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CN105640783A - Jejunum tube and operation method thereof - Google Patents

Jejunum tube and operation method thereof Download PDF

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Publication number
CN105640783A
CN105640783A CN201610102411.0A CN201610102411A CN105640783A CN 105640783 A CN105640783 A CN 105640783A CN 201610102411 A CN201610102411 A CN 201610102411A CN 105640783 A CN105640783 A CN 105640783A
Authority
CN
China
Prior art keywords
air bag
patient
jejunum
gastric pouch
body passage
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201610102411.0A
Other languages
Chinese (zh)
Inventor
黄志平
廖赵云
邱峰
张俊锋
潘微微
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201610102411.0A priority Critical patent/CN105640783A/en
Publication of CN105640783A publication Critical patent/CN105640783A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0003Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/003Means for fixing the tube inside the body, e.g. balloons, retaining means
    • A61J15/0034Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
    • A61J15/0038Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters expandable, e.g. umbrella type
    • A61J15/0042Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters expandable, e.g. umbrella type inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/0069Tubes feeding directly to the intestines, e.g. to the jejunum
    • 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
    • A61M25/1002Balloon catheters characterised by balloon shape
    • 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
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • 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
    • A61M2210/106Small intestine

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

The invention discloses a jejunum tube. The jejunum tube comprises a tube body and further comprises an air bag and an air bag communicating pipe; the two ends of the air bag communicating pipe are both provided with an opening, one opening is located in the air bag, and the other opening is located outside the body of a patient; the shape of the air bag in the filling state is matched with the space of a gastric pouch; the air bag comprises an air bag front end which is matched with the pylorus end of the gastric pouch; the front end of the tube body is fixed to the front end of the air bag in a sliding mode in the radial direction. The jejunum tube has the advantages that the jejunum tube can fast and accurately pass through the pylorus, and the discomfort of the patient is relieved.

Description

A kind of jejunum pipe and operational approach thereof
Technical field
The present invention relates to a kind of medical apparatus and instruments, specifically a kind of jejunum pipe, and operational approach.
Background technology
The upper digestive tract such as esophagus, stomach region occurs that disease needs operation, can cause taking food. clinical way is to adopt jejunum pipe to insert jejunum pipe from mouth or nose, the front end of jejunum pipe sequentially passes through throat, esophagus, cardia, stomach, pylorus, duodenum, until small intestinal, the open rearward end of jejunum pipe in vitro, then passes through jejunum pipe and spoon meat or medicine is delivered to small intestinal. traditional jejunum pipe pushes the Personal Skills of process heavy dependence operator, and jejunum pipe easily slips, and success rate is low. Chinese patent literature CN201091690Y, disclose on July 30th, 2008 and " easily insert and send, anti-slip jejunum pipe ", it includes conduit, it is characterized in that the rear end of described conduit connects to be connected with one end of front hand grip, the front end Guan Bi of conduit, described front end tube wall has nutritional solution tap hole, the front end tube wall of described nutritional solution tap hole adnexa also has the through hole installing antislip ring, antislip ring is through described through hole and stretches out outside tube wall, antislip ring is arranged in the part of conduit and is connected with the one end strengthening steel wire, the other end strengthening steel wire is connected through conduit with one end with back handle after front hand grip. this technical scheme mainly solves jejunum pipe in enteral orientation problem. and in the process inserting jejunum pipe in the patient, the front end of pipe is pushed accurately by stomach into pylorus be a committed step. the inner space of stomach is to turn to again the irregularly shaped of side from top to bottom, only a small amount of tympanites when food is full. the inner space of relative pylorus and stomach is big many, when jejunum pipe front end is when gastric, is difficult to accurately search out the position of pylorus, generally requires the trial of repeatedly exploration, and efficiency is non-normally low, and success rate is not high yet, and patient's sense of discomfort is strong, is unfavorable for quick diagnosis and treatment. even if adopting very worthy import alignment system to assist, the raising of success rate is also fairly limited, and the expense of patient expenditure is greatly increased.
Summary of the invention
The technical issues that need to address of the present invention are, existing jejunum pipe is low through the accuracy of pylorus, thus providing a kind of jejunum pipe and operational approach thereof that can pass pylorus fast and accurately.
In order to realize goal of the invention one, the present invention adopts the following technical scheme that a kind of jejunum pipe, including body, also includes air bag and air bag communicating pipe; The two ends of air bag communicating pipe opening respectively is external with patient in air bag; It is adaptive with the space of gastric pouch that air bag is in the shape of expanded state; Air bag includes air bag front end, and air bag front end is adaptive with gastric pouch pylorus end; The front end of described body is slidably fixed on air bag front end diametrically.
The gastric pouch of human body is the structure of a hollow, pylorus is only the opening aperture in coat of the stomach front end, long and narrow jejunum pipe body front end is after being entered gastric pouch smoothly by cardia, it is difficult to fast searching to pylorus, reason is that jejunum pipe body front end is freely in gastric pouch, lacks positioning and guiding and directs it to position accurately.For this, the technical program devises air bag, by the body of jejunum pipe pipe can be radially movable be fixed on air bag front end, then air bag is imported in patient's gastric pouch together with body. Air bag with link together air bag communicating pipe, can be external to press-in gas in air bag patient, air bag is propped up in patient's gastric pouch as balloon. Press-in gas be the bladder shape of expanded state and the gastric pouch space of size all adaptation patients so that patient's coat of the stomach is close in the lateral wall of air bag. Now the body front end of jejunum pipe loses freely movable space because gastric pouch is fully supported by air bag, and being only capable of the constraint direction along gastric pouch and air bag forwards moves, thus being exactly into pylorus, until duodenum, small intestinal. Treat that jejunum pipe arrives specific bit smoothly and postpones, if necessary in gastric retention balloon, or gas can be drained, will take out after air bag volume compression. The gas of perfusion recommends the air of 37 DEG C in air bag, it is possible to well improve the sensation of patient, and use air can force value in more effective adjustment air bag, better the shape in adaptive patient's gastric pouch, reduces the sensation of falling inflation. Air bag except connect air bag communicating pipe opening except, need to keep seal, surface needs good fineness, material can select medical silica-gel or other there is elastic material safe to the human body.
As preferably, described air bag also includes air bag rear end, and air bag rear end is adaptive with the cardiac end of gastric pouch; The middle part of described body is slidably fixed on air bag cardiac end diametrically. In this programme, the rear end of air bag is designed to the cardiac end shape adaptation with gastric pouch, when air bag is in expanded state, it is possible to realize location, maintaining the stability of air bag in gastric pouch. Put before this, the cardiac end of air bag will be fixed in the middle part of body, it is possible to move freely amount body in the middle part of is greatly decreased, make operator can better control the direction of advance of body, accelerate body front end and accurately enter the speed of pylorus, improve accuracy.
As preferably, described air bag front end is provided with the depressed area, front end caved inward, and described air bag rear end is provided with the depressed area, rear end caved inward. In order to avoid or reduce air bag full after the extruding that the soft tissues such as Stomach in Patients capsule inner wall are caused of the bossing of front-end and back-end, eliminate or alleviate the sense of discomfort of patient, the front-end and back-end of air bag are all devised inside depressed area by this programme. Meanwhile, depressed area, front end also makes air bag have better compatibility with the setting of depressed area, rear end.
As preferably, the internal run-through of described air bag be provided with body passage; The one end open of body passage is in air bag front end, and the other end is opened on air bag rear end; Described body is located in body passage. This programme devises a through passage in air bag, and this passage is adaptive with pipe diameter. When left, body front end is imbedded in air bag and sends in patient's gastric pouch, it is to avoid the body stimulation to esophagus, gastric wall mucosa, decreases the sense of discomfort of patient. After air bag is completely into patient's gastric pouch, after in air bag, perfusion gas makes it full, smoothly body is pushed forward further along body passage. Owing to the front opening of body passage is just at the pylorus end of gastric pouch, pylorus can be entered accurately from the front end of the body of body passage release, farthest improve propelling movement success rate.
As preferably, the internal run-through of described air bag be provided with body passage; The one end open of body passage is in depressed area, front end, and the other end is opened on depressed area, rear end;Described body is located in body passage. When air bag is provided with depressed area, front end with depressed area, rear end, body passage passes preferably from these two depressed areas, it is possible under guaranteeing the precondition accurately passing pylorus, improve the sense of discomfort of patient to greatest extent.
As preferably, described body passage is provided with, in the position of corresponding air bag front end, the barrier film that can be disclosed the transversal body passage worn by body front end. In order to avoid air bag stretches out from body passage in the process middle tube body front end sending into patient's gastric pouch, cause that body front end bends, cannot accurately enter pylorus, this programme is provided with the barrier film of a transversal body passage in the front end of the body passage of air bag, be used for the freely radially reach of the body in body passage is implemented necessary blocking, and when air bag push put in place and irrigate full after, then front ejector sleeve body of can exerting oneself slightly, the front end making body is disclosed and is worn barrier film, enters pylorus.
In order to realize goal of the invention two, the present invention adopts the following technical scheme that the operational approach of a kind of jejunum pipe, comprises the steps:
One, air bag is fully warmed-up to 37 DEG C;
Two, outside air bag, it is coated with lubricating fluid, downward for air bag front end is sent into gastric pouch by patient oral cavity, notices that the upper end of retention balloon communicating pipe and body is external in patient;
Three, pass through slowly and air bag communicating pipe in air bag, irrigate the air of 37 DEG C, the position of perfusion limit, limit fine setting air bag, completely full to air bag, and laminating completely adaptive with the gastric pouch of patient;
Four, keep the expanded state of air bag, forwards push body, until body front end is through patient's pylorus, arrive small intestinal.
Owing to air bag is when expanded state, fully fits with the gastric pouch of patient, eliminate the space that may result in body slidably so that body is only capable of the pylorus of the direction traverse patient along air bag front end, enters small intestinal.
In sum, the invention has the beneficial effects as follows: jejunum pipe can pass pylorus fast and accurately, improves the sense of discomfort of patient.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention.
Wherein: 1 body, 2 air bags, 3 air bag communicating pipes, 4 gastric pouch, 5 cardia, 6 pyloruses, 21 air bag front ends, 22 air bag rear ends, 23 body passages, 211 depressed areas, front end, 221 depressed areas, rear end, 213 barrier films.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention will be further described with detailed description of the invention.
A kind of jejunum pipe of embodiment, is provided with body 1, air bag 2 and air bag communicating pipe 3 as shown in Figure 1. Air bag is a hollow capsule, only has an opening, communicated air bags communicating pipe, and it can be made by air bag communicating pipe to fill to the intrinsic pressure gas injection body of air bag. Gastric pouch 4 shape adaptation of the shape of the air bag filled and human body, air bag front end 21 is positioned at pylorus 6 place of gastric pouch, it is provided with the depressed area, front end 211 caved inward herein, air bag rear end 22 is positioned at cardia 5 place of gastric pouch, the junction being herein provided with the depressed area, rear end 221 caved inward, air bag communicating pipe and air bag is positioned at air bag rear end. The inside of air bag is provided with body passage 23, the diameter of body passage is adaptive with the diameter of body, by the through depressed area, rear end to air bag rear end, the depressed area, front end of air bag front end, wherein in the body passage at air bag front end place, it is additionally provided with barrier film 231, the transversal body passage of barrier film, can be disclosed by the front end of body and wear. The leading portion of body and stage casing are just placed in body passage. Body and air bag all adopt medical silica-gel material to make, and any surface finish lubricates.
The intubation of a kind of jejunum pipe of the present embodiment comprises the steps:
One, air bag is fully warmed-up to 37 DEG C, with applicable patient temperature, reduces patient's sense of discomfort;
Two, outside air bag, it is coated with lubricating fluid, keeps lubrication fully, downward for air bag front end is sent into gastric pouch by patient oral cavity, notices that the upper end of retention balloon communicating pipe and body is external in patient;
Three, pass through slowly and air bag communicating pipe in air bag, irrigate the air of 37 DEG C, the position of perfusion limit, limit fine setting air bag, completely full to air bag, and laminating completely adaptive with the gastric pouch of patient;
Four, keep the expanded state of air bag, forwards push body, make body front end disclose wear barrier film after continue to move ahead, until body front end is through patient's pylorus, arrive small intestinal.
Use the jejunum pipe of the present invention, it is possible to efficiently quickly introduction pipe body front end enters pylorus, decreases the dependence to operator's technical ability experience, improve operating efficiency, accelerate treatment progress, alleviate the sense of discomfort of patient, reduce cost of medical service, be worth popularization in the field of business.

Claims (7)

1. a jejunum pipe, including body (1), is characterized in that, also includes air bag (2) and air bag communicating pipe (3); The two ends of air bag communicating pipe opening respectively is external with patient in air bag; It is adaptive with the space of gastric pouch (4) that air bag is in the shape of expanded state; Air bag includes air bag front end (21), and air bag front end is adaptive with the pylorus end of gastric pouch; The front end of described body is slidably fixed on air bag front end diametrically.
2. a kind of jejunum pipe according to claim 1, is characterized in that, described air bag also includes air bag rear end (22), and air bag rear end is adaptive with the cardiac end of gastric pouch; The middle part of described body is slidably fixed on air bag cardiac end diametrically.
3. a kind of jejunum pipe according to claim 2, is characterized in that, described air bag front end is provided with the depressed area, front end (211) caved inward, and described air bag rear end is provided with the depressed area, rear end (221) caved inward.
4. a kind of jejunum pipe according to claim 2, is characterized in that, the internal run-through of described air bag be provided with body passage (23); The one end open of body passage is in air bag front end, and the other end is opened on air bag rear end; Described body is located in body passage.
5. a kind of jejunum pipe according to claim 3, is characterized in that, the internal run-through of described air bag be provided with body passage; The one end open of body passage is in depressed area, front end, and the other end is opened on depressed area, rear end; Described body is located in body passage.
6. a kind of jejunum pipe according to claim 4 or 5, is characterized in that, described body passage is provided with, in the position of corresponding air bag front end, the barrier film (231) that can be disclosed the transversal body passage worn by body front end.
7. an operational approach for jejunum pipe as claimed in claim 1, is characterized in that, comprise the steps:
One, air bag is fully warmed-up to 37 DEG C;
Two, outside air bag, it is coated with lubricating fluid, downward for air bag front end is sent into gastric pouch by patient oral cavity, notices that the upper end of retention balloon communicating pipe and body is external in patient;
Three, pass through slowly and air bag communicating pipe in air bag, irrigate the air of 37 DEG C, the position of perfusion limit, limit fine setting air bag, completely full to air bag, and laminating completely adaptive with the gastric pouch of patient;
Four, keep the expanded state of air bag, forwards push body, until body front end is through patient's pylorus, arrive small intestinal.
CN201610102411.0A 2016-02-24 2016-02-24 Jejunum tube and operation method thereof Pending CN105640783A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610102411.0A CN105640783A (en) 2016-02-24 2016-02-24 Jejunum tube and operation method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610102411.0A CN105640783A (en) 2016-02-24 2016-02-24 Jejunum tube and operation method thereof

Publications (1)

Publication Number Publication Date
CN105640783A true CN105640783A (en) 2016-06-08

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Family Applications (1)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107929083A (en) * 2017-12-08 2018-04-20 孟静 A kind of jejunal nutrient canal
CN111671654A (en) * 2020-06-03 2020-09-18 中国人民解放军西部战区总医院 Free formula intranasal jejunum pipe

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5401241A (en) * 1992-05-07 1995-03-28 Inamed Development Co. Duodenal intubation catheter
CN2477144Y (en) * 2001-05-18 2002-02-20 陈传桐 Volvulus of stomach repositor
CN202044577U (en) * 2011-04-26 2011-11-23 魏君正 Infusion tube with disposable built-in conduction valve
CN202342115U (en) * 2011-12-16 2012-07-25 郝习 Hemostatic balloon for esophageal and gastric variceal bleeding
CN205549039U (en) * 2016-02-24 2016-09-07 黄志平 Jejunum pipe

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5401241A (en) * 1992-05-07 1995-03-28 Inamed Development Co. Duodenal intubation catheter
CN2477144Y (en) * 2001-05-18 2002-02-20 陈传桐 Volvulus of stomach repositor
CN202044577U (en) * 2011-04-26 2011-11-23 魏君正 Infusion tube with disposable built-in conduction valve
CN202342115U (en) * 2011-12-16 2012-07-25 郝习 Hemostatic balloon for esophageal and gastric variceal bleeding
CN205549039U (en) * 2016-02-24 2016-09-07 黄志平 Jejunum pipe

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107929083A (en) * 2017-12-08 2018-04-20 孟静 A kind of jejunal nutrient canal
CN111671654A (en) * 2020-06-03 2020-09-18 中国人民解放军西部战区总医院 Free formula intranasal jejunum pipe
CN111671654B (en) * 2020-06-03 2022-09-06 中国人民解放军西部战区总医院 Free formula intranasal jejunum pipe

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Application publication date: 20160608

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