the medical catheter. Affect the quality of health care. [New content] M356513 Therefore, one aspect of the present invention is to provide a combined structure of medical catheters, so as to avoid the inconvenience of the inner diameter of the guide g after the combination, thereby reducing the bacteria in the tube. The possibility of breeding and improving the quality of hygiene. On the other hand, it is a combination of a medical catheter and a combination of a 'mouth structure' to rapidly perform a chiseling treatment, and to increase the convenience of medical catheter repair. A further aspect of the present invention is to provide a combined structure of a medical catheter which is provided with a recessed portion at the inner tube wall of the connecting end of the medical guide f to increase the combination stability of the medical catheter. According to an embodiment of the present invention, the combination of the medical catheter of the present invention comprises at least a first catheter, a second catheter, and a thermoplastic connecting membrane. The first conduit has a first end and a second end, the first end of # is used to place the human body, and the second end is exposed to the human body. The second conduit is formed to abut the first end of the first conduit & the plastic connecting film is wrapped around the first conduit and the second portion for combining the first conduit and the second conduit after heating: The combination structure of the medical catheter of the present invention is used to combine the first inner diameter of the inner diameter of the guide tube - the first catheter, wherein the first catheter is used to be placed in the human body to avoid medical use. The problem that occurs when the inner diameter of the catheter is not combined is 'for example: easy to breed bacteria. In addition, the present invention can quickly and easily combine the first conduit and the second conduit by thermoplastic connecting membranes. [Embodiment] Referring to Figures 1 to 2C, the 1st SII shows a flow chart of the combination of the medical catheter according to the first embodiment of the present invention. 4 is an exploded view of the combined structure of the catheter according to the first embodiment of the present invention. FIG. 4 is a cross-sectional view showing the combined structure of the catheter according to the first embodiment of the present invention. FIG. 2C is a schematic view of the present invention. Group of catheters of the examples Schematic diagram of the structure. The combination of the catheter of the present invention includes providing a first catheter (8); providing a second catheter 2 (10) (10) to abut the connection end 210 of the second catheter to the first catheter HH) (10); Covering and heating the thermoplastic connection "300 to the abutment (1G4) of the second catheter 200 XI - the catheter 1 , to combine the first guide 丨 (9) with the second catheter ^. The medical treatment of this embodiment The combined structure of the tube includes a first conduit 1 , a second conduit 200 and a thermoplastic connecting film 300. The first conduit 1 is used to connect the human body to connect the medical device to perform specific medical actions on the human body. The second conduit 200 is used to combine the first conduit 1〇〇 to compensate for the insufficient length of the second conduit 100, thereby restoring the use function of the first guide f(10). The thermoplastic joint 300 is used to combine the first conduit 1 and Second catheter · As shown in Figs. 2A to 2C, the first catheter of the present embodiment is a catheter 2 peritoneal dialysis (4), a dialysis catheter, a renal catheter, a thoracic catheter, a cardiac catheter or a ureteral catheter. To be placed in the human body for therapeutic behavior' Treatment, money dialysis treatment or urinary guidance. The material of the first catheter is, for example, medical grade non-toxic plastic material such as PVC, ρρ, ΡΕ, 々PU ΤΡΕ or ΡΕΒΑΧ. The type of use of the first catheter 100 is for example: single cavity a guide catheter, an enhanced catheter, a microcatheter, a multi-row catheter/, a thin-walled + ^ v v-tube catheter or an x-ray development catheter. The first guide t 100 of this embodiment has a first end (not 110' when performed In the medical behavior, the first end of the first catheter, M356513, is exposed to the human body to connect the external medical device, wherein the second end 11 of the first catheter 100 has the first inner diameter. a. When the second end U〇 of the first conduit 100 is partially damaged and cannot be used, the damaged portion of the second end 110 is cut off, and the second conduit 2 is connected to compensate for the length of the first conduit 100 to recover The function of using the first catheter 1 (connecting external medical equipment). The material, type of use or catheter shape of the second catheter 200 of the present embodiment may be the same as that of the first catheter 100 to increase the compatibility of the first catheter 100 and the second catheter 200 after attachment. The second conduit 2 has a pre-tubing length to compensate for the damaged portion of the first catheter 100. The second conduit 200 has a connecting end 21 抵 for abutting against the first conduit 1 〇〇, the first end 110 ′ wherein the connecting end 21 第二 of the second conduit 200 has a second inner diameter b′ and the second inner tube The diameter b is substantially the same as the first inner diameter a of the first conduit 1〇〇, so that the first conduit 100 and the second conduit 2 are integrated to avoid inconsistencies in the inner diameter of the conduit, so that the fluid (For example, dialysate or blood) can flow smoothly through the medical catheter without creating eddy currents or bacterial growth at the junction of the catheter. The thermoplastic connecting film 3 of the present embodiment is made of, for example, a thermoplastic material such as polyethylene or polypropylene, and is used for covering the abutment of the first duct 100 and the second duct 2, whereby The thermoplastic connecting film 300 is thermoformed after being heated, and fixes the connection of the first duct 1〇〇 and the second duct 200, thereby rapidly combining the first duct 1〇〇 and the second duct 200 into one body. As shown in Fig. 1, when the combination method of the medical catheter of the present embodiment is performed, first, the first catheter 1 is provided (step 1〇1), and at this time, the first end of the first catheter 100 is tied. In the human body, the second end 11 is exposed to the human body. Next, a second conduit 2〇〇 is provided (step 1〇2), wherein the second inner diameter b of the connecting end 2H) of the second conduit M356513 is the same as the first inner diameter a of the first conduit (10) . Then, the connecting end 21 of the second conduit 2 (10) abuts the second end 11 of the first duct 100 (step 1〇3), at which time the tube σ of the second end 110 of the first duct _ is correspondingly coupled to the The nozzle of the second conduit is connected to the end 210. Wherein when the second conduit 200 abuts against the first conduit 100, the first guide 200 can be pressed toward the first conduit 100 to avoid a gap at the junction of the first conduit 1 and the second conduit. Then, the thermoplastic connecting film 300 is coated on the periphery of the abutting portion of the first conduit i (10) and the second guide f, and the thermoplastic connecting film 3 is heated to heat the thermoplastic connecting film 3 to be thermoformed. Thereby, the first catheter 100 and the second catheter 200 are combined to form an integral body (step 104). The heating method of the thermoplastic connecting film is, for example, using a coil to pass electricity/"L heating, or heating with a heat conductive metal member. Since the thermoplastic connecting film 300 can be rapidly thermoformed after heating, the first conduit and the first The two guides g 200 can quickly form a combination. Therefore, the combined method of the present embodiment can quickly combine the first duct 100 and the second duct 200, wherein the first duct 00 / the second duct 200 has the same inner diameter. To avoid the poor sanitary quality of the catheter caused by the inconsistent diameter of the catheter. Referring to Figures 3A to 3C, Figure 3A shows the explosion of the combined structure of the medical catheter according to the first embodiment of the present invention. FIG. 3B is a schematic view showing a d-side view of a combined structure of a medical catheter according to a second embodiment of the present invention, and FIG. 3C is a view showing a combined structure of a therapeutic guide according to a second embodiment of the present invention; The outer diameter of the second conduit 2〇〇a of the second embodiment is larger than the outer diameter of the first conduit 100, and the connection end 2i of the second conduit 2〇〇a is compared with the first embodiment. a has a depression 211a' is provided at the inner tube wall of the connecting end 21A so that the second end of the first guiding M356513 tube 100 can be stuck at the recess 211 & therefore, when the first duct 100 and the second duct When 2〇〇a is combined, the second end of the first conduit 1〇〇 can be first placed on the recess 211a of the second conduit 200a to increase the combination stability of the first conduit 100 and the second conduit 200a to avoid occurrence. The combination of the first catheter 100 and the second catheter 2〇〇a is loose. Please refer to FIG. 4 for a schematic cross-sectional view showing the combined structure of the medical guide according to the third embodiment of the present invention. In the second embodiment, the outer diameter of the second conduit 2〇〇b of the second embodiment is only larger at the connection end 21 (the junction of the first conduit 1〇〇 and the second conduit 200b) is larger than the outer tube of the first conduit The second conduit 2 has a recessed portion 211b, and the ring is disposed at the inner tube wall of the connecting end 21〇b, so that the second end of the first conduit 1〇〇 can be The cassette is located at the recess 2111. Therefore, when the first duct 100 and the second duct 200b are combined, the first duct ι〇 The second end may be first placed on the recess 2iib of the second duct 2〇〇b to increase the combined stability of the first guide g 100 and the first guide 200b, avoiding the occurrence of the first duct 100 and the second duct 200b. According to the embodiment of the present invention, the combined structure of the medical catheter of the present invention can combine the first catheter and the second catheter having the same inner diameter to avoid the inner diameter of the medical catheter after assembly. Problems caused by inconsistency. In addition, the present invention can quickly and easily combine the first duct and the second duct by means of a thermoplastic connecting film, thereby improving the convenience of repairing the medical catheter. The preferred embodiment is disclosed above, but it is not intended to limit the present invention. Any person skilled in the art can make various changes and refinements without departing from the spirit and scope of the present invention. The scope defined in the patent application is subject to change. 10 M356513 [Simple description of the drawings] In order to make the above-mentioned and other objects of the present invention and the ultra-fine energy more understandable, the detailed description of the drawings is as follows: (1, the first embodiment of the embodiment is shown according to the present invention. The second embodiment is a flowchart of the combination. The second diagram of the guide s of the 厣 绘 is a schematic diagram of the explosion of the combined structure of the medical treatment according to the first embodiment of the present invention. A schematic structural view of a combined structure of an embodiment. ', 3
第2C圖係緣示根據本新型第一實施例之醫療 之組合結構的剖面示意圖。 、等B 第3A圖係繪示根據本新型第二實施例之醫療 之組合結構的爆炸示意圖。 第3B圖係繪示根據本新型第二實施例之醫療用導总 之組合結構的結構示意圖。 e 第3C圖係繪示根據本新型第二實施例之醫療用導管 之組合結構的剖面示意圖。 第4圖係繪不根據本新型第二實施例之醫療用導管之 組合結構的結構示意圖。 b :第二内管徑 110 :第二端 主要元件符號說明】 a :第一内管徑 100 :第一導管 200、200a、200b :第二導管 210、210a、210b :連接端 211a、211b :凹陷部 300 :熱塑連接膜 101 :提供第一導管 102 :提供第二導管 103:抵接第二導管於第一導管的第二端 104 :包覆並加熱熱塑連接膜於第一導管與第二導管的 抵接處Fig. 2C is a schematic cross-sectional view showing the medical composite structure according to the first embodiment of the present invention. Fig. 3A is a schematic exploded view showing the combined structure of the medical treatment according to the second embodiment of the present invention. Fig. 3B is a structural schematic view showing the combined structure of the medical guide according to the second embodiment of the present invention. e Fig. 3C is a schematic cross-sectional view showing the combined structure of the medical catheter according to the second embodiment of the present invention. Fig. 4 is a view showing the structure of a composite structure of a medical catheter which is not according to the second embodiment of the present invention. b: second inner diameter 110: second end main component symbol description] a: first inner diameter 100: first conduit 200, 200a, 200b: second conduit 210, 210a, 210b: connection ends 211a, 211b: The recessed portion 300: the thermoplastic connecting film 101: providing the first conduit 102: providing the second conduit 103: abutting the second conduit to the second end 104 of the first conduit: coating and heating the thermoplastic connecting film to the first conduit Abutment of the second conduit
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