TWM435277U - Improved nasogastric tube - Google Patents
Improved nasogastric tube Download PDFInfo
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- TWM435277U TWM435277U TW101206279U TW101206279U TWM435277U TW M435277 U TWM435277 U TW M435277U TW 101206279 U TW101206279 U TW 101206279U TW 101206279 U TW101206279 U TW 101206279U TW M435277 U TWM435277 U TW M435277U
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Description
M435277 五、新型說明: 【新型所屬之技術領域】 本創作係關於一種改良式鼻胃管,特別是指一種用 以固定設置於胃内的改良式鼻胃管。 【先前技術】 一般病患在使用鼻胃管時,需治療一段時間且休復 後,才可由醫護人員拔除鼻胃管。然而,在將鼻胃管由 鼻腔插入病患體内時,病患通常很難適應”異物”存於食 道與咽喉的感覺,尤其在安裝的初期,病患有可能在白 天、夜裡或睡眠中,難忍受不舒服的狀況下,有意識或 無意識的自行拔除鼻胃管,造成整組醫務人員必須放下 手邊執行的工作,為病患重新放置鼻胃管,又或者在夜 裡值班時,醫務人員量減,仍需整組醫務人員再做一次 放置鼻胃管的工作,不僅造成醫務人員工作加重,亦造 成資源的浪費,甚至有可能因病患自行拔除鼻胃管而傷 及器官。此外,重新放置鼻胃管的工作亦會造成病患再 次感到不適。 同時,因欲避免鼻胃管自行滑脫移位,常須在病患 鼻翼上貼黏膠帶以利固定。長期下來,除了不舒服之外, 更常造成鼻翼處壓迫瘀青。 此外,在急診室時常可見,一些因酿(酒而造成°區吐 的急診病例,且在劇烈的嘔吐過程中,極有可能會造成 食道的破裂情形,而一般傳統判斷食道是否破裂的方 3 M435277 法歹’,需要替病患拍攝X光片或插胃鏡才能_食道θ 破^ ’然而病患需要S行吞下鋇劑才能照^否 吐的病患來說是非常困難的,而且一般實習: =生’無法自行準備巨型胃鏡插入的工作,♦或 主治醫師的診治後,才可進而等候 但可能Μ…Ρ 邮㈣破相_處理,X 一靶坆成病人大1出血的風險,亦可能 不 他器官的併發症。 月匕弓丨發胸腔内其M435277 V. New description: [New technical field] This creation is about an improved nasogastric tube, especially an improved nasogastric tube that is fixed in the stomach. [Prior Art] When a patient uses a nasogastric tube, it is necessary to treat it for a period of time and rest, before the nasogastric tube can be removed by the medical staff. However, when the nasogastric tube is inserted into the patient from the nasal cavity, it is often difficult for the patient to adapt to the feeling of "foreign body" in the esophagus and throat, especially in the early stage of installation, the patient may be in the daytime, at night or in sleep. Unbearably uncomfortable, consciously or unconsciously remove the nasogastric tube, causing the entire group of medical personnel to put down the work performed at hand, re-place the nasogastric tube for the patient, or at the time of the night, the medical staff If the amount is reduced, the entire group of medical staff will still need to do the work of placing the nasogastric tube. This will not only aggravate the work of the medical staff, but also cause waste of resources. It may even damage the organs due to the patient's own removal of the nasogastric tube. In addition, repositioning the nasogastric tube will cause the patient to feel uncomfortable again. At the same time, in order to avoid the spontaneous dislocation of the nasogastric tube, it is often necessary to stick adhesive tape on the patient's nose to facilitate fixation. In the long run, in addition to being uncomfortable, it often causes oppression of the nose. In addition, it is often seen in the emergency room, some emergency cases caused by brewing (drinking in the ° area, and in the process of severe vomiting, it is very likely to cause the rupture of the esophagus, and the traditional way to determine whether the esophagus is broken or not) M435277 law 歹 ', need to take X-rays or gastroscope for patients _ esophagus θ break ^ ' However, patients need to swallow sputum to swallow the sputum is very difficult, and generally Internship: = students can't prepare their own giant gastroscope insertion work, ♦ or the attending physician's diagnosis, can wait for but may be Μ... 邮 mail (4) phasing _ treatment, X a target 坆 into the patient's big 1 bleeding risk, also May not be a complication of his organs.
承上所述,本案創作人認為實有 良式鼻胃管,其係用以固定設置於病 ^ ―種改 患直接將鼻胃管拔出,藉以增加使用上的二裡避免病 效的降低因重新作業所造成的資源 U ’亚有 更可在病患埋設鼻胃管時,利用鼻胃〜此外’本創作 灑藥劑’增加使用上的便利性。s 的食道嘴 【新型内容】According to the above, the creator of this case believes that there is a good type of nasogastric tube, which is used to fix the disease in the disease--the disease is directly removed from the nasogastric tube, so as to increase the use of the second to avoid the reduction of the disease effect. Due to the re-operation of the resources U 'Asia has more to be able to use the nose and stomach when the patient buried the nasogastric tube ~ In addition to 'this creation sprinkle medicine' to increase the convenience of use. s esophagus mouth [new content]
本創作所欲解決之技術問題與目的: 综觀以上所述,在習知技術中,♦ 患體内時,病君佧六旦田式d丁力 田V月管埋設於病 届心很谷易因感到不舒服而自耔脸s田Μ 、 除,此舉不但有可能造成翻器官 :r月官拔. 需要重新將鼻胃管埋設於病患體内㈤力^使醫務人員 作量,此外,在重新埋設鼻胃管時,人員的工 插設鼻胃管時所Φ來的不適。 、〜再次承受 叫’因欲避免鼻胃管自行滑脫移位 鼻翼上貼黏膠帶以定。長期下來 U在病患 更常造成鼻翼處壓迫##。 ’、了不舒服之外’ 4 ^緣此,本創作之主要目的在於提供一種改良式鼻胃 i田ΐ係用以固定設置於病患的胃裡,避免病患直接將 π二官拔出或鼻胃管自行滑脫,藉以有效的增加使用上 、 吐並減緩病患與醫務人員的負擔。 本創作解決問題之技術手段: 本創作為解決f知技術之問題所採狀技術手段係 式鼻胃管’包含—彈性軟管本體、一主通 =及—氣體通道。彈性軟管本體包含―人口端、-出 口·山^及充乳部。入口端包含有-主開口與-灌氣 充氣係與人σ端相對地設置,並包含有一開孔; 主通、近於出σ端地設置於人σ端與出口端之間。 孔。軟管本11,並連較主開口與開 舆充二於彈性軟管本體,並連通於灌氣口 ^内口將域部灌氣至輪,藉《使膨脹之言t 為’入Π端更3手,所延伸出的附屬技術手段之- 响尺包令引出口,碟 取部,而3丨彈性車人管本體更包含一引 端之間,且改二氣部地設置於充氣部與入口 於彈性軟管本體二:含—引取通道,其係設置 入口端^^亚連通於引出口射丨取部。較佳者, 鸲更包含-灌洗口,而丨毕又佳者 部’其係設置於入口端與?二;本體更包含-喷麗 更包含-灌洗通道,其係設置式鼻胃管 作性敕管本體,並連通 M435277 於灌洗口與噴部。此外,灌洗Π更設有一單向闊。The technical problems and objectives to be solved by this creative work: Looking at the above, in the conventional technology, ♦ When suffering from the body, the diseased Junyi Liudantian d Ding Litian V monthly tube is buried in the heart of the disease. Because of feeling uncomfortable, since the face is squatting, except that this move may not only cause the organ to be turned over: r month official pull. Need to re-burial of the nasogastric tube in the patient (5) force ^ to make the medical staff, When the nasogastric tube is reburied, the discomfort caused by the person's work inserts the nasogastric tube. , ~ Again to bear called 'Because you want to avoid the nasogastric tube self-sliding displacement. Stick the adhesive tape on the nose. In the long run, U is more often caused by the patient's nose. ##. 'Beyond the discomfort' 4 ^ Therefore, the main purpose of this creation is to provide an improved nasogastric system for fixing the stomach in the patient's stomach, so as to prevent the patient from directly pulling out the pi Or the nasogastric tube slips off on its own, so as to effectively increase the use of vomiting and vomiting and reduce the burden on patients and medical staff. The technical means for solving the problem in this creation: The technical means for the solution of the problem of the technique of the invention is that the nasogastric tube includes an elastic hose body, a main passage and a gas passage. The flexible hose body contains “population”, “export”, and “filling”. The inlet end includes a main opening and a gas filling inflation system disposed opposite to the human σ end and includes an opening; the main passage is disposed between the human σ end and the outlet end near the σ end. hole. The hose is 11 and is connected to the main body opening and the opening to the elastic hose body, and is connected to the inner port of the filling port to inflate the gas to the wheel, and the "inflating the t is the end" 3 hands, the extended technical means - the ring-shaped bag makes the exit, the disc take-up part, and the 3-inch elastic car tube body further includes a lead end, and the second air part is set in the inflating part and The inlet is connected to the elastic hose body 2: a lead-in passage, which is provided with an inlet end and a sub-connected to the outlet. Preferably, the 鸲 包含 - 灌 灌 灌 , , , , , 又 又 又 又 又 又 又 又 又 又 又 又 又 又 又 又 ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' Make the body of the fistula and connect the M435277 to the lavage and spray. In addition, the lavage 设有 has a one-way width.
由上述之技術手段所延伸出的附屬技術手段之一 二j入口端更包含一灌洗口,彈性軟管本體更包含一喷 ^ ’其係設置於人口端與出σ端之間,且改良式鼻胃 二更包含-灌洗通道,其係設置於彈性軟管本體,並連 ^灌洗〇與韻部。較佳者,入口端更包含-引出口, ^軟警本體更包含—引取部,其係鄰近於充氣部地 二於充氣部與噴灑部之間,且改良式鼻胃管更包含一 弓丨取通道,其係設置於彈性軟管本體,並連通於弓丨出口 與引取部。此外,灌洗口更設有一單向閥。 、由上述之技術手段所延伸出的附屬技術手段之一 為,灌氣口更設有一單向閥。 本創作對照先前技術之功效: 從以上述可知,當習知技術所述之鼻胃管埋設於病 患體内時,病患容易自行將鼻胃管拔除, 險’且祕次承受重新插設時的痛苦,此外也倾加^ 務人員作業上的負擔。然而,由於本創作所提供之改良 式鼻胃管具有充氣部,因此當本創作之改良式鼻胃管^ 設於病患體内時,可供使用者在充氣部進入胃=時對充 氣部充氣,藉以使改良式鼻胃管固設於病患體内,可有 效的避免病患自行將改良式鼻胃管拔除,增加使用上 安全性。 % 此外’本創作之改良式鼻胃管更具有噴灑部,因此 可利用噴灑部將藥劑噴灑於病患的食道;以及,改良弋 6 M435277 · 鼻胃管更具有引取部,因此當充氣部充氣而封閉食道與 胃部時,可以利用引取部引取積存於食道内的液體。 本創作所採用的具體實施例,將藉由以下之實施例 及圖式作進一步之說明。 【實施方式】 由於本創作所提供之改良式鼻胃管,具有多種實施 態樣,故在此不再一一贅述,僅列舉其中較佳之實施例 來加以具體說明。 請一併參閱第一圖至第四圖,第一圖係顯示本創作 之改良式鼻胃管的平面示意圖;第二圖係顯示本創作之 改良式鼻胃管另一視角的平面示意圖;第三圖係顯示第 二圖A-A段的剖面示意圖;第四圖係顯示第二圖B-B段 的剖面示意圖。如圖所示,一改良式鼻胃管100包含一 彈性軟管本體1、一主通道2、一氣體通道3、一引取通 道4、一灌洗通道5。 彈性軟管本體1包含一入口端11、一出口端12、一 充氣部13、一引取部14以及一噴灑部15。入口端11 包含有一主開口 111、一灌氣口 112、一引出口 113以及 一灌洗口 114。出口端12係與入口端11相對地設置, 且出口端12包含有三開孔121 (圖中僅標示一個)。 充氣部13係設置於入口端11與出口端12之間,且 充氣部13鄰近於出口端12。引取部14係設置於充氣部 13與入口端11之間,且引取部14鄰近於充氣部13。喷 7 M435277 灑部15係設置於入口端11與引取部14之間。 主通道2係設置於彈性軟管本體1内,並連通於主 開口 111與開孔121,藉以在開孔121置入胃内時,供 使用者將食物或營養液經由主通道2灌至胃内,或者利 用主通道2引取胃内的液體或氣體。 氣體通道3係設置於彈性軟管本體1内,並連通於 灌氣口 112與充氣部13 ;其中,充氣部13例如是開設 ' 於彈性軟管本體1之内的氣室,且充氣部13的管壁較氣 • 體通道3的管壁薄,因此當充氣部13由病患的鼻腔插入 至胃内時,可供使用者利用灌氣口 112將充氣部13灌氣 至膨脹,藉以使膨脹之充氣部13卡設於胃内,進而避免 病患自行將改良式鼻胃管100拔除,有效的提升使用上 的安全性,並且可以減少醫務人員的負擔。 引取通道4係設置於彈性軟管本體1内,並連通於 引出口 113與引取部14,藉以在膨脹之充氣部13堵住 胃與食道之交界口(賁門)時,將食道内的液體引取出。 鲁灌洗通道5係設置於彈性軟管本體1内,並連通於 灌洗口 114與噴灑部15,係用以將藥劑噴灑至食道内壁 上,藉以對食道做清洗或治療。 其中,上述之主通道2、氣體通道3、引取通道4 以及灌洗通道5係彼此不連通的並排設置。 請參閱第一圖、第四圖、第五圖以及第六圖,第五 圖係為第四圖D部分放大之剖面示意圖;第六圖係為第 一圖C-C段之剖面示意圖。如圖所示,喷灑部15具有 四個均勻分布之噴灑孔151a、151b、151c、151d,且這 8 M435277 些喷灑孔 I5la、151b、i5l(^ 1<:1 使喷濃部15可對錢.j㈣通料洗通道5 ’ 的效率。在其他實施例中二積^麗,藉以提高清洗 洗通道亦可連通至二個嗔c為兩個以上時,灌 灌洗通道内的液體可以二 =通道,藉以使注入One of the auxiliary technical means extended by the above technical means includes a irrigating port, and the elastic hose body further comprises a spray nozzle disposed between the population end and the σ end, and is improved. The nasogastric two contains a lavage channel which is arranged on the elastic hose body and is connected to the phlegm and rhyme. Preferably, the inlet end further comprises an -extension port, and the soft alarm body further comprises a lead-out portion adjacent to the inflating portion between the inflating portion and the spraying portion, and the modified nasogastric tube further comprises a bow The passage is disposed on the elastic hose body and communicates with the bow outlet and the extracting portion. In addition, the irrigating port is further provided with a one-way valve. One of the subsidiary technical means extended by the above technical means is that the gas filling port is further provided with a one-way valve. The present invention compares the effects of the prior art: From the above, when the nasogastric tube described in the prior art is embedded in a patient, the patient can easily remove the nasogastric tube by himself, and the patient is re-inserted. The pain of the time, in addition to the burden of the work of the staff. However, since the modified nasogastric tube provided by the present invention has an inflated portion, when the modified nasogastric tube of the present invention is disposed in the patient, the user can enter the stomach in the inflated portion. Inflation, so that the modified nasogastric tube is fixed in the patient, can effectively prevent the patient from removing the modified nasogastric tube and increase the safety of use. % In addition, the improved nasogastric tube of this creation has a spray portion, so that the spray portion can be used to spray the medicament on the esophagus of the patient; and the modified 弋6 M435277 · the nasogastric tube has a lead portion, so when the inflator is inflated When the esophagus and the stomach are closed, the extracting portion can be used to draw the liquid accumulated in the esophagus. Specific embodiments of the present invention will be further illustrated by the following examples and drawings. [Embodiment] Since the modified nasogastric tube provided by the present invention has various embodiments, it will not be repeated here, and only the preferred embodiments will be specifically described. Please refer to the first to fourth figures together. The first figure shows a schematic plan view of the modified nasogastric tube of the present invention; the second figure shows a plan view of another modified view of the nasogastric tube of the present invention; The three figures show a schematic cross-sectional view of the AA section of the second figure; the fourth figure shows a schematic cross-sectional view of the second figure BB. As shown, a modified nasogastric tube 100 includes a flexible hose body 1, a main passage 2, a gas passage 3, an intake passage 4, and a irrigating passage 5. The elastic hose body 1 includes an inlet end 11, an outlet end 12, an inflator 13, a lead portion 14, and a spray portion 15. The inlet end 11 includes a main opening 111, a gas inlet port 112, an outlet port 113, and a lavage port 114. The outlet end 12 is disposed opposite the inlet end 11 and the outlet end 12 includes three openings 121 (only one is shown). The inflator 13 is disposed between the inlet end 11 and the outlet end 12, and the inflator 13 is adjacent to the outlet end 12. The lead portion 14 is disposed between the inflator portion 13 and the inlet end 11, and the lead portion 14 is adjacent to the inflator portion 13. Spray 7 M435277 The sprinkle 15 is disposed between the inlet end 11 and the take-up portion 14. The main channel 2 is disposed in the elastic hose body 1 and communicates with the main opening 111 and the opening 121, so that the user can pour food or nutrient solution into the stomach through the main channel 2 when the opening 121 is placed in the stomach. Inside, or use the main channel 2 to draw liquid or gas in the stomach. The gas passage 3 is disposed in the elastic hose body 1 and communicates with the gas filling port 112 and the inflating portion 13; wherein the inflating portion 13 is, for example, a gas chamber which is opened inside the elastic hose body 1, and the inflating portion 13 The wall of the body is thinner than the wall of the body passage 3. Therefore, when the inflated portion 13 is inserted into the stomach from the patient's nasal cavity, the user can inflate the inflated portion 13 to expand by using the inflating port 112, thereby expanding the inflation portion. The inflated portion 13 is stuck in the stomach, thereby preventing the patient from removing the modified nasogastric tube 100 by itself, effectively improving the safety of use, and reducing the burden on the medical staff. The guiding passage 4 is disposed in the elastic hose body 1 and communicates with the outlet opening 113 and the guiding portion 14 to draw the liquid in the esophagus when the inflated inflating portion 13 blocks the junction between the stomach and the esophagus (the cardia) Out. The lavage passage 5 is disposed in the elastic hose body 1 and communicates with the lavage port 114 and the spray portion 15 for spraying the medicament onto the inner wall of the esophagus to clean or treat the esophagus. The main channel 2, the gas channel 3, the extraction channel 4, and the lavage channel 5 are arranged side by side without being connected to each other. Please refer to the first, fourth, fifth and sixth figures. The fifth figure is a schematic cross-sectional view of the fourth part of Fig. D. The sixth figure is a schematic cross-sectional view of the first section C-C. As shown, the spray portion 15 has four evenly distributed spray holes 151a, 151b, 151c, 151d, and the 8 M435277 spray holes I5la, 151b, i5l (^1<:1 enable the spray portion 15 to For the efficiency of the money.j (four) through the washing channel 5 '. In other embodiments, the second product is added, so as to improve the cleaning washing channel can also be connected to two 嗔 c for more than two, the liquid in the irrigation channel can be Second = channel, so that the injection
⑼使噴灑壓力過大。此外, 與灑部15的結構她,純所屬技術領域 中具ί通❻識者應可理解,故在此不多加贅言。 4閱第七圖’第七圖係顯示(9) Make the spray pressure too large. In addition, with the structure of the sprinkling portion 15, it should be understandable to those skilled in the art. Therefore, no rumors are added here. 4 read the seventh figure 'the seventh picture shows
管於Ρ狀態時的—圖。如圖所示,充m Π 道進人-胃300中(圖中僅示出胃的一部 伤)’吾充乳部13膨脹時,使用者可將改良式鼻胃管刚 向外拉,使膨脹之充氣部13抵住胃_與食道2〇〇之 間,然後再對灌洗口 114注人藥劑,使藥劑經由灌洗通 運5流至噴麗部15 ’並由喷灑部15噴麗至病患的食道 ’接著’由於充氣部13將食道200與胃300之間的 開口封閉住’因此藥劑會積存於食道200,此時使用者 更可以彻引出口 113將藥劑經由引取通道4自引取 14抽取出。 請參閱第-圖與第八圖,第人圖係顯示本創作另一 較佳實施例之改良式鼻胃f的平面示意圖。如圖所示, 一改良式鼻胃管100,與上述改良式鼻胃管ι〇〇之差異在 於改良式鼻胃管1⑻,所包含之-灌氣口 112,盘-灌、'先口 =分別設有—單向閥6、7,时避免氣體或液體逆流 而出。 9 M435277 綜上所述,由於本創作之改良式鼻胃管具有充氣 部’因此可以利用充氣部在病患的胃中充氣,使病患無 法自行拔除改良式鼻胃管,避免病患因自行拔除習知之 鼻月官而傷及胃或食道,藉以增加使用上的安全性,更 進一步地,由於醫務人員不需如習知技術所述重新裝設 鼻胃官,因此能有效的減少醫務人員的負擔,且病患也 不品再-人承受鼻胃管插入時的痛苦。 相較於習知技術為了避免鼻胃管自行滑脫移位,常 須在病患鼻翼上貼黏膠帶來固定住鼻胃管,由於本創作 是利用充亂部來固^住改良式鼻胃管,而不需利用黏膠 帶即可狀住;目此,本創作可有效聽胃知技術長期 利用黏膝τ©定所帶來的;舒服以及鼻翼處受壓迫所造 成的#青。 在實務運用上,由於本創作之改良式鼻胃管更具有 «部 '灌洗通道以及灌洗Π ’因此當病患的食道破裂 時’使用者更可藉Μ洗Π “生理食鹽水或抗生素 (antibiodcs)來灌洗污穢的食道,並可加入水溶性顯影 劑(Contrast media),以利於後續照χ光片的作業,相 較於習知技術中’病患在劇烈嘔吐的情況下,仍需先行 吞下含”鋇”液體才能照X光片,本創作之改良式鼻胃管 實為便利。 承上所述’當食道真的破裂時,在等待照射χ光片 的過程中,有可能造成穢物亂竄,甚至產生細菌滋生於 其他器官的風險,此時便可利用噴灑部灌洗,並同時利 用弓丨取部做抽吸(suction)或另將一支胸管導入胸腔做 10 M435277 SUCTION (虹吸)工作’以降低胸腔内心臟、肺等器官 可能併發發炎的機率。 然而當病患有出錢況時’使用者亦可_灌洗部 注入凝血酶、思密達、錫混合糾及生物蛋白#等 效的達到止血的目的。 / 另-方面,由於胃食道逆流是一種常見的痴病,尤 其在台灣及美國,其主要原因是跟肥胖有關,長時期的 胃食道逆流,易造成食道下段與胃交接處產生一種變 性,在食道的上皮會產生一種所謂的Barreu,s上皮病 變,此一 Barrett’s上皮病變與食道癌有密切的關係,尤 其是下段的食道部份,根據芬蘭赫爾新基大學中心醫院 的研究指出,此一 Barrett’s上皮病變是否會造成食道 癌,主要是跟每個人的抗氧化程度有關。因此根據此研 究報告’對於Barrett’s上皮病變,我們可以製造一抗氧 化的環境,以減少病變的可能性。因此,利用本創作之 改良式鼻胃管導入食道進入胃部,並使位於胃部之充氣 部充氣抵住胃與食道之開口處,再利用噴灑部喷灑—些 簡單的抗氧化劑,如:維他命C (Vitamin C),甚或注入 較有效的超氧化物歧化酶SOD (superoxide deoxidase) 抑制劑’或骨Ί|過氧化物酶(myel〇per〇xidase )抑制劑 等藥劑’因此藉由充氣部的作用可增加藥劑在食道停留 的時間’藉以抑制Barrett’s上皮病變進而演化成食道腺 癌’成功的降低食道癌發生機率。 此外’使用者更可利用本創作之改良式鼻胃管改善 食這弛缓不能的罕見疾病。此症係為一先天性疾病,習 11 M43527? 知的治療方式是採用做完上消化道胃鏡測試後,以鉛棒 做盲目的撐開食道,因鉛棒是為一直徑大小固定的圓錐 體,而此食道弛緩不能,並非全段都是狹窄的,因此使 用鉛棒會顯得失準而無效用。但利用本創作之改良式鼻 月笞可先行注入顯影劑(contrastmedja),讓其液體 附著於食道黏膜上,輔以即時x光攝影(flu〇r〇sc〇py), 即刻可朗狹窄處。掌握狹窄處後,再將充氣部置於該The picture in the state of the state. As shown in the figure, when filling the human-stomach 300 (only one part of the stomach is shown in the figure), when the filling portion 13 is inflated, the user can pull the modified nasogastric tube outward. The inflated inflator 13 is placed between the stomach and the esophagus 2, and then the medicament is injected into the irrigation port 114 to allow the medicament to flow through the irrigation passage 5 to the spray portion 15' and sprayed by the spray portion 15. The esophagus of the patient's patient 'follows' because the inflator 13 closes the opening between the esophagus 200 and the stomach 300, so that the medicament will accumulate in the esophagus 200, and the user can further introduce the outlet 113 to pass the medicament through the drawing passage 4 Extracted from the draw 14 . Referring to the first and eighth figures, the first figure shows a plan view of an improved nasogastric f of another preferred embodiment of the present invention. As shown in the figure, a modified nasogastric tube 100 differs from the above-mentioned modified nasogastric tube in that the modified nasogastric tube 1 (8) includes the -infusion port 112, the disk-irrigation, the 'first port' = respectively The check valves 6, 7 are provided to prevent gas or liquid from flowing back. 9 M435277 In summary, the modified nasogastric tube of this creation has an inflated portion, so the inflating portion can be inflated in the stomach of the patient, so that the patient cannot remove the modified nasogastric tube by himself, thereby avoiding the patient's own self. The safety of the use is increased by the removal of the known nasal month and the stomach or esophagus, and further, since the medical staff does not need to reinstall the nasogastric staff as described in the prior art, the medical staff can be effectively reduced. The burden, and the patient is not good again - people suffer from pain when the nasogastric tube is inserted. Compared with the prior art, in order to avoid the spontaneous dislocation of the nasogastric tube, it is often necessary to stick a sticky tape on the patient's alar to fix the nasogastric tube, because the creation uses the replenishing part to fix the improved nasal and stomach. Tube, without the need to use adhesive tape to live; for this reason, this creation can effectively listen to the long-term use of the sticky stomach τ© fixed; comfortable and caused by the oppression of the nose. In practical practice, the improved nasogastric tube of this creation has a “portion” lavage channel and lavage Π. Therefore, when the esophagus of the patient ruptures, the user can also wash the sputum “physiological saline or antibiotics”. (antibiodcs) to irrigate the septic esophagus, and can add Contrast media to facilitate the subsequent operation of the enamel film, compared with the conventional technology, the patient is in the case of severe vomiting It is necessary to swallow the liquid containing "钡" before it can take X-ray film. The improved nasogastric tube of this creation is convenient. In the process of waiting for the sputum to illuminate, when there is a rupture of the esophagus, there is It may cause sputum and even the risk of bacteria breeding in other organs. At this time, you can use the spray part to lavage, and at the same time use the bow extraction part for suction or introduce a chest tube into the chest cavity. 10 M435277 SUCTION works to reduce the chance that the heart, lungs and other organs in the chest may be inflamed. However, when the patient is out of money, the user can also inject crease, smecta, tin Mix and correct biological eggs White # equivalent to achieve the purpose of hemostasis. / In addition, because the gastroesophageal reflux is a common disease, especially in Taiwan and the United States, the main reason is related to obesity, long-term gastroesophageal reflux, easy to cause esophagus The lower part of the junction with the stomach produces a degeneration. In the epithelium of the esophagus, a so-called Barreu, s epithelial lesion is produced. This Barrett's epithelial lesion is closely related to esophageal cancer, especially in the lower esophagus, according to Helsinki, Finland. Research by the Central Hospital of the University of Central Hospital pointed out that whether this Barrett's epithelial lesion causes esophageal cancer is mainly related to the degree of antioxidant resistance of each person. Therefore, according to this study, 'for Barrett's epithelial lesions, we can create an antioxidant environment. In order to reduce the possibility of lesions, therefore, the modified nasogastric tube of the present invention is used to introduce the esophagus into the stomach, and the inflated portion located in the stomach is inflated against the opening of the stomach and esophagus, and then sprayed by the spraying portion. Simple antioxidants such as Vitamin C or even more effective superoxide dismutase SO D (superoxide deoxidase) inhibitors or osteophytes | perelase (myel〇per〇xidase) inhibitors and the like 'thereby increasing the time the agent stays in the esophagus by the action of the plenum' to inhibit Barrett's epithelial lesions Evolving into esophageal adenocarcinoma 'successfully reduces the incidence of esophageal cancer. In addition, users can use this improved nasogastric tube to improve the rare disease that can not be relieved. This disease is a congenital disease, Xi 11 M43527 The known treatment method is to use the lead rod to blindly open the esophagus after the upper digestive tract endoscopy test. Because the lead rod is a cone with a fixed diameter, the esophagus can not be relaxed, not all of them. It is narrow, so the use of lead bars can be inaccurate and ineffective. However, using the improved nasal sputum of this creation, the developer (contrastmedja) can be injected first, and the liquid is attached to the esophageal mucosa, supplemented by instant x-ray photography (flu〇r〇sc〇py), which immediately squats. After grasping the narrow area, place the inflator
處後充H,使其撐開,避免食道因盲目無效㈣開而缺 乏彈性。After the H is filled, it is opened to prevent the esophagus from being blindly ineffective (4) and lacking flexibility.
長期放置鼻胃管的病人,由於胃食道交接處受到干 擾,因此極為容易產生胃食道逆流的問題,進而引起食 道潰爛。而目_解決之道是要進手術房,在肚子上打 二固洞通道胃内,再由腹壁直接灌食,並拔除原先之鼻 胃官’但此方式會使病患承受更大的痛苦,並且因開刀 風險。然而,利用本創作之改良式鼻胃管將膨脹 ==部往上拉並卡住食道和胃的交接處時,便能夠 有的減>、胃酸逆流,以及_如上述的併發症。 在胃食道逆流的治療方面,由於—般長期的胃食道 非24小時持續不斷的使食道下段-直呈現酸性 因此可利用四儀來_病患何時是酸性改變 ,再利用本創作之改良式鼻胃管對食物 小:禾打水或抑制酸驗體’或是__保 保護黏膜,預先保護食道,讓 那府:月 胃酸的_。 $要那麼酸,以減低 在—般胸腔食道財術_清洗流財,通常病人 12 M435277 · 需喝上大量的氧化㈣萄糖水溶液,以確定病人的食道 是清潔的,然而此氧化鎂葡萄糖水溶液通常無法徹底達 到無菌狀態,如要求病人以大量抗生素清洗,會造成後 段的腸常g叢的改變,反而易造成如偽難大腸炎 (PSEUDOMEMBRANOUS COLITIS)併發症的產生, 而本創作之改良式鼻月管則可利用膨脹的充氣部堵住胃 與食道的交接口,再對食道噴灑抗生素,並同時利用引 取邛抽吸出體外,即可避免抗生素流至小腸或大腸,藉 以有效的防止併發症,且在術前3〇分鐘喷灑足量後不再 抽吸’在切開食道的手術中亦具有保護之作用。 綜上所述,本創作之改良式鼻胃管的應用方式不勝 枚舉,相較於習知的鼻胃管而言,本創作的優點主要在 於: 1. 當充氣部置入胃中時,可以利用灌氣口對充氣部灌 氣’使充氣部膨脹,進而卡設於胃内,可有效避免病 患自行將改良式鼻胃管拔除。 2. 使用者可以經由灌洗口灌入藥劑,使藥劑由噴灑部喷 灌至病患的食道内。 3·當使用者直接將藥劑由口中灌入食道時,可利用膨脹 的充氣部堵住胃與食道的交接口,然後利用引取部將 藥劑引取出病患體外。其中,喷灑部與引取部可以單 獨的使用,但以互相搭配使用為佳。 4.由於灌氣口與灌洗口更可設有單向閥,因此可以避免 氣體或藥劑逆流而出。 藉由上述之本創作實施例可知,本創作確具產業上 13 M435277 之利用價值。惟以上之實施例說明’僅為本創作之較佳 實施例說明,舉凡所屬技術領域中具有通常知識者當可 依據本創作之上述實施例說明而作其它種種之改良及變 化。然而這些依據本創作實施例所作的種種改良及變 化,當仍屬於本創作之創作精神及界定之專利範圍内。 【圖式簡單說明】 第一圖係顯示本創作之改良式鼻胃管的平面示意圖; 第二圖係顯示本創作之改良式鼻胃管另一視角的平 面示意圖; 第三圖係顯示第二圖A-A段的剖面示意圖; 第四圖係顯示第二圖B-B段的剖面示意圖; 第五圖係為第四圖D部分放大之剖面示意圖; 第六圖係為第一圖OC段之剖面示意圖; 第七圖係顯示本創作之改良式鼻胃管於使用狀態時 的剖面示意圖;以及 第八圖係顯示本創作另一較佳實施例之改良式鼻胃 管的平面示意圖。 【主要元件符號說明】 100、100’ 改良式鼻胃管 200 食道 3〇〇 胃 1 彈性軟管本體 14 M435277Patients who have placed the nasogastric tube for a long time are prone to cause reflux of the gastroesophage due to interference at the gastroesophageal junction, which in turn causes ulceration of the esophagus. The goal is to enter the operating room, hit the stomach in the stomach of the two-hole channel, and then directly feed the abdominal wall, and remove the original nose and stomach officer's but this way will cause the patient to suffer more pain And because of the risk of opening a knife. However, when the modified nasogastric tube of the present invention is used to pull up the swelling == part and catch the junction of the esophagus and the stomach, it is possible to reduce >, acid reflux, and _ complications as described above. In the treatment of gastroesophageal reflux, because the long-term gastroesophageal non-24 hours continuously make the lower esophagus - straight acid, so you can use the four instruments to _ when the patient is acidic, and then use the modified nose of this creation Stomach tube is small for food: sanding water or inhibiting acid test 'or __ protect the mucous membrane, pre-protect the esophagus, let the house: _ stomach acid _. $ is so sour to reduce the thoracic esophagus in the throat _ cleansing money, usually the patient 12 M435277 · need to drink a large amount of oxidized (four) aqueous sugar solution to determine the patient's esophagus is clean, but this magnesium oxide dextrose solution It is usually not possible to completely achieve sterility. If the patient is required to wash with a large amount of antibiotics, it will cause changes in the intestines in the posterior segment, which may cause complications such as PSEUDOMEMBRANOUS COLITIS, and the improved nose of this creation. The monthly tube can use the inflated inflating part to block the interface between the stomach and the esophagus, and then spray antibiotics on the esophagus, and simultaneously use the extraction sputum to pump out of the body, thereby avoiding the antibiotics flowing to the small intestine or the large intestine, thereby effectively preventing complications. And it will not be pumped after spraying a sufficient amount 3 minutes before surgery. It also has a protective effect in the operation of incision of the esophagus. In summary, the application of the improved nasogastric tube is innumerable. Compared with the conventional nasogastric tube, the advantages of this creation are mainly: 1. When the inflated part is placed in the stomach, The inflating portion can be infused with the inflating port to inflate the inflating portion, thereby being stuck in the stomach, thereby effectively preventing the patient from removing the modified nasogastric tube by himself. 2. The user can inject the medicine through the lavage port to spray the medicine from the spray part into the esophagus of the patient. 3. When the user directly injects the medicine into the esophagus from the mouth, the expanded inflating portion can be used to block the interface between the stomach and the esophagus, and then the medicine is taken out of the patient by the extracting portion. Among them, the spray portion and the take-up portion can be used separately, but it is preferable to use them together. 4. Since the inlet port and the irrigating port can be provided with a one-way valve, it is possible to prevent the gas or the medicament from flowing backward. As can be seen from the above-described embodiments of the present invention, this creation has the use value of 13 M435277 in the industry. However, the above description of the embodiments is merely illustrative of the preferred embodiments of the present invention, and those skilled in the art can make various other modifications and changes as described in the above embodiments of the present invention. However, all of the improvements and variations made in accordance with the present embodiment are still within the scope of the creative spirit and definition of the present invention. [Simple diagram of the diagram] The first diagram shows a schematic plan view of the modified nasogastric tube of the present creation; the second diagram shows a plan view of another perspective of the modified nasogastric tube of the present creation; the third diagram shows the second diagram Figure 4 is a schematic cross-sectional view of the second section BB; the fifth drawing is a schematic cross-sectional view of the fourth section D; The seventh drawing shows a schematic cross-sectional view of the modified nasogastric tube of the present invention in use; and the eighth figure shows a plan view of the modified nasogastric tube of another preferred embodiment of the present invention. [Main component symbol description] 100, 100' modified nasogastric tube 200 esophagus 3〇〇 stomach 1 elastic hose body 14 M435277
π 111 112、112, 113 114 、 114, 12 121 13 14 15 151a、151b、151c、151d 2 3 4 5 6、Ί 入口端 主開口 灌氣口 引出口 灌洗口 出口端 開孔 充氣部 引取部 喷灑部 喷灑孔 主通道 氣體通道 引取通道 灌洗通道 單向閥π 111 112, 112, 113 114 , 114 , 12 121 13 14 15 151a , 151b , 151c , 151d 2 3 4 5 6 , 入口 inlet end main opening filling port outlet port irrigating port outlet end opening venting part take-up part spray Sprinkler spray hole main passage gas passage lead passage irrigation passage check valve
1515
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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TWI599376B (en) * | 2016-08-11 | 2017-09-21 | 劉育瑞 | Nasogastric tube and inflatable structure and manufacturing method thereof |
TWI604863B (en) * | 2016-08-23 | 2017-11-11 | Zhang-Jie Zeng | Film-type nasogastric tube |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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TWI599376B (en) * | 2016-08-11 | 2017-09-21 | 劉育瑞 | Nasogastric tube and inflatable structure and manufacturing method thereof |
TWI604863B (en) * | 2016-08-23 | 2017-11-11 | Zhang-Jie Zeng | Film-type nasogastric tube |
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