M409844 ------------------------------------- ‘ · 100年,07月06日修正替換頁 五、新型說明： 【新型所屬之技術領域】 [00013 本創作是有關於一種鼻胃管固定器，特別是有關於一種 黏貼於鼻翼之貼布與固持鼻胃管的固定裝置可分離的鼻 胃管固定器。 【先前技術】 [0002] 傳統的鼻胃管固定方法為「Y字型」固定法，利用透氣膠 帶一端纏繞鼻胃管，另端貼覆於鼻部固定鼻胃管，此種 ^ 固定法有容易脫落及清潔不易的問題，並不理想。後有 另兩種固定鼻胃管的方法分別是「人中型」及「蝴蝶型 」，相較於傳統的ΓΥ字型」固定法，後者固定的牢度較佳 ，也較容易觀察皮膚狀況，但患者受鼻胃管抵壓而造成 壓瘡的狀況仍多。 [0003] 產生壓瘡的原因多是由壓力所引起，例如長期受單一姿 勢影響，或單一部位長期受壓力作用，而鼻胃管造成壓 瘡的原因即是後者。由於必須使用鼻胃管的患者，通常 都是長期無法自行進食者居多，因此，一旦使用鼻胃管 辅助進食，使用的時間都較長。 [0004] 由於鼻胃管與膠帶纏繞在一起，會使膠帶受鼻胃管的拉 力作用，在固定上多會再以垂直於鼻樑方向貼覆膠帶作 為補強，但皮膚會有油脂或汗液自然分泌，因此固定鼻 胃管的膠帶還是容易脫落。因此，目前插設鼻胃管的患 者，多為一曰必須更換一次黏貼於鼻部的膠帶，避免髒 汙或滑脫。但在更換鼻胃管固定膠帶時，要先拆除纏繞 於鼻胃管上的膠帶，再重新纏繞新的膠帶，過程中常會 表單編號A0101 第3頁/共13頁 100年_07与 Ό6Θ 晃動到鼻胃管，造成患者不適° [0005] 現有中華民國公告第142559號新型專利，提出一種鼻胃 管支持裝置，具有一黏性襯塾及有旋軸地沿著襯墊的一 邊緣來支撐的一對夾持瓜，水包括可調整的栓住裝置來 固定地但可釋開地支持鼻胃管於寬尺寸及硬度區間及允 許這樣的管子想要的位置的調整。 [0006] 然此創作之央持爪結構繁複’且黏性襯墊的黏貼範圍較 大，固定方式手續也較多，在操作上並不方便。為提高 使用鼻胃管患者的醫療品質，減少壓瘡的發生’並減輕 更換固定鼻胃管的膠帶所造成的不適，實有必要發展一 種更換便利且能調整鼻胃管角度以避免壓瘡發生的鼻胃 管固定器，以嘉惠為數眾多的使用鼻胃管的患者。 【新型内容】 [0007] 有鑑於上述習知之間題，本創作之一目的就是在提供一 種鼻胃管固定器，以解決習知傳統鼻胃管固定法容易造 成壓瘡、且更換鼻胃管固定膠帶手續繁複而造成患者不 適的問題。 [0008] 根據本創作之目的，提出一種鼻胃管固定器，適用於固 定延伸於患者鼻腔外部的鼻胃管，此鼻胃管固定器包含 一固定裝置及一連接件。固定裝置包含_夾扣單元及一 固持單元。夾扣單元設置於固定裝置的一面。固持單元 没置於固定裝置上，用以固持突伸於患者鼻胺外部的鼻 胃管。連接件為長板狀，且連接件的一端活動地夾設於 夾扣單元》 其中，夾扣單元包含一卡制件及一限位槽，炅十制件選 表單编號删1 第4頁/共131 100年.07月06日修正替换頁 擇性地嵌合於限位槽，並將連接件的一端夾合於限位槽 與卡制件相互嵌合的接合面上。 [0009] 纟中，固持單元包含-調節件及_卡固件。調節件為長 條板狀，且一面具有複數個棘齒或節孔，此調節件的一 端固設於固定裝置的一側，並與鼻胃管方向垂直，另一 端為自由端。卡固件設置於固定裝置相對調節件的另一 側’此卡固件具有一通孔’且此通孔的内緣設有至少一 擋齒與調節件的棘齒或節孔對應配置。當調節件的自由 端沿鼻胃管外徑方向繞設鼻胃管，並進一步穿設於通孔 ，藉由調節件突伸於通孔的長度以調節固持單元與鼻胃 管之間固持的牢度。且此調節件的其中之一棘齒卡抵於 通孔之播齒’或擋齒卡固於其中之一節孔，使調節件固 定於鼻胃管之外壁。 [0010] 其中，連接件可為具可撓性的軟性塑料材質或織物所建 構而成。 [0011] 承上所述，因依本創作之鼻胃管固定器，其可具有一或 多個下述優點： (1)此鼻胃管固定器使鼻胃管受連接件拉承，而不會直 接抵壓人中部位的皮膚，避免長期受鼻胃管抵壓而造成 壓瘡的發生。 [0012] (2)此鼻胃管固定器採用分離式設計，將黏貼於鼻翼的 貼布與固持鼻胃管的固定裝置分開，在更換貼布的同時 ’無須接觸鼻胃管，即能更換貼布，避免造成患者不適 。若連接件因接觸鼻部而髒汙時，僅須開啟卡制件及限 位槽’使連接件脫離夾扣單元，即可取下連接件並加以 表單編號A0101 第5頁/共13頁 M409844 ___ • 1〇σ年.07月06日梭正替S頁 清潔，之後再將連接件夾固於夾扣單元，並貼上貼布， 即完成鼻胃管固定手續。相較習知更換固定鼻胃管的貼 布的手續便利許多。 [0013] (3)此鼻胃管固定器的連接件可採用黏性較佳的透氣膠 布幫助固定於鼻部，而不需像過去因為擔心無法將膠布 自鼻胃管上取下，僅能採用黏性中等的膠帶而致使膠帶 容易滑脫，反而影響鼻胃管的固定效果。 【實施方式】 [0014] 以下將參照相關圖式，說明依本創作之鼻胃管固定器之 （ 實施例，為使便於理解，下述實施例中之相同元件係以 相同之符號標示來說明。 [0015] 請參閱第1圖，其係為本創作之鼻胃管固定器之分解圖。 圖中，鼻胃管固定器1包含連接件10及固定裝置20。固定 裝置20包含夾扣單元21及固持單元22。夾扣單元21包含 卡制件211及限位槽212，連接件10的一端與夾扣單元21 對應配置，且卡制件211可選擇性地嵌合於限位槽212以 f 夾固連接件1〇—端。固持單元22包含調節件221及卡固件 222。調節件221為長條板狀，且一面具有複數個節孔 2211，調節件221的一端設置於固定裝置20的一側，另 一端為自由端。卡固件222設置於固定裝置20相對調節件 221的另一侧，卡固件222具有通孔2221，且通孔2221的 内緣設有擋齒2222與調節件221的節孔2211對應配置。 [0016] 請參閱第2圖及第3圖，其係分別為本創作之鼻胃管固定 器之結合示意圖及本創作之鼻胃管固定器之使用示意圖 。當鼻胃管30已插設於患者之鼻腔40，且部分鼻胃管30 表單編號A0101 第6頁/共13頁 M409844 Ι〇〇Κ〇7£Ϊ?〇~^^~- 凸露在患者鼻腔40外部，設置於固定裝置2〇~一側 件2 21的自由端沿鼻胃管3 〇外徑方向繞設鼻胃管3 〇，並進 —步穿過設置於固定裝置20另一側的卡固件222的通孔 2221，藉由調節件221凸伸於通孔2221的長度以調節固 持單元22與鼻胃管30之間固持的牢度（即凸伸的長度愈長 ，調節件221繞設鼻胃管30的力道愈強）。待調節到適當 緊度’通孔2221的擋齒2222會卡固於調節件221的其中 之一節孔2211 ’使調節件221固定於鼻胃管30的外壁，M409844 ------------------------------------- ' · 100 years, July 06 revised replacement page V. New description: [New technical field] [00013 This creation is about a nasogastric tube fixator, especially for a nasogastric stomach that can be separated from a patch attached to the nose and a fixed device for holding the nasogastric tube. Tube holder. [Previous technique] [0002] The conventional method for fixing the nasogastric tube is a "Y-shaped" fixing method, which uses a gas permeable tape to wrap the nasogastric tube at one end, and the other end is attached to the nasal fixed nasogastric tube. It is not ideal for problems that are easy to fall off and difficult to clean. There are two other methods for fixing the nasogastric tube: "human medium" and "butterfly type". Compared with the traditional squat type "fixing method, the latter has better fixation fastness and easier observation of skin condition. However, the patient is still suffering from pressure sores due to the pressure of the nasogastric tube. [0003] The cause of pressure sores is mostly caused by stress, such as long-term exposure to a single posture, or long-term stress on a single site, and the cause of pressure sores in the nasogastric tube is the latter. Because patients who must use nasogastric tubes are often unable to eat on their own for a long time, they will take longer to use the nasogastric tube to assist in eating. [0004] Because the nasogastric tube is entangled with the tape, the tape will be subjected to the pulling force of the nasogastric tube, and the tape will be applied as a reinforcing material in the direction perpendicular to the bridge of the nose, but the skin will have oil or sweat secretion. Therefore, the tape that fixes the nasogastric tube is still easy to fall off. Therefore, most patients with a nasogastric tube are required to replace the adhesive tape attached to the nose to avoid dirt or slippage. However, when changing the nasogastric tube fixing tape, first remove the tape wrapped around the nasogastric tube, and then re-wrap the new tape. In the process, the form number A0101 is 3/13 pages 100 years _07 and Ό6Θ Nasal tube, causing discomfort to patients [0005] The new patent of the Republic of China Bulletin No. 142559 proposes a nasogastric tube support device having a viscous lining and a rotating shaft supported along an edge of the pad. A pair of gripping melons, the water comprising an adjustable tethering device to fixedly but releasably support the nasogastric tube in a wide size and hardness range and to allow adjustment of the desired position of such a tube. [0006] However, the central claw structure of the creation is complicated and the adhesive pad has a large adhesive range, and the fixing method is also more complicated, which is not convenient in operation. In order to improve the medical quality of patients with nasogastric tube, reduce the occurrence of pressure sores and reduce the discomfort caused by replacing the tape of the fixed nasogastric tube, it is necessary to develop a convenient replacement and adjust the angle of the nasogastric tube to avoid pressure sores. The nasogastric tube holder is used by AirPlus as a large number of patients using nasogastric tubes. [New content] [0007] In view of the above-mentioned problems between the above, one of the aims of the present invention is to provide a nasogastric tube fixator to solve the conventional gastrostomy tube fixation method which is easy to cause pressure sores and replace the nasogastric tube. The problem of fixing the tape is complicated and the patient is uncomfortable. [0008] According to the purpose of the present invention, a nasogastric tube holder is provided for fixing a nasogastric tube extending outside the nasal cavity of a patient, the nasogastric tube holder comprising a fixing device and a connecting member. The fixture includes a clip unit and a holding unit. The clip unit is disposed on one side of the fixture. The holding unit is not placed on the fixture to hold the nasogastric tube that protrudes outside the patient's nasal amine. The connecting member has a long plate shape, and one end of the connecting member is movably clamped on the clip unit. The clip unit includes a card member and a limiting slot, and the ten item selection form number is deleted. / A total of 131 100 years. July 06, the correction replacement page is selectively fitted into the limiting groove, and one end of the connecting member is clamped on the joint surface of the limiting groove and the engaging member. [0009] In the middle, the holding unit includes an adjusting member and a card firmware. The adjusting member has a long plate shape and a plurality of ratchets or joint holes on one side. One end of the adjusting member is fixed on one side of the fixing device and perpendicular to the nasogastric tube, and the other end is a free end. The fastener is disposed on the other side of the fixing device relative to the adjusting member. The fastener has a through hole and the inner edge of the through hole is provided with at least one retaining tooth corresponding to the ratchet or the pitch of the adjusting member. When the free end of the adjusting member is arranged around the outer diameter of the nasogastric tube, and further penetrates the through-hole, and the length of the through-hole is adjusted by the adjusting member to adjust the holding between the holding unit and the nasogastric tube. Fastness. And one of the ratchets of the adjusting member is engaged with the toothing of the through hole or the retaining tooth is fixed to one of the joint holes, so that the adjusting member is fixed to the outer wall of the nasogastric tube. [0010] wherein the connecting member can be constructed of a flexible soft plastic material or fabric. [0011] As described above, the nasogastric tube holder according to the present invention may have one or more of the following advantages: (1) The nasogastric tube holder causes the nasogastric tube to be pulled by the connecting member, and It will not directly resist the skin of the human part, and avoid the pressure ulcer caused by the pressure of the nasogastric tube for a long time. [0012] (2) The nasogastric tube fixator adopts a separate design, and the patch adhered to the alar wing is separated from the fixing device for holding the nasogastric tube, and the patch can be replaced without touching the nasogastric tube. Patch to avoid discomfort to the patient. If the connector is dirty due to contact with the nose, simply open the card and the limit slot' to disconnect the connector from the clip unit, then remove the connector and add the form number A0101 Page 5 of 13 M409844 ___ • 1〇σ年.07月06日 Shuttle is cleaning the S page, then the connector is clamped to the clip unit, and the patch is attached to complete the nasogastric tube fixation procedure. It is much easier to replace the patch of the fixed nasogastric tube than the conventional one. [0013] (3) The connector of the nasogastric tube fixator can be fixed to the nose by using a viscous adhesive tape with better viscosity, without the need to remove the adhesive tape from the nasogastric tube as in the past, only The use of medium-adhesive tape makes the tape slip easily, which in turn affects the fixation of the nasogastric tube. [Embodiment] [0014] Hereinafter, the nasogastric tube holder according to the present invention will be described with reference to the related drawings. For the sake of understanding, the same elements in the following embodiments are denoted by the same reference numerals. [0015] Please refer to Fig. 1, which is an exploded view of the nasogastric tube holder of the present invention. In the figure, the nasogastric tube holder 1 comprises a connecting member 10 and a fixing device 20. The fixing device 20 comprises a clip unit The holding unit 22 includes a clamping member 211 and a limiting slot 212. One end of the connecting member 10 is disposed corresponding to the clip unit 21, and the engaging member 211 is selectively engageable with the limiting slot 212. The fixing unit 22 includes an adjusting member 221 and a fastening member 222. The adjusting member 221 has a long plate shape, and has a plurality of joint holes 2211 on one side, and one end of the adjusting member 221 is disposed on the fixing device. The other end is a free end. The fastener 222 is disposed on the other side of the fixing device 20 opposite to the adjusting member 221, the fastening member 222 has a through hole 2221, and the inner edge of the through hole 2221 is provided with a blocking tooth 2222 and an adjustment. The section hole 2211 of the piece 221 is correspondingly arranged. [0016] See also 2 and 3, which are respectively a schematic diagram of the combination of the nasogastric tube holder of the present invention and the use of the nasogastric tube holder of the present invention. When the nasogastric tube 30 has been inserted into the nasal cavity 40 of the patient, Part of Nasogastric Tube 30 Form No. A0101 Page 6 of 13 M409844 Ι〇〇Κ〇7£Ϊ?〇~^^~- Protruding outside the patient's nasal cavity 40, set in the fixture 2〇~ side piece 2 The free end of 21 is disposed around the nasogastric tube 3 in the outer diameter direction of the nasogastric tube 3, and further passes through the through hole 2221 of the fastener 222 disposed on the other side of the fixing device 20, and is protruded by the adjusting member 221 The length of the through hole 2221 is adjusted to ensure the fastness between the holding unit 22 and the nasogastric tube 30 (ie, the longer the length of the protrusion, the stronger the force of the adjusting member 221 around the nasogastric tube 30). The retaining tooth 2222 of the tightness through hole 2221 is fixed to one of the joint holes 2211' of the adjusting member 221 to fix the adjusting member 221 to the outer wall of the nasogastric tube 30.
並將多餘的調節件221剪斷，即完成將鼻胃管3〇與固定裝 置20結合的動作。 [0017] 將連接件10的一端夾合於卡制件211與限位槽212相互嵌 合的接合面上，並取一透氣貼布50將連接件1〇的另一端 黏貼於患者鼻脸40外部。藉此配置，使鼻胃管3〇被固定 裝置20固定，並藉由貼布50與鼻腔40連結固定。 [0018] 當要換貼布50時，僅需直接撕除原本已貼覆於鼻腔40外 部的貼布50，再更換新的貼布50即可，則能在不接觸鼻 胃管30的情況下完成更換貼布50的手續。 [0019] 若連接件10汙損而必須換或清潔時，先將卡制件211自限 位槽212中揭開，使連接件10脫離夹扣單元21，即使連接 件10與固定裝置20分離，即能進行更換或清潔連接件10 的手續，並重複如第2圖及第3圖所示之配置方式，即完 成鼻胃管固定手續。 [0020] 在本實施例中，係以節孔2211與擋齒2222相互卡合以固 定鼻胃管30於固定裝置20上，但並不以此為限，亦可以 棘齒取代節孔2211，並與擋齒2222卡合以達到固定之目 表單編號A0101 第7頁/共13頁 M409844 100年.07月06:日核正_頁 的。且在本實施例中，連接件10以具可撓性的織物表示 ，但並不以此為限，亦可為具可撓性的軟性塑料材質所 製成。 [0021] 設計，可以達到簡易更換貼布5 0的目的，並且進一步藉 由連接件10拉提並固定鼻胃管30，使鼻胃管30不會一直 壓抵在人中部位的皮膚上，且由於連接件10不具有黏性 ，因此可以隨意調整角度，進一步避免鼻胃管30持續貼 靠相同部位的皮膚，而能防止壓瘡的發生。 [0022] 以上所述僅為舉例性，而非為限制性者。任何未脫離本 （ 創作之精神與範疇，而對其進行之等效修改或變更，均 應包含於後附之申請專利範圍中。 【圖式簡單說明】 [0023] 第1圖係為本創作之鼻胃管固定器之分解圖； 第2圖係為本創作之鼻胃管固定器之結合示意圖；及 第3圖係為本創作之鼻胃管固定器之使用示意圖。 【主要元件符號說明】 （ [0024] 1 :鼻胃管固定器 10 :連接件 20 :固定裝置 21 :夾扣單元 211 :卡制件 212 :限位槽 22 :固持單元 221 :調節件 2211 :節孔 表單編號Α0101 第8頁/共13頁 Μ4098ί4 —— -100年07月06日核正替換百 222 :卡固件 2221 :通孔 2222 :擋齒 30 :鼻胃管 40 :鼻腔 50 :貼布 表單編號Α0101 第9頁/共13頁The excess regulating member 221 is cut, that is, the action of combining the nasogastric tube 3〇 with the fixing device 20 is completed. [0017] One end of the connecting member 10 is clamped to the engaging surface of the engaging member 211 and the limiting slot 212, and a breathable patch 50 is taken to adhere the other end of the connecting member 1 to the patient's nose 40. external. With this configuration, the nasogastric tube 3 is fixed by the fixing device 20, and is fixed to the nasal cavity 40 by the patch 50. [0018] When the patch 50 is to be replaced, it is only necessary to directly remove the patch 50 that has been attached to the outside of the nasal cavity 40, and then replace the new patch 50, so that the nose tube 30 can be not contacted. The procedure for replacing the patch 50 is completed. [0019] If the connector 10 has to be replaced or cleaned, the card member 211 is first uncovered from the limiting slot 212, so that the connector 10 is disengaged from the clip unit 21, even if the connector 10 is separated from the fixing device 20. That is, the procedure for replacing or cleaning the connector 10 can be performed, and the arrangement as shown in Fig. 2 and Fig. 3 is repeated, that is, the procedure for fixing the nasogastric tube is completed. [0020] In the present embodiment, the orifice 2211 and the retaining tooth 2222 are engaged with each other to fix the nasogastric tube 30 on the fixing device 20. However, the limiting hole 2211 may be replaced by a ratchet. And it is engaged with the retaining tooth 2222 to achieve a fixed order number A0101 page 7 / total 13 pages M409844 100 years. 07 06: Japanese nuclear positive _ page. In the present embodiment, the connecting member 10 is represented by a flexible fabric, but is not limited thereto, and may be made of a flexible soft plastic material. [0021] The design can achieve the purpose of simply changing the patch 50, and further pulling and fixing the nasogastric tube 30 by the connecting member 10, so that the nasogastric tube 30 does not always press against the skin of the human part. Moreover, since the connecting member 10 is not viscous, the angle can be adjusted at will, and the nasogastric tube 30 can be further prevented from continuously adhering to the skin of the same portion, thereby preventing the occurrence of pressure sores. [0022] The foregoing is illustrative only and not limiting. Any equivalent modifications or changes made to this (the spirit and scope of the creation) shall be included in the scope of the attached patent application. [Simplified illustration] [0023] Figure 1 is the original creation The exploded view of the nasogastric tube fixator; the second figure is a schematic diagram of the combination of the nasogastric tube fixator of the present invention; and the third figure is a schematic diagram of the use of the nasogastric tube fixator of the present invention. 】 ( [0024] 1 : Nasogastric tube holder 10 : Connector 20 : Fixing device 21 : Clip unit 211 : Card member 212 : Limiting groove 22 : Holding unit 221 : Adjusting member 2211 : Section hole form number Α 0101 Page 8 / Total 13 pages Μ 4098 ί4 —— -100 years of July 2006 nuclear replacement 222: card firmware 2221: through hole 2222: gear teeth 30: nasogastric tube 40: nasal cavity 50: patch form number Α 0101 9 Page / Total 13 pages