WO2011093626A2 - Catheter device for enema, and surgical method using same - Google Patents

Catheter device for enema, and surgical method using same Download PDF

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Publication number
WO2011093626A2
WO2011093626A2 PCT/KR2011/000488 KR2011000488W WO2011093626A2 WO 2011093626 A2 WO2011093626 A2 WO 2011093626A2 KR 2011000488 W KR2011000488 W KR 2011000488W WO 2011093626 A2 WO2011093626 A2 WO 2011093626A2
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WO
WIPO (PCT)
Prior art keywords
tube
enema
rectum
catheter device
balloon
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PCT/KR2011/000488
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French (fr)
Korean (ko)
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WO2011093626A3 (en
Inventor
이근호
Original Assignee
Lee Keun Ho
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Publication date
Application filed by Lee Keun Ho filed Critical Lee Keun Ho
Publication of WO2011093626A2 publication Critical patent/WO2011093626A2/en
Publication of WO2011093626A3 publication Critical patent/WO2011093626A3/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0295Cannula; Nozzles; Tips; their connection means with inflatable balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M25/007Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0102Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/027Devices for holding the cannula in position, e.g. belts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/28Clamping means for squeezing flexible tubes, e.g. roller clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0018Catheters; Hollow probes having a plug, e.g. an inflatable plug for closing catheter lumens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1052Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1064Large intestine

Definitions

  • the present invention relates to an enema catheter device and a method of using the same, and more particularly, the catheter is inserted into the rectum through the anus so that the enema solution can be effectively injected through the catheter bore diameter, and then the catheter is configured after the injection of the enema.
  • the catheter is inserted into the rectum through the anus so that the enema solution can be effectively injected through the catheter bore diameter, and then the catheter is configured after the injection of the enema.
  • the conventionally used method is to inject the enema solution into the rectum by using a syringe or the like through the anus, and the injected enema solution stays in the rectum for a predetermined time (about 30 to 50 minutes) and becomes lumpy.
  • the stool is diluted to facilitate drainage, which eventually causes the stool trapped in the rectum to drain out of the anus.
  • the conventional general enema method mentioned above causes pain because of injecting the enema solution injected during enema into the rectum using a syringe or the like, and there is a problem in that the enema solution cannot be efficiently injected deep into the rectum.
  • the enema method using a catheter is a method of inserting a catheter into the rectum through the anus and injecting an enema solution through the inner diameter of the catheter and then diluting the feces and then removing the catheter to discharge the feces to the outside.
  • the enema method using the catheter takes about 30 minutes to 50 minutes to sufficiently dilute the stool injected into the rectum, so that the injected enema fluid does not flow out of the anus during the time that the enema is applied. It is difficult to involve gauze and hand block, and because the catheter is made of flexible material to reduce pain, it is difficult to insert the catheter deep into the stooled workplace when enema. Had a problem.
  • the present invention was invented to solve the above-described problems of the prior art, the present invention is to insert the catheter into the rectum through the anus and to effectively inject the enema solution through the inner diameter of the catheter while the catheter is injected after enema Sealing the rectal inlet through the balloon configured in the enema solution and the stool diluted by the enema solution is prevented from leaking to the outside for a certain time to prevent environmental pollution due to early leakage of enema and feces and effective enema
  • An object of the present invention is to provide an enema catheter device and a method of treatment using the same.
  • the tube is introduced into the rectum, the discharge hole is formed in the predetermined portion of the tip;
  • An enema solution inlet tube configured at a rear end of the tube and in communication with the discharge hole;
  • a balloon configured at a tip predetermined portion of the tube and inflated by the injected distilled water to be in close contact with the inner wall of the rectum;
  • a microtubule communicating with the balloon and having a path formed along the inside of the tube;
  • a distilled water injection tube formed at an outer periphery of the rear end of the tube and communicating with the micro tube;
  • a support rod which is inserted into the tube and provides a support force to the tube during rectal insertion of the tube, wherein the support rod has a rod portion having a length in a longitudinal direction; It is configured at the rear end of the rod portion provides an enema catheter device consisting of a handle that can be gripped by the operator.
  • the present invention is characterized in that the rod portion is made of stainless steel having a corrosion resistance or a hard synthetic resin material and the enema liquid injection tube is provided with a clamp that can close the main tube inside the tube in a one-touch manner on the outer periphery thereof.
  • the rod portion is made of stainless steel having a corrosion resistance or a hard synthetic resin material and the enema liquid injection tube is provided with a clamp that can close the main tube inside the tube in a one-touch manner on the outer periphery thereof.
  • the clamp is a body made of a hexagonal hexahedral shape while the cutting hole is formed in each of the front and rear surfaces passing through the enema injection tube;
  • An upper / lower operation part formed to face each inside of the body and in close contact with the enema injection tube;
  • a fixed part formed on the front surface of the body and having a plurality of threads formed on an inner wall thereof;
  • the present invention includes the steps of inserting the support rod into the tube of the enema catheter; Inserting the tube into the interior of the rectum; Inflating the balloon to fix the tube in a predetermined position within the rectum; Drawing out the support rod to the outside; Injecting enema into the rectum through a tube; Manipulating the clamp to block the path behind the tube; Removing the syringe for injection of enema; After 30 to 50 minutes, shrinking the balloon; It provides a procedure using an enema catheter device comprising the step of removing the tube from the rectum of the patient.
  • Enema catheter device according to the present invention and the method using the same method is injected into the rectum through the rectum through the anus and then effectively sealed the rectal inlet through the balloon formed in the front of the catheter injected into the rectum and diluted by the enema solution
  • the tube can be easily inserted into the rectum where coagulated feces remain, resulting in efficient enema, and the clamp is configured separately to prevent the injected enema from leaking out through the tube. This has the advantage of being convenient.
  • FIG. 1 is a perspective view showing an enema catheter device according to an embodiment of the present invention
  • Figure 2 is a perspective view showing a clamp included in the enema catheter device according to an embodiment of the present invention
  • Figure 3a, 3b is a side cross-sectional view showing the operating state of the clamp included in the enema catheter device according to an embodiment of the present invention
  • Figure 4 is a flow chart showing the operation step using the enema catheter device according to an embodiment of the present invention.
  • FIG. 1 is a perspective view showing an enema catheter device according to an embodiment of the present invention
  • Figure 2 is a perspective view showing a clamp included in the enema catheter device according to an embodiment of the present invention.
  • the enema catheter device 30 is injected rectum through the rectum through the anus and seal the rectal inlet through the balloon 26 formed in front of the tube (4)
  • the enema solution injected into the enema and the feces diluted by the enema solution do not leak to the outside for a predetermined time to prevent environmental pollution due to premature leakage of the enema solution and feces, and to the outer periphery of the enema solution inlet tube 8 in a one-touch manner.
  • the enema catheter device 30 when looking at the overall form of the enema catheter device 30 according to an embodiment of the present invention, it is composed of a tube 4 made of a soft material while being configured in a long cylindrical shape, the tip of the tube (4) The end 6 is formed in the form of a warhead to facilitate insertion into the rectum, and an enema solution inlet tube 8 for injecting an enema solution is provided at the rear end of the tube 4. 8) In order to prevent the discharge of enema and foreign substances introduced into the rectum through the discharge to the outside is equipped with a clamp (40) on the outer periphery of the enema injection tube (8).
  • an outlet hole 14 through which the enema solution injected through the enema solution injection tube 8 is discharged to the inside of the rectum is formed, and the discharge hole ( At the outer circumference of the tube 4 located at the 6-8 cm rear point of 14), a balloon 26 for fixing the tube 4 at a certain position of the rectum is constituted.
  • the tube 4 is divided into a main tube (not shown) through which the enema solution passes and the micro tube 22 communicating with the balloon 26, and the back of the tube 4 injects distilled water in communication with the micro tube 22.
  • the tube 16 is configured in a branched form.
  • the microtube 22 is formed in the predetermined portion of the distilled water discharge hole 24, the distilled water discharge hole 24 is configured to communicate with the balloon (26). Therefore, the distilled water injected through the distilled water inlet tube 16 does not mix with the enema liquid injected through the enema liquid inlet tube 8 and expands the balloon 26 only through the microtubule 22 which is a separate passage. Used as a means for.
  • a check valve 18 is formed at a rear end of the enema liquid inlet tube 16, and an injection hole 20 is formed at a rear end of the check valve 18.
  • the enema catheter device 30 is inserted into the rectum first when the tube 4 made of a soft material is inserted into the rectum to give a support force to the catheter more easily.
  • a supporting rod 32 is configured to be inserted, the supporting rod 32 comprising a rod portion 34 in the form of a thin rod; It is composed of a handle 36 that is configured at the rear end of the rod 34 can be gripped by the operator.
  • the rod 34 is preferably made of stainless steel or a hard synthetic resin material having corrosion resistance.
  • the enema catheter device 30 is coupled to the outer periphery of the washing liquid injection tube 8, the inner path of the enema liquid inlet tube 8 which is in communication with the main tube in a one-touch manner It is further provided with a clamp 40 that can be closed.
  • the clamp 40 is configured to be easily manipulated even by holding a syringe (not shown) for injecting enema solution into the other hand by allowing a user to operate the opening and closing with one hand.
  • the clamp 40 is composed of a body 42 made of a hexagonal hexahedron while forming incision holes 44 and 46 through which the enema solution inlet tube 8 passes through the front / rear, respectively, the clamp. 40 is coupled to the outer periphery of the enema liquid inlet tube 8 configured at the end of the tube 4 is configured to open and close the internal path of the enema liquid inlet tube (8).
  • the clamp 40 is formed to face each inside of the body 42, the semi-circular upper and lower operating parts (48, 50) are in close contact with the outer periphery of the washing liquid injection pipe (8)
  • the fixing part 54 has a plurality of threads 56 formed on the inner wall of the body 42.
  • the clamp 40 is in close contact with the fixing portion 54 while being elevated along the fixing portion 54, the blade 58 which is fastened to the fixing portion 54 by the clamping method in the front end thereof It consists of a moving part 52 is formed.
  • Figure 3a, 3b is a side cross-sectional view showing the operating state of the clamp included in the enema catheter device according to an embodiment of the present invention.
  • the upper operation portion 48 is fixed to the inner lower surface of the body 42,
  • the moving part 52 is elevated with respect to the surface on which the upper operating part 48 is formed, and the lower operating part 50 formed on the upper surface of the moving part 52 approaches or moves away from the upper operating part 48.
  • the washing liquid injection pipe 8 in close contact with the upper operation part 48 is pressed by the lower operation part 50 upward, or release the compression.
  • the enema solution is opened to be injected and at the same time the upper operation portion 48 of the clamp 40
  • the lower operation part 50 is in close contact with the outer periphery of the enema liquid inlet tube 8.
  • Figure 4 is a flow chart showing the operation step using the enema catheter device according to an embodiment of the present invention.
  • the enema catheter device 30 first checks whether the balloon 26 is damaged, and if there is no abnormality, the support rod 32 is inserted into the tube through the enema solution 8. Push deep into the inside of (4).
  • the medical staff pushes the tube 4 into the rectum of the patient in a state of holding the tube 4 and the handle 36 of the support rod 32 by hand.
  • the distilled water injection tube 16 is connected to a syringe (not shown) containing distilled water, and press the syringe to inject distilled water 30 to 40 kPa.
  • the distilled water is introduced into the inner space of the balloon 26 through the microtubule 22 so that the balloon 26 is gradually inflated, and the balloon 26 thus expanded is in close contact with the inner wall of the rectum. Whether distilled water is sufficiently injected into the balloon 26 can be felt by the medical staff through the pressure of the syringe.
  • the medical staff can grasp the state in which the tube 4 is fixed inside the rectum, and withdraw the support rod 32 inserted into the tube 4 to the outside.
  • a syringe (not shown) containing enema solution is connected to the enema injection tube 8, and the enema solution contained therein is pressed through the inner path of the tube 4 by pressing the syringe. Push into the inside of your workplace. Then, the enema is supplied into the rectum through the discharge hole 14 formed in front of the tube 4 via the tube 4 and mixed with the feces in the intestine.
  • the medical staff When the injection of the enema solution is completed, the medical staff to operate the clamp 40 with the other hand to quickly close the internal path of the enema solution injection tube 8 to prevent the injected enema solution to flow out again.
  • the enema After 30 to 50 minutes in such a state, the enema is sufficiently acted inside the rectum, so that the stool is diluted, and the medical staff injects the syringe with a separate syringe and releases the check valve 18. The distilled water filled in the balloon 26 through the ball 20 is drawn back into the syringe.
  • the medical staff removes the tube 4 from the rectum of the patient so that the thin side can be temporarily discharged out of the anus.
  • the enema catheter device and the method of using the same according to an embodiment of the present invention is not limited to the above embodiment, but various modifications can be made within the scope without departing from the technical gist.

Abstract

The present invention relates to a catheter device for an enema, and a surgical method using the same. According to the present invention, the outflow of an enema solution injected into the rectum and feces diluted with the enema solution, are prevented for a certain period of time by effectively sealing the entrance of the rectum with a balloon formed in front of the catheter after injecting the enema solution into the rectum through the anus, thereby preventing contamination of adjacent areas due to the early outflow of the enema solution and feces. Additionally, the main tube does not bend and maintains rigidity through use of a supporting rod when inserted into the rectum, and thus the tube can be easily inserted into the rectum where impacted or dried feces remain, thereby enabling effective enema. Further, a clamp is separately formed, which blocks the outflow of the injected enema solution through the tube after the enema solution is injected, thereby providing convenient use.

Description

관장용 카테타 장치 및 그것을 이용한 시술방법Enema catheter device and treatment method using same
본 발명은 관장용 카테타 장치 및 그것을 이용한 시술방법에 관한 것으로, 더욱 상세하게는 항문을 통해 직장속에 카테타를 삽입한 후 카테타 내경을 통해 관장액을 효과적으로 주입할 수 있도록 하면서 관장액의 주입후에는 카테타에 구성된 벌룬을 통해 직장입구를 효과적으로 밀봉하여 직장내로 주입된 관장액 및 상기 관장액에 의해 묽어진 대변등이 일정시간 동안 외부로 유출되지 않도록 하여 관장액 및 대변의 조기 유출로 인한 환경오염을 방지하고 효율적인 관장이 이루어질 수 있도록 한 관장용 카테타 장치 및 그것을 이용한 시술방법에 관한 것이다.The present invention relates to an enema catheter device and a method of using the same, and more particularly, the catheter is inserted into the rectum through the anus so that the enema solution can be effectively injected through the catheter bore diameter, and then the catheter is configured after the injection of the enema. By effectively sealing the rectal entrance through the balloon, the enema solution injected into the rectum and the stool diluted by the enema solution do not leak to the outside for a certain period of time to prevent environmental pollution from premature leakage of the enema solution and feces and make an effective enema. The present invention relates to an enema catheter device and an operation method using the same.
일반적으로 수술대기 또는 수술 후 병실에 입원한 환자에게는 감염등의 우려를 배제하기 위해 관장을 실시하게 된다.Generally, patients who are admitted to the hospital waiting room or after surgery will be given an enema to rule out infections.
이렇게 관장을 실시하는 경우 종래 통상적으로 사용하는 방법은 항문을 통해 주사기등을 이용하여 직장 내부로 관장액을 주입하고 주입된 관장액은 일정시간(약 30분에서 50분 정도)동안 직장내에 머물게 되면서 덩어리진 변을 배출이 용이하도록 묽게 하여 결국, 직장내에 적체된 변이 항문 밖으로 모두 배출되도록 하게 된다.In the case of performing the enema, the conventionally used method is to inject the enema solution into the rectum by using a syringe or the like through the anus, and the injected enema solution stays in the rectum for a predetermined time (about 30 to 50 minutes) and becomes lumpy. The stool is diluted to facilitate drainage, which eventually causes the stool trapped in the rectum to drain out of the anus.
그러나 상기에서 언급한 종래의 일반적인 관장방법은 관장시 주입되는 관장액을 주사기등을 이용하여 직장내로 주입하기 때문에 통증을 유발하게 됨은 물론 직장의 깊숙한 곳까지 관장액을 효율적으로 주입하지 못하게 되는 문제가 있다.However, the conventional general enema method mentioned above causes pain because of injecting the enema solution injected during enema into the rectum using a syringe or the like, and there is a problem in that the enema solution cannot be efficiently injected deep into the rectum.
따라서 근래에는 카테타를 이용한 관장방법이 널리 적용되고 있다.Therefore, in recent years, the enema method using a catheter has been widely applied.
이러한, 카테타를 이용한 관장방법은 항문을 통해 직장속에 카테타를 삽입한 후 카테타의 내경을 통해 관장액을 주입한 후 변을 묽게 만들어진 후 카테타를 제거하여 변을 외부로 배출시키도록 하는 방법이다.The enema method using a catheter is a method of inserting a catheter into the rectum through the anus and injecting an enema solution through the inner diameter of the catheter and then diluting the feces and then removing the catheter to discharge the feces to the outside.
그러나 상기 카테타를 이용한 관장방법은 직장내로 주입된 관장액이 변을 충분하게 묽게 만들려면 대략 30분에서 50분 정도가 소요되므로 상기 관장액이 작용하는 시간 동안 주입된 관장액이 항문 밖으로 흘러내리지 못하도록 항문입구에 거즈를 대고 손으로 막아 주는 과정이 수반된다는 곤란함이 있고, 또한 카테타의 재질이 통증을 감소시키기 위해 유연한 재질로 구성되기 때문에 관장시 카테터를 숙변이 있는 직장의 깊숙한 곳까지 삽입하는 것이 곤란해 진다는 문제가 있었다.However, the enema method using the catheter takes about 30 minutes to 50 minutes to sufficiently dilute the stool injected into the rectum, so that the injected enema fluid does not flow out of the anus during the time that the enema is applied. It is difficult to involve gauze and hand block, and because the catheter is made of flexible material to reduce pain, it is difficult to insert the catheter deep into the stooled workplace when enema. Had a problem.
이에 본 발명은 상기한 종래 기술의 문제를 해결하기 위해 발명된 것으로, 본 발명은 항문을 통해 직장속에 카테타를 삽입한 후 카테타의 내경을 통해 관장액을 효과적으로 주입할 수 있도록 하면서 관장액의 주입후에는 카테타에 구성된 벌룬을 통해 직장입구를 밀봉하여 직장내로 주입된 관장액 및 상기 관장액에 의해 묽어진 대변이 일정시간 동안 외부로 유출되지 않도록 하여 관장액 및 대변의 조기 유출로 인한 환경오염을 방지하고 효율적인 관장이 실시될 수 있도록 한 관장용 카테타 장치 및 그것을 이용한 시술방법을 제공함에 그 목적이 있다. Accordingly, the present invention was invented to solve the above-described problems of the prior art, the present invention is to insert the catheter into the rectum through the anus and to effectively inject the enema solution through the inner diameter of the catheter while the catheter is injected after enema Sealing the rectal inlet through the balloon configured in the enema solution and the stool diluted by the enema solution is prevented from leaking to the outside for a certain time to prevent environmental pollution due to early leakage of enema and feces and effective enema An object of the present invention is to provide an enema catheter device and a method of treatment using the same.
상기한 목적을 달성하기 위해, 본 발명의 바람직한 실시예에 따르면 직장 내부로 유입되며, 그 선단 소정부에 배출공이 형성된 튜브와; 그 튜브의 후단부에 구성되며 배출공과 연통된 관장액 투입관과; 상기 튜브의 선단 소정부에 구성되고 주입된 증류수에 의해 팽창되어 직장 내벽에 밀착되는 벌룬과; 벌룬과 연통되어 튜브 내부를 따라 경로가 형성된 미세관과; 상기 튜브의 후단부 외주연에 형성되고 미세관과 연통된 증류수 주입관과; 상기 튜브의 내부에 삽입되면서 튜브의 직장 삽입시 튜브에 지지력을 부여하는 지지용 로드를 포함하되, 상기 지지용 로드는 장 방향의 길이를 갖는 로드부와; 그 로드부의 후단에 구성되어 시술자가 파지할 수 있는 손잡이로 구성된 관장용 카테타 장치를 제공한다.In order to achieve the above object, according to a preferred embodiment of the present invention, the tube is introduced into the rectum, the discharge hole is formed in the predetermined portion of the tip; An enema solution inlet tube configured at a rear end of the tube and in communication with the discharge hole; A balloon configured at a tip predetermined portion of the tube and inflated by the injected distilled water to be in close contact with the inner wall of the rectum; A microtubule communicating with the balloon and having a path formed along the inside of the tube; A distilled water injection tube formed at an outer periphery of the rear end of the tube and communicating with the micro tube; A support rod which is inserted into the tube and provides a support force to the tube during rectal insertion of the tube, wherein the support rod has a rod portion having a length in a longitudinal direction; It is configured at the rear end of the rod portion provides an enema catheter device consisting of a handle that can be gripped by the operator.
아울러, 본 발명은 상기 로드부는 내부식성을 갖는 스테인레스 재질이거나 경질의 합성 수지재질인 것을 특징으로 하고 상기 관장액 투입관은 그 외주연에 원터치 방식으로 튜브 내부의 메인관을 폐쇄시킬 수 있는 클램프를 구비한 관장용 카테타 장치를 제공한다.In addition, the present invention is characterized in that the rod portion is made of stainless steel having a corrosion resistance or a hard synthetic resin material and the enema liquid injection tube is provided with a clamp that can close the main tube inside the tube in a one-touch manner on the outer periphery thereof. Provide an enema catheter device.
또한, 본 발명은 상기 클램프는 전후면에 각각 관장액 투입관이 통과하는 절개공이 형성되면서 육각면체 형상으로 이루어진 몸체와; 상기 몸체의 내부에 각각 마주보게 형성되면서 상기 관장액 투입관과 밀착되는 상/하부 작동부와; 상기 몸체의 전면에 구성되며 그 내벽에 다수개의 나사산이 형성된 고정부와; 상기 고정부에 밀착되면서 그 고정부를 따라 승강되고, 그 전단에 상기 고정부에 억지 끼움 방식으로 체결되는 블레이드가 형성되는 이동부로 이루어진 관장용 카테타 장치를 제공한다.In addition, the clamp is a body made of a hexagonal hexahedral shape while the cutting hole is formed in each of the front and rear surfaces passing through the enema injection tube; An upper / lower operation part formed to face each inside of the body and in close contact with the enema injection tube; A fixed part formed on the front surface of the body and having a plurality of threads formed on an inner wall thereof; Provides an enema catheter device made up of a moving part which is in close contact with the fixing part is moved up and down along the fixing part, the blade is formed in the front end of the fixing part is fastened to the fixing method.
아울러, 본 발명은 관장용 카테타의 튜브 내부로 지지용 로드를 삽입하는 단계와; 튜브를 직장의 내부로 삽입하는 단계와; 벌룬을 팽창시켜 튜브를 직장 내부의 일정위치에 고정시키는 단계와; 상기 지지용 로드를 외부로 인출하는 단계와; 튜브를 통해 직장 내부로 관장액을 주입하는 단계와; 클램프를 조작하여 튜브 후단의 경로를 차단하는 단계와; 관장액 주입용 주사기를 제거하는 단계와; 30 내지 50분 경과 후, 벌룬을 수축시키는 단계와; 환자의 직장으로부터 튜브를 제거하는 단계로 이루어진 것을 특징으로 하는 관장용 카테타 장치를 이용한 시술방법을 제공한다.In addition, the present invention includes the steps of inserting the support rod into the tube of the enema catheter; Inserting the tube into the interior of the rectum; Inflating the balloon to fix the tube in a predetermined position within the rectum; Drawing out the support rod to the outside; Injecting enema into the rectum through a tube; Manipulating the clamp to block the path behind the tube; Removing the syringe for injection of enema; After 30 to 50 minutes, shrinking the balloon; It provides a procedure using an enema catheter device comprising the step of removing the tube from the rectum of the patient.
본 발명에 따른 관장용 카테타 장치 및 그것을 이용한 시술방법은 항문을 통해 직장속에 관장액을 주입한 후 카테타의 전방에 구성된 벌룬을 통해 직장입구를 효과적으로 밀봉함으로써 직장내로 주입된 관장액 및 상기 관장액에 의해 묽어진 대변이 일정시간 동안 외부로 유출되지 않도록 하여 관장액 및 대변의 조기 유출로 인한 환경오염을 방지함과 아울러, 지지용 로드를 적용하여 직장으로의 튜브 삽입시 튜브가 휘지 않고 직선형태를 유지하므로 숙변이나 응고된 대변이 잔존하는 직장 내부에 튜브를 용이하게 삽입할 수 있어 효율적인 관장이 이루어지며, 아울러 클램프가 별도로 구성되어 관장액의 주입 후 주입된 관장액이 튜브를 통해 외부로 유출되는 것을 차단할 수 있어 그 사용이 편리하다는 장점이 있다.Enema catheter device according to the present invention and the method using the same method is injected into the rectum through the rectum through the anus and then effectively sealed the rectal inlet through the balloon formed in the front of the catheter injected into the rectum and diluted by the enema solution Prevents feces from leaking to the outside for a certain period of time to prevent environmental pollution due to premature leakage of enema and feces, and applies a support rod to keep the tube straight without inserting it into the rectum. The tube can be easily inserted into the rectum where coagulated feces remain, resulting in efficient enema, and the clamp is configured separately to prevent the injected enema from leaking out through the tube. This has the advantage of being convenient.
도 1은 본 발명의 일실시예에 따른 관장용 카테타 장치를 도시한 사시도,1 is a perspective view showing an enema catheter device according to an embodiment of the present invention,
도 2는 본 발명의 일실시예에 따른 관장용 카테타 장치에 포함된 클램프를 도시한 사시도,Figure 2 is a perspective view showing a clamp included in the enema catheter device according to an embodiment of the present invention,
도 3a, 3b는 본 발명의 일실시예에 따른 관장용 카테타 장치에 포함된 클램프의 동작상태를 도시한 측 단면도,Figure 3a, 3b is a side cross-sectional view showing the operating state of the clamp included in the enema catheter device according to an embodiment of the present invention,
도 4는 본 발명의 일실시예에 따른 관장용 카테타 장치를 이용한 시술단계를 도시한 흐름도이다.Figure 4 is a flow chart showing the operation step using the enema catheter device according to an embodiment of the present invention.
* 부호의 설명* Explanation of the sign
4:튜브, 6:단부,4: tube, 6: end,
8:관장액 투입관, 8: enema injection tube,
14:배출공, 16:증류수 주입관,14: outlet, 16: distilled water inlet tube,
18:체크밸브, 22:미세관,18: check valve, 22: micro tube,
24:증류수 배출공, 26:벌룬,24: distilled water outlet, 26: balloon,
32:지지용 로드, 34:로드부,32: support rod, 34: rod portion,
36:손잡이, 38:선단부,36: A handle, 38: A tip,
40:클램프, 44,46:절개공,40: clamp, 44, 46: incision,
48:상부작동부, 50:하부작동부,48: upper operation part, 50: lower operation part,
52:이동부, 56:나사산,52: moving part, 56: screw thread,
58:블레이드58: blade
이하, 본 발명에 대해 도면을 참조하여 상세하게 설명한다.EMBODIMENT OF THE INVENTION Hereinafter, this invention is demonstrated in detail with reference to drawings.
도 1은 본 발명의 일실시예에 따른 관장용 카테타 장치를 도시한 사시도이고, 도 2는 본 발명의 일실시예에 따른 관장용 카테타 장치에 포함된 클램프를 도시한 사시도이다.1 is a perspective view showing an enema catheter device according to an embodiment of the present invention, Figure 2 is a perspective view showing a clamp included in the enema catheter device according to an embodiment of the present invention.
이를 참조하면, 본 발명의 일실시예에 따른 관장용 카테타 장치(30)는 항문을 통해 직장속에 관장액을 주입한 후 튜브(4)의 전방에 구성된 벌룬(26)을 통해 직장입구를 밀봉함으로써 직장내로 주입된 관장액 및 상기 관장액에 의해 묽어진 대변이 일정시간 동안 외부로 유출되지 않아 관장액 및 대변의 조기 유출로 인한 환경오염을 방지함과 아울러, 관장액 투입관(8)의 외주연에 원터치 방식으로 신속하게 경로를 차단할 수 있는 클램프(40)를 장착하여 관장액과 이물질이 역류하는 것을 방지하고, 튜브(4)의 내부에 삽입되는 지지용 로드(32)에 의해 튜브(4)를 직장 내부로 빠르고 안전하게 삽입할 수 있도록 한 장치이며, 이를 이용한 시술방법에 대해서 기술하도록 한다.Referring to this, the enema catheter device 30 according to an embodiment of the present invention is injected rectum through the rectum through the anus and seal the rectal inlet through the balloon 26 formed in front of the tube (4) The enema solution injected into the enema and the feces diluted by the enema solution do not leak to the outside for a predetermined time to prevent environmental pollution due to premature leakage of the enema solution and feces, and to the outer periphery of the enema solution inlet tube 8 in a one-touch manner. Equipped with a clamp 40 that can block the path quickly to prevent backflow of enema and foreign matter, and fasten the tube 4 into the rectum by a support rod 32 inserted into the tube 4. It is a device that can be safely inserted, and the procedure using the same will be described.
우선, 본 발명의 일실시예에 따른 관장용 카테타 장치(30)의 그 전체적인 형태를 보면, 이는 원통형으로 길게 구성되면서 연질의 재질로 이루어진 튜브(4)가 구성되고, 그 튜브(4)의 선단은 탄두 형태로 이루어져 직장으로의 삽입이 원활하게 되는 단부(6)가 형성되어져 있으며, 튜브(4)의 후단에는 관장액을 투입하기 위한 관장액 투입관(8)이 마련되어져 있으며, 그 관장액 투입관(8)을 통해 직장으로 유입된 관장액과 이물질이 역류하여 외부로 배출되는 것을 방지하기 위해 관장액 투입관(8)의 외주연에 클램프(40)를 장착한다.First, when looking at the overall form of the enema catheter device 30 according to an embodiment of the present invention, it is composed of a tube 4 made of a soft material while being configured in a long cylindrical shape, the tip of the tube (4) The end 6 is formed in the form of a warhead to facilitate insertion into the rectum, and an enema solution inlet tube 8 for injecting an enema solution is provided at the rear end of the tube 4. 8) In order to prevent the discharge of enema and foreign substances introduced into the rectum through the discharge to the outside is equipped with a clamp (40) on the outer periphery of the enema injection tube (8).
또한, 튜브(4)의 선단부 근처 외주연 소정부에는 상기 관장액 주입관(8)을 통해 주입된 관장액이 직장의 내부로 배출될 수 있게 하는 배출공(14)이 형성되어져 있으며, 그 배출공(14)의 6 - 8cm 후방 지점에 위치된 튜브(4)의 외주연에는 직장의 일정 위치에 튜브(4)를 고정시키기 위한 벌룬(26)이 구성된다.In addition, at a predetermined portion of the outer periphery near the distal end of the tube 4, an outlet hole 14 through which the enema solution injected through the enema solution injection tube 8 is discharged to the inside of the rectum is formed, and the discharge hole ( At the outer circumference of the tube 4 located at the 6-8 cm rear point of 14), a balloon 26 for fixing the tube 4 at a certain position of the rectum is constituted.
튜브(4)는 관장액이 지나는 메인관(미도시)과 상기 벌룬(26)과 연통되는 미세관(22)으로 구분되며, 튜브(4)의 후방에는 상기 미세관(22)과 연통되는 증류수 주입관(16)이 분기되는 형태로 구성된다.The tube 4 is divided into a main tube (not shown) through which the enema solution passes and the micro tube 22 communicating with the balloon 26, and the back of the tube 4 injects distilled water in communication with the micro tube 22. The tube 16 is configured in a branched form.
상기 미세관(22)은 그 소정부에 증류수 배출공(24)이 형성되는 바, 그 증류수 배출공(24)은 상기 벌룬(26)과 연통되어진 구성이다. 따라서, 상기 증류수 주입관(16)을 통해 주입된 증류수는 관장액 투입관(8)을 통해 주입되는 관장액과는 섞이지 않고 별개의 통로인 미세관(22)을 통해 오로지 상기 벌룬(26)을 팽창시키기 위한 수단으로 사용된다.The microtube 22 is formed in the predetermined portion of the distilled water discharge hole 24, the distilled water discharge hole 24 is configured to communicate with the balloon (26). Therefore, the distilled water injected through the distilled water inlet tube 16 does not mix with the enema liquid injected through the enema liquid inlet tube 8 and expands the balloon 26 only through the microtubule 22 which is a separate passage. Used as a means for.
또한, 상기 관장액 투입관(16)의 후단부에는 체크밸브(18)가 구성되고, 그 체크밸브(18)의 후단에는 주입공(20)이 형성되어져 있다.In addition, a check valve 18 is formed at a rear end of the enema liquid inlet tube 16, and an injection hole 20 is formed at a rear end of the check valve 18.
*한편, 본 발명의 일실시예에 따른 관장용 카테타 장치(30)는 연질의 재료로 구성되는 튜브(4)가 직장으로 삽입될 때 그 내부에 먼저 삽입되어 지지력을 부여함으로써 보다 용이하게 카테터가 삽입되도록 한 지지용 로드(32)가 구성되는데, 그 지지용 로드(32)는 얇은 봉 형태의 로드부(34)와; 그 로드부(34)의 후단에 구성되어 시술자가 파지할 수 있는 손잡이(36)로 이루어진다.On the other hand, the enema catheter device 30 according to an embodiment of the present invention is inserted into the rectum first when the tube 4 made of a soft material is inserted into the rectum to give a support force to the catheter more easily. A supporting rod 32 is configured to be inserted, the supporting rod 32 comprising a rod portion 34 in the form of a thin rod; It is composed of a handle 36 that is configured at the rear end of the rod 34 can be gripped by the operator.
바람직하게, 상기 로드부(34)는 내 부식성을 갖는 스테인레스 재질이거나 경질의 합성 수지재질로 구성되는 것이 바람직하다.Preferably, the rod 34 is preferably made of stainless steel or a hard synthetic resin material having corrosion resistance.
아울러, 본 발명의 일실시예에 따른 관장용 카테타 장치(30)는 상기 세척액 주입관(8)의 외주연에 결합되어, 원터치 방식으로 메인관과 연통되는 관장액 투입관(8)의 내부 경로를 폐쇄시킬 수 있는 클램프(40)를 더 구비한다.In addition, the enema catheter device 30 according to an embodiment of the present invention is coupled to the outer periphery of the washing liquid injection tube 8, the inner path of the enema liquid inlet tube 8 which is in communication with the main tube in a one-touch manner It is further provided with a clamp 40 that can be closed.
상기 클램프(40)는 사용자가 한손으로 개폐를 조작할 수 있게 함으로써, 다른 한 손에 관장액을 주입하기 위한 주사기(미도시)를 파지한 상태에서도 쉽게 조작 가능하도록 구성된다.The clamp 40 is configured to be easily manipulated even by holding a syringe (not shown) for injecting enema solution into the other hand by allowing a user to operate the opening and closing with one hand.
보다 상세하게, 상기 클램프(40)는 전/후면에 각각 관장액 투입관(8)이 통과하는 절개공(44,46)이 형성되면서 육각면체 형상으로 이루어진 몸체(42)로 구성되는 바, 상기 클램프(40)는 튜브(4)의 끝단에 구성된 관장액 투입관(8)의 외주연에 결합되어 관장액 투입관(8)의 내부 경로를 개폐시킬 수 있게 구성된다.In more detail, the clamp 40 is composed of a body 42 made of a hexagonal hexahedron while forming incision holes 44 and 46 through which the enema solution inlet tube 8 passes through the front / rear, respectively, the clamp. 40 is coupled to the outer periphery of the enema liquid inlet tube 8 configured at the end of the tube 4 is configured to open and close the internal path of the enema liquid inlet tube (8).
또한, 상기 클램프(40)는 상기 몸체(42)의 내부에 각각 마주보게 형성되면서 상기 세척액 주입관(8)의 외주연에 밀착되는 반원형태의 상/하부 작동부(48,50)가 구성되고, 상기 몸체(42)의 전면에 구성되면서 그 내벽에 다수개의 나사산(56)이 형성된 고정부(54)가 구성된다.In addition, the clamp 40 is formed to face each inside of the body 42, the semi-circular upper and lower operating parts (48, 50) are in close contact with the outer periphery of the washing liquid injection pipe (8) The fixing part 54 has a plurality of threads 56 formed on the inner wall of the body 42.
*또한, 상기 클램프(40)는 상기 고정부(54)에 밀착되면서 그 고정부(54)를 따라 승강되고, 그 전단에 상기 고정부(54)에 억지 끼움 방식으로 체결되는 블레이드(58)가 형성되는 이동부(52)로 이루어진다.In addition, the clamp 40 is in close contact with the fixing portion 54 while being elevated along the fixing portion 54, the blade 58 which is fastened to the fixing portion 54 by the clamping method in the front end thereof It consists of a moving part 52 is formed.
도 3a, 3b는 본 발명의 일실시예에 따른 관장용 카테타 장치에 포함된 클램프의 동작상태를 도시한 측 단면도이다.Figure 3a, 3b is a side cross-sectional view showing the operating state of the clamp included in the enema catheter device according to an embodiment of the present invention.
먼저, 본 발명의 일실시예에 따른 관장용 카테타 장치(30)에 적용된 클램프(40)의 동작상태를 살펴보면, 상기 상부 작동부(48)는 몸체(42)의 내부 하면에 고정되어 있으며, 상기 이동부(52)는 그 상부 작동부(48)가 형성된 면에 대해 승강되면서 그 이동부(52) 상면에 형성된 하부 작동부(50)가 상부 작동부(48)에 대해 접근하거나 멀어지게 된다. 이를 통해 상기 상부 작동부(48)에 밀착된 세척액 주입관(8)을 상기 하부 작동부(50)가 상방으로 압착하거나, 압착을 해제하게 된다.First, looking at the operating state of the clamp 40 applied to the enema catheter device 30 according to an embodiment of the present invention, the upper operation portion 48 is fixed to the inner lower surface of the body 42, The moving part 52 is elevated with respect to the surface on which the upper operating part 48 is formed, and the lower operating part 50 formed on the upper surface of the moving part 52 approaches or moves away from the upper operating part 48. Through this, the washing liquid injection pipe 8 in close contact with the upper operation part 48 is pressed by the lower operation part 50 upward, or release the compression.
그러면, 상기 관장액 투입관(8)의 내부 경로가 개폐되게 된다.Then, the internal path of the enema injection tube 8 is opened and closed.
보다 상세하게, 상기 관장액 투입관(8)의 내부 경로가 개방된 상태라면 도 3a에 도시된 바와 같이, 관장액이 주입될 수 있도록 개방되어져 있으면서 동시에 상기 클램프(40)의 상부 작동부(48)와 하부 작동부(50)가 그 관장액 투입관(8)의 외주연에 밀착되어 있다.In more detail, if the internal path of the enema injection tube 8 is open, as shown in FIG. 3A, the enema solution is opened to be injected and at the same time the upper operation portion 48 of the clamp 40 The lower operation part 50 is in close contact with the outer periphery of the enema liquid inlet tube 8.
그 상태에서, 상기 하부작동부(50)가 상방으로 이동될 때에는 도 3b에 도시된 바와 같이 상기 블레이드(58)가 억지 끼움 방식으로 상기 각각의 나사산(56)을 타고 넘으면서 체결되게 된다. 이때, 상기 이동부(52)에 대한 가압력을 제거하게 되면 상기 블레이드(58)는 이동중인 나사산(56)의 어느 한 위치에 고정되어 고정상태를 유지하면서 상기 광장액 투입관(8)의 경로를 폐쇄시키게 된다.In this state, when the lower operation part 50 is moved upward, as shown in FIG. 3B, the blade 58 is fastened while riding over each of the threads 56 in an interference fit manner. At this time, when the pressing force on the moving part 52 is removed, the blade 58 is fixed at any position of the moving thread 56 and maintains a fixed state, thereby maintaining the path of the square liquid inlet pipe 8. It is closed.
상기와 같이 구성된 본 발명의 일 실시예에 따른 관장용 카테타 장치를 이용한 시술과정에 대해 첨부된 도면을 참조하여 상세하게 설명한다. With reference to the accompanying drawings for the procedure using the enema catheter device according to an embodiment of the present invention configured as described above will be described in detail.
도 4는 본 발명의 일실시예에 따른 관장용 카테타 장치를 이용한 시술단계를 도시한 흐름도이다.Figure 4 is a flow chart showing the operation step using the enema catheter device according to an embodiment of the present invention.
먼저, 본 발명의 일실시예에 따른 관장용 카테타 장치(30)는 우선 상기 벌룬(26)의 손상 여부를 살펴본 후 이상이 없으면 상기 지지용 로드(32)를 관장액 투입과(8)을 통해 튜브(4)의 내부로 깊숙이 밀어넣는다.First, the enema catheter device 30 according to an embodiment of the present invention first checks whether the balloon 26 is damaged, and if there is no abnormality, the support rod 32 is inserted into the tube through the enema solution 8. Push deep into the inside of (4).
튜브(4)의 내부공간으로 삽입된 상기 지지용 로드(32)의 선단부(38)가 상기 튜브(4)의 단부(6)에 닿게 되면, 의료진은 튜브(4)의 단부(6)에 젤리를 도포하고 상기 튜브(4)를 환자의 항문을 통해 넣고 튜브(4)를 직장 내부로 삽입한다.When the tip portion 38 of the support rod 32 inserted into the inner space of the tube 4 touches the end 6 of the tube 4, the clinician jelly at the end 6 of the tube 4. Is applied and the tube 4 is inserted through the anus of the patient and the tube 4 is inserted into the rectum.
이때, 의료진은 튜브(4)와 상기 지지용 로드(32)의 손잡이(36)를 손으로 파지한 상태에서 환자의 직장으로 튜브(4)를 밀어넣는다.At this time, the medical staff pushes the tube 4 into the rectum of the patient in a state of holding the tube 4 and the handle 36 of the support rod 32 by hand.
튜브(4)의 삽입이 완료되면, 상기 증류수 주입관(16)에 증류수가 담겨진 주사기(미도시)를 연결하고, 상기 주사기를 눌러 증류수를 30 내지 40 ㏄ 주입한다.When the insertion of the tube 4 is completed, the distilled water injection tube 16 is connected to a syringe (not shown) containing distilled water, and press the syringe to inject distilled water 30 to 40 kPa.
그러면, 그 증류수는 미세관(22)을 통해 상기 벌룬(26)의 내부공간으로 유입되어 벌룬(26)이 서서히 팽창되고 이렇게 팽창된 벌룬(26)은 직장의 내벽에 밀착된다. 증류수가 벌룬(26)에 충분히 주입되었는 지는 주사기의 압력을 통해 의료진이 느낄 수 있다.Then, the distilled water is introduced into the inner space of the balloon 26 through the microtubule 22 so that the balloon 26 is gradually inflated, and the balloon 26 thus expanded is in close contact with the inner wall of the rectum. Whether distilled water is sufficiently injected into the balloon 26 can be felt by the medical staff through the pressure of the syringe.
그 상태에서, 의료진은 상기 튜브(4)가 직장의 내부에 고정된 상태를 파악할 수 있으므로 상기 튜브(4)의 내부에 삽입된 지지용 로드(32)를 외부로 인출한다.In this state, the medical staff can grasp the state in which the tube 4 is fixed inside the rectum, and withdraw the support rod 32 inserted into the tube 4 to the outside.
지지용 로드(32)가 인출되면, 상기 관장액 투입관(8)에 관장액을 수용한 주사기(미도시함)를 연결하고, 주사기를 가압함으로써 내부에 수용된 관장액을 튜브(4)의 내부 경로를 통해 직장의 내부로 밀어넣는다. 그러면, 관장액은 상기 튜브(4)를 경유하여 튜브(4)의 전방에 형성된 상기 배출공(14)을 통해 직장의 내부로 공급되어 장 속의 대변과 섞이게 된다.When the support rod 32 is withdrawn, a syringe (not shown) containing enema solution is connected to the enema injection tube 8, and the enema solution contained therein is pressed through the inner path of the tube 4 by pressing the syringe. Push into the inside of your workplace. Then, the enema is supplied into the rectum through the discharge hole 14 formed in front of the tube 4 via the tube 4 and mixed with the feces in the intestine.
관장액의 주입이 완료되게 되면, 의료진은 상기 클램프(40)를 다른 한손으로 조작하여 신속하게 상기 관장액 투입관(8)의 내부 경로를 폐쇄시킴으로서 주입된 관장액이 외부로 다시 유출되는 것을 방지하게 된다. When the injection of the enema solution is completed, the medical staff to operate the clamp 40 with the other hand to quickly close the internal path of the enema solution injection tube 8 to prevent the injected enema solution to flow out again.
그런 다음, 의료진은 상기 관장액 투입관(8)에 연결된 주사기를 제거한다.The clinician then removes the syringe connected to the enema injection tube (8).
그런 상태에서 30 내지 50분이 경과되면 관장액이 직장의 내부에서 충분히 작용하여 변이 묽어진 상태가 되므로, 의료진은 상기 증류수 주입관(16)에 별도의 주사기를 연결하고 체크밸브(18)를 해제시키면서 주입공(20)을 통해 벌룬(26)에 채워진 증류수를 다시 주사기 내부로 빼낸다.After 30 to 50 minutes in such a state, the enema is sufficiently acted inside the rectum, so that the stool is diluted, and the medical staff injects the syringe with a separate syringe and releases the check valve 18. The distilled water filled in the balloon 26 through the ball 20 is drawn back into the syringe.
그러면 상기 벌룬(26)이 원상태로 수축되고 벌룬(26)의 수축이 완료되면 의료진은 환자의 직장으로부터 튜브(4)를 제거하여 묽어진 변이 일시적으로 항문 밖으로 모두 배출될 수 있도록 한다.Then, when the balloon 26 is retracted in its original state and the contraction of the balloon 26 is completed, the medical staff removes the tube 4 from the rectum of the patient so that the thin side can be temporarily discharged out of the anus.
한편, 본 발명의 실시예에 따른 관장용 카테타 장치 및 그것을 이용한 시술방법은 단지 상기한 실시예에 한정되는 것이 아니라 그 기술적 요지를 이탈하지 않는 범위내에서 다양한 변경이 가능하다.On the other hand, the enema catheter device and the method of using the same according to an embodiment of the present invention is not limited to the above embodiment, but various modifications can be made within the scope without departing from the technical gist.

Claims (5)

  1. 직장 내부로 유입되며, 그 선단 소정부에 배출공이 형성된 튜브와; 그 튜브의 후단부에 구성되며 배출공과 연통된 관장액 투입관과; 상기 튜브의 선단 소정부에 구성되고 주입된 증류수에 의해 팽창되어 직장 내벽에 밀착되는 벌룬과; 벌룬과 연통되어 튜브 내부를 따라 경로가 형성된 미세관과; 상기 튜브의 후단부 외주연에 형성되고 미세관과 연통된 증류수 주입관과; 상기 튜브의 내부에 삽입되면서 튜브의 직장 삽입시 튜브에 지지력을 부여하는 지지용 로드를 포함하되, 상기 지지용 로드는 장 방향의 길이를 갖는 로드부와; 그 로드부의 후단에 구성되어 시술자가 파지할 수 있는 손잡이로 구성된 것을 특징으로 하는 관장용 카테타 장치.A tube which is introduced into the rectum and has a discharge hole formed at a predetermined end portion thereof; An enema solution inlet tube configured at a rear end of the tube and in communication with the discharge hole; A balloon configured at a tip predetermined portion of the tube and inflated by the injected distilled water to be in close contact with the inner wall of the rectum; A microtubule communicating with the balloon and having a path formed along the inside of the tube; A distilled water injection tube formed at an outer periphery of the rear end of the tube and communicating with the micro tube; A support rod which is inserted into the tube and provides a support force to the tube during rectal insertion of the tube, wherein the support rod has a rod portion having a length in a longitudinal direction; An enema catheter device, characterized in that the handle is configured on the rear end of the rod portion can be gripped by the operator.
  2. 제 1항에 있어서, 상기 로드부는 내부식성을 갖는 스테인레스 재질이거나 경질의 합성 수지재질인 것을 특징으로 하는 관장용 카테타 장치.The enema catheter device according to claim 1, wherein the rod part is made of stainless steel or hard synthetic resin having corrosion resistance.
  3. 제 1항에 있어서, 상기 관장액 투입관은 그 외주연에 원터치 방식으로 튜브 내부의 메인관을 폐쇄시킬 수 있는 클램프를 더 구비한 것을 특징으로 하는 관장용 카테타 장치.The enema catheter device according to claim 1, wherein the enema solution inlet tube further includes a clamp capable of closing the main tube inside the tube in a one-touch manner at its outer circumference.
  4. 제 2항에 있어서, 상기 클램프는 전후면에 각각 관장액 투입관이 통과하는 절개공이 형성되며, 육각면체 형상으로 이루어진 몸체와;According to claim 2, The clamp is formed in each of the incision hole through which the enema liquid injection tube passes through the front and rear, and the body consisting of a hexagonal body;
    상기 몸체의 내부에 각각 마주보게 형성되면서 상기 관장액 투입관과 밀착되는 상/하부 작동부와;An upper / lower operating part formed to face each inside of the body and in close contact with the enema injection tube;
    상기 몸체의 전면에 구성되며 그 내벽에 다수개의 나사산이 형성된 고정부와;A fixed part formed on the front surface of the body and having a plurality of threads formed on an inner wall thereof;
    상기 고정부에 밀착되면서 그 고정부를 따라 승강되고, 그 전단에 상기 고정부에 억지 끼움 방식으로 체결되는 블레이드가 형성되는 이동부로 이루어진 것을 특징으로 하는 관장용 카테타 장치.Enema catheter device, characterized in that made up of the moving portion is in close contact with the fixed portion is moved up and down along the fixed portion, the blade is fastened to the fixed portion in the front end of the fixed portion.
  5. 관장용 카테타의 튜브 내부로 지지용 로드를 삽입하는 단계와;Inserting a support rod into the tube of the enema catheter;
    튜브를 직장의 내부로 삽입하는 단계와;Inserting the tube into the interior of the rectum;
    벌룬을 팽창시켜 튜브를 직장 내부의 일정위치에 고정시키는 단계와;Inflating the balloon to fix the tube in a predetermined position within the rectum;
    상기 지지용 로드를 외부로 인출하는 단계와;Drawing out the support rod to the outside;
    튜브를 통해 직장 내부로 관장액을 주입하는 단계와;Injecting enema into the rectum through a tube;
    클램프를 조작하여 튜브 후단의 경로를 차단하는 단계와;Manipulating the clamp to block the path behind the tube;
    관장액 주입용 주사기를 제거하는 단계와;Removing the syringe for injection of enema;
    30 내지 50분 경과 후, 벌룬을 수축시키는 단계와;After 30 to 50 minutes, shrinking the balloon;
    환자의 직장으로부터 튜브를 제거하는 단계로 이루어진 것을 특징으로 하는 관장용 카테타 장치를 이용한 시술방법.Method of using an enema catheter device, characterized in that the step of removing the tube from the rectum of the patient.
PCT/KR2011/000488 2010-01-28 2011-01-24 Catheter device for enema, and surgical method using same WO2011093626A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020100007735A KR101142684B1 (en) 2010-01-28 2010-01-28 Rectal balloon catheter and medical treatment method of the same
KR10-2010-0007735 2010-01-28

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WO2011093626A2 true WO2011093626A2 (en) 2011-08-04
WO2011093626A3 WO2011093626A3 (en) 2012-01-05

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
KR102472097B1 (en) * 2022-06-20 2022-11-30 주식회사 지엘 enema to induce defecation

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Publication number Priority date Publication date Assignee Title
CN114042231B (en) * 2021-12-18 2024-03-29 江西圣丹康医学科技有限公司 Balloon expansion type anti-drop rectal catheter

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KR20030003496A (en) * 2001-07-03 2003-01-10 김기웅 Safe balloon foley catheter
JP2008178456A (en) * 2007-01-23 2008-08-07 Hakko Co Ltd Physical access port

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US6743195B2 (en) * 2001-03-14 2004-06-01 Cardiodex Balloon method and apparatus for vascular closure following arterial catheterization
JP5390982B2 (en) 2009-08-06 2014-01-15 ホリスター・インコーポレイテッド Improved colostomy device

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KR20030003496A (en) * 2001-07-03 2003-01-10 김기웅 Safe balloon foley catheter
JP2008178456A (en) * 2007-01-23 2008-08-07 Hakko Co Ltd Physical access port

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102472097B1 (en) * 2022-06-20 2022-11-30 주식회사 지엘 enema to induce defecation

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