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CN206867442U - A kind of ventriculus bilocularis jejunal nutrient canal applied in operation - Google Patents

A kind of ventriculus bilocularis jejunal nutrient canal applied in operation Download PDF

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CN206867442U
CN206867442U CN201720007652.7U CN201720007652U CN206867442U CN 206867442 U CN206867442 U CN 206867442U CN 201720007652 U CN201720007652 U CN 201720007652U CN 206867442 U CN206867442 U CN 206867442U
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nutrition
nutrition tube
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薛磊
黄可南
赵学维
孙光远
常银涛
王明东
金煜翔
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Second Affiliated Hospital Of Second Military Medical University
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Abstract

本实用新型提供了一种手术中应用的双腔胃空肠营养管,其特征在于,包括营养管,营养管的外侧设有胃管壁,营养管与胃管壁之间形成外腔,营养管内部形成内腔,外腔的前端与胃管连通,营养管的末端从胃管壁中露出并与引导小球连接,营养管的末端设有营养管侧孔。本实用新型的手术中应用的双腔胃空肠营养管通过营养管与胃管分别与内腔、外腔相通,以此达到营养注入和胃肠减压冲洗的目的。本实用新型将三腔更改为双腔,间接增加了肠内营养管腔直径,将肠内营养末端设计为引导小球,方便术中手术医师抓取,同时增加营养管侧孔的大小和数量,减少管口堵塞几率,充分达到营养注入、抽吸和冲洗胃肠潴留物的目的,更加适合手术中使用。

The utility model provides a double-cavity gastrojejunum nutrition tube used in operation, which is characterized in that it comprises a nutrition tube, a stomach tube wall is arranged on the outside of the nutrition tube, an outer cavity is formed between the nutrition tube and the stomach tube wall, and the nutrition tube An inner cavity is formed inside, the front end of the outer cavity communicates with the stomach tube, the end of the nutrition tube is exposed from the wall of the stomach tube and connected with the guide ball, and the end of the nutrition tube is provided with a side hole of the nutrition tube. The double-cavity gastrojejunum nutrition tube used in the operation of the utility model communicates with the inner cavity and the outer cavity through the nutrition tube and the gastric tube respectively, so as to achieve the purpose of nutrient injection and gastrointestinal decompression flushing. The utility model changes the three-chamber into a double-chamber, indirectly increases the diameter of the enteral nutrition tube, and designs the end of the enteral nutrition as a guiding ball, which is convenient for the surgeon to grasp during the operation, and at the same time increases the size and quantity of the side holes of the nutrition tube , reduce the chance of nozzle blockage, fully achieve the purpose of nutrient injection, suction and flushing of gastrointestinal retention, and are more suitable for use in surgery.

Description

一种手术中应用的双腔胃空肠营养管A double-lumen gastrojejunal nutrition tube used in surgery

技术领域technical field

本实用新型涉及医疗器械技术领域,具体地说是用于食管、胃、肠等消化道器官手术后提供胃肠减压及肠内营养的医用耗材。The utility model relates to the technical field of medical devices, in particular to medical consumables for providing gastrointestinal decompression and enteral nutrition after operations on esophagus, stomach, intestines and other digestive tract organs.

背景技术Background technique

近年来随着医学技术的不断发展,尤其是快速康复外科(enhanced recoveryafter surgery,ERAS)理念兴起,对患者营养支持的要求越来越完善。肠内营养以经济、实用、简易、全面、符合人体生理功能等多方面因素而受到广泛重视,尤其是在食管、胃、肠等消化道器官围手术期患者中的应用极为重要。In recent years, with the continuous development of medical technology, especially the rise of the concept of enhanced recovery after surgery (ERAS), the requirements for nutritional support of patients are becoming more and more perfect. Enteral nutrition has been widely valued for its economy, practicality, simplicity, comprehensiveness, and compliance with human physiological functions. It is especially important for perioperative patients with digestive organs such as the esophagus, stomach, and intestines.

目前国内外常用的围手术期肠内营养使用方法为在手术中将食管与胃、食管与肠、胃与肠进行吻合完毕之后,麻醉师协助将鼻空肠营养管、三腔营养管等经鼻孔插入营养管,手术医师再徒手将到达食管腔、胃腔、肠腔的营养管顺利送入指定肠腔。这个过程中的技术难点在于手术医师手动将营养管送入指定肠内。At present, the commonly used method of perioperative enteral nutrition at home and abroad is that after the esophagus and stomach, esophagus and intestine, and stomach and intestine are anastomosed during the operation, the anesthetist assists the nasojejunal nutrition tube and three-lumen nutrition tube through the nostrils. After inserting the nutrition tube, the surgeon will smoothly send the nutrition tube reaching the esophageal cavity, gastric cavity, and intestinal cavity into the designated intestinal cavity by hand. The technical difficulty in this process is that the surgeon manually sends the nutrition tube into the designated intestine.

传统的鼻空肠营养管无负压吸引作用,不能满足临床应用需求,而目前临床应用较为广泛的三腔营养管主要特点是将负压吸引、冲洗引流、肠内营养三个路径做成一体式,但是这样的结构在临床应用过程存在许多缺陷,首先临床使用过程基本上不需要冲洗引流这条通道,完全可以使用负压引流这条通道自冲洗就可以达到冲洗引流的效果,这样的设计无形中就减少了其他两个重要管腔的直径,影响肠内营养效果,另外肠内营养这条管腔较细,且营养管的管头无膨大,所以需要非常有经验的外科医生去执行该操作,因为手辅助营养管通过幽门或者类似结构时较难感觉营养管,增加了抓持难度,尤其是在胸腹腔镜手术时切口较少,操作尤为困难。The traditional nasojejunal nutrition tube has no negative pressure suction effect and cannot meet the needs of clinical application. The main feature of the currently widely used three-lumen nutrition tube is that it integrates the three paths of negative pressure suction, irrigation and drainage, and enteral nutrition. , but such a structure has many defects in the clinical application process. First of all, the channel of flushing and drainage is basically not needed in the process of clinical use. It is completely possible to use the channel of negative pressure drainage to achieve the effect of flushing and drainage by self-rinsing. This design is invisible In addition, the diameter of the other two important lumens is reduced, which affects the effect of enteral nutrition. In addition, the lumen of enteral nutrition is relatively thin, and the head of the nutrition tube is not enlarged, so a very experienced surgeon is required to perform this procedure. Operation, because it is difficult to feel the nutrition tube when the hand assists the nutrition tube through the pylorus or similar structures, which increases the difficulty of grasping, especially in thoraco-laparoscopic surgery with fewer incisions, so the operation is particularly difficult.

发明内容Contents of the invention

本实用新型的目的是提供一种手术中应用的双腔胃空肠营养管,将三腔更改为双腔,增加了肠内营养管腔直径,将肠内营养末端设计为膨大隆起形状,方便术中手术医师抓取。The purpose of this utility model is to provide a double-cavity gastrojejunal nutrition tube used in surgery. The three-cavity is changed into a double-cavity, the diameter of the enteral nutrition tube is increased, and the end of the enteral nutrition is designed as an enlarged and raised shape, which is convenient for surgery. Surgeon grabbing.

为了达到上述目的,本实用新型提供了一种手术中应用的双腔胃空肠营养管,其特征在于,包括营养管,营养管的外侧设有胃管壁,营养管与胃管壁之间形成外腔,营养管内部形成内腔,外腔的前端与胃管连通,营养管的末端从胃管壁中露出并与引导小球连接,营养管的末端设有营养管侧孔。In order to achieve the above purpose, the utility model provides a double-cavity gastrojejunal nutrition tube used in surgery, which is characterized in that it includes a nutrition tube, the outside of the nutrition tube is provided with a stomach tube wall, and a tube wall is formed between the nutrition tube and the stomach tube wall. The external cavity, the inner cavity is formed inside the nutrition tube, the front end of the external cavity communicates with the stomach tube, the end of the nutrition tube is exposed from the wall of the stomach tube and connected with the guide ball, and the end of the nutrition tube is provided with a side hole of the nutrition tube.

优选地,所述的营养管和胃管的前端分别设有营养管帽和胃管帽。Preferably, the front ends of the nutrition tube and the stomach tube are respectively provided with a nutrition tube cap and a stomach tube cap.

优选地,所述的胃管壁中下部分设有负压引流侧孔。Preferably, the lower part of the gastric tube wall is provided with negative pressure drainage side holes.

更优选地,所述的负压引流侧孔的直径为3-5mm,个数为6-8。More preferably, the diameter of the negative pressure drainage side holes is 3-5mm, and the number is 6-8.

优选地,所述的营养管的长度为110cm-130cm,胃管壁的长度为50-70cm。Preferably, the length of the nutrition tube is 110cm-130cm, and the length of the gastric tube wall is 50-70cm.

优选地,所述的外腔和内腔为同心结构。Preferably, the outer cavity and the inner cavity are concentric structures.

优选地,所述的引导小球为圆锤形,最大直径为4-6mm。Preferably, the guide ball is in the shape of a round hammer with a maximum diameter of 4-6mm.

优选地,所述的胃管壁的外直径为0.8-1cm,内直径为0.4-0.6cm,所述的营养管的外直径为0.4-0.6cm,内直径为0.3-0.5cm。Preferably, the outer diameter of the gastric tube wall is 0.8-1 cm, and the inner diameter is 0.4-0.6 cm, and the outer diameter of the nutrition tube is 0.4-0.6 cm, and the inner diameter is 0.3-0.5 cm.

优选地,所述的营养管侧孔的直径为3-5mm,个数为6-8。Preferably, the diameter of the side hole of the nutrition tube is 3-5mm, and the number is 6-8.

与现有技术相比,本实用新型的有益效果是:Compared with the prior art, the beneficial effects of the utility model are:

本实用新型的手术中应用的双腔胃空肠营养管通过营养管与胃管分别与内腔、外腔相通,以此达到营养注入和胃肠减压冲洗的目的。本实用新型将三腔更改为双腔,间接增加了肠内营养管腔直径,将肠内营养末端设计为引导小球,方便术中手术医师抓取,同时增加营养管侧孔的大小和数量,减少管口堵塞几率,充分达到营养注入、抽吸和冲洗胃肠潴留物的目的,更加适合手术中使用。The double-cavity gastrojejunum nutrition tube used in the operation of the utility model communicates with the inner cavity and the outer cavity through the nutrition tube and the gastric tube respectively, so as to achieve the purpose of nutrient injection and gastrointestinal decompression flushing. The utility model changes the three-chamber into a double-chamber, indirectly increases the diameter of the enteral nutrition tube, and designs the end of the enteral nutrition as a guiding ball, which is convenient for the surgeon to grasp during the operation, and at the same time increases the size and quantity of the side holes of the nutrition tube , reduce the chance of nozzle blockage, fully achieve the purpose of nutrient injection, suction and flushing of gastrointestinal retention, and are more suitable for use in surgery.

附图说明Description of drawings

图1为手术中应用的双腔胃空肠营养管结构示意图;Figure 1 is a schematic diagram of the structure of a double-cavity gastrojejunal nutrition tube used in the operation;

图2为手术中应用的双腔胃空肠营养管的剖面结构示意图。Fig. 2 is a schematic cross-sectional structure diagram of a double-lumen gastrojejunal nutrition tube used in the operation.

具体实施方式detailed description

下面结合具体实施例,进一步阐述本实用新型。应理解,这些实施例仅用于说明本实用新型而不用于限制本实用新型的范围。此外应理解,在阅读了本实用新型讲授的内容之后,本领域技术人员可以对本实用新型作各种改动或修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。Below in conjunction with specific embodiment, further set forth the utility model. It should be understood that these embodiments are only used to illustrate the present utility model and are not intended to limit the scope of the present utility model. In addition, it should be understood that after reading the content taught by the utility model, those skilled in the art can make various changes or modifications to the utility model, and these equivalent forms also fall within the scope defined by the appended claims of the application.

实施例Example

如图1所示,本实施例的手术中应用的双腔胃空肠营养管包括营养管8,营养管8的外侧设有胃管壁3,营养管8与胃管壁3之间形成外腔9,营养管8内部形成内腔10,外腔9和内腔10为同心结构。外腔9的前端与胃管5连通,营养管8的末端从胃管壁3中露出并与引导小球7连接,引导小球7为圆锤形,最大直径为5mm,便于术中触摸定位,更容易通过幽门。营养管8的末端设有均匀分布的营养管侧孔6。As shown in Figure 1, the double-cavity gastrojejunal nutrition tube used in the operation of this embodiment includes a nutrition tube 8, the outside of the nutrition tube 8 is provided with a stomach tube wall 3, and an external cavity is formed between the nutrition tube 8 and the stomach tube wall 3 9. An inner cavity 10 is formed inside the nutrition tube 8, and the outer cavity 9 and the inner cavity 10 are concentric structures. The front end of the external cavity 9 communicates with the stomach tube 5, and the end of the nutrition tube 8 is exposed from the stomach tube wall 3 and connected with the guide ball 7, which is hammer-shaped and has a maximum diameter of 5 mm, which is convenient for palpation and positioning during the operation , easier to pass through the pylorus. The end of the nutrition tube 8 is provided with evenly distributed nutrition tube side holes 6 .

所述的胃管壁3的外直径为0.9cm,内直径为0.5cm,营养管8的外直径为0.5cm,内直径为0.4cm。营养管8的长度为120cm,胃管壁3的长度为60cm。所述的胃管壁3中下三分之一部分设有均匀分布的负压引流侧孔4。负压引流侧孔4的直径为4mm,个数为7。营养管侧孔6的直径为4mm,个数为7。The outer diameter of the gastric tube wall 3 is 0.9 cm, the inner diameter is 0.5 cm, the outer diameter of the nutrition tube 8 is 0.5 cm, and the inner diameter is 0.4 cm. The length of the nutrition tube 8 is 120cm, and the length of the stomach tube wall 3 is 60cm. The lower third part of the gastric tube wall 3 is provided with evenly distributed negative pressure drainage side holes 4 . The diameter of the negative pressure drainage side hole 4 is 4mm, and the number is 7. The diameter of the side hole 6 of the nutrition tube is 4mm, and the number is 7.

所述的营养管8和胃管5的前端分别设有营养管帽1和胃管帽2。在营养管8及胃管5不用时,可密封管腔,防止污染及胃肠液流出。The front ends of the nutrition tube 8 and the stomach tube 5 are provided with a nutrition tube cap 1 and a stomach tube cap 2 respectively. When the nutrition tube 8 and the gastric tube 5 are not in use, the lumen can be sealed to prevent pollution and gastrointestinal fluid from flowing out.

使用时,胃液自负压引流侧孔4处进入外腔9,通过胃管帽2连接负压吸引装置引出。营养液通过营养管帽1进入营养管8通过营养管侧孔6进入肠腔。During use, gastric juice enters the outer cavity 9 from the negative pressure drainage side hole 4, and is drawn out through the gastric tube cap 2 connected with a negative pressure suction device. The nutrient solution enters the nutrition tube 8 through the nutrition tube cap 1 and enters the intestinal cavity through the side hole 6 of the nutrition tube.

本实用新型适用于消化道手术尤其是食管癌手术中胃空肠负压营养管的置入,将三腔改为两腔,在不减少功能使用的情况下增加空肠营养管管径,避免营养液堵管,其装置中的引导小球7,直径增加到5mm,增加术中的引导营养管的置入,增加术中可控性,缩短手术时间,提高治疗效率。The utility model is suitable for the insertion of gastric jejunum negative pressure nutrition tube in digestive tract operation, especially in esophageal cancer operation. It changes the three chambers into two chambers, increases the diameter of the jejunum nutrition tube without reducing the use of functions, and avoids nutrient solution. For tube plugging, the diameter of the guide ball 7 in the device is increased to 5mm, which increases the insertion of the guiding nutrition tube during the operation, increases the controllability during the operation, shortens the operation time, and improves the treatment efficiency.

所述的营养管8与胃管壁3采用硅胶材料,硅橡胶具有良好的生物相容性,对人体组织无刺激性、无毒性、无过敏反应、机体排异反应极少;具有良好的理化特性,与体液以及组织接触过程中能保持其原有的弹性和柔软度,不被降解,是一种相当稳定的惰性物质。能耐高温,可消毒,X线透视下可见,加工成型方便,使用方便。The nutrition tube 8 and the gastric tube wall 3 are made of silica gel material, which has good biocompatibility, is non-irritating, non-toxic, non-allergic to human tissues, and has very little rejection by the body; it has good physical and chemical properties. It is a fairly stable inert substance that can maintain its original elasticity and softness in the process of contacting with body fluids and tissues without being degraded. High temperature resistant, sterilizable, visible under X-ray perspective, easy to process and shape, and easy to use.

Claims (9)

1.一种手术中应用的双腔胃空肠营养管,其特征在于,包括营养管(8),营养管(8)的外侧设有胃管壁(3),营养管(8)与胃管壁(3)之间形成外腔(9),营养管(8)内部形成内腔(10),外腔(9)的前端与胃管(5)连通,营养管(8)的末端从胃管壁(3)中露出并与引导小球(7)连接,营养管(8)的末端设有营养管侧孔(6)。1. a double-cavity gastrojejunal nutrition tube used in an operation, characterized in that it comprises a nutrition tube (8), the outside of the nutrition tube (8) is provided with a stomach tube wall (3), and the nutrition tube (8) and the stomach tube An outer cavity (9) is formed between the walls (3), and an inner cavity (10) is formed inside the nutrition tube (8). The tube wall (3) is exposed and connected with the guide ball (7), and the end of the nutrition tube (8) is provided with a nutrition tube side hole (6). 2.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的营养管(8)和胃管(5)的前端分别设有营养管帽(1)和胃管帽(2)。2. The double-cavity gastrojejunal nutrition tube applied in the operation as claimed in claim 1, wherein the front ends of the nutrition tube (8) and the gastric tube (5) are respectively provided with a nutrition tube cap (1) and a tube cap (1). Gastric tube cap (2). 3.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的胃管壁(3)中下部分设有负压引流侧孔(4)。3. The double-cavity gastrojejunal nutrition tube used in operation according to claim 1, characterized in that, the lower part of the gastric tube wall (3) is provided with negative pressure drainage side holes (4). 4.如权利要求3所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的负压引流侧孔(4)的直径为3-5mm,个数为6-8。4. The double-cavity gastrojejunal nutrition tube used in operation according to claim 3, characterized in that, the diameter of the negative pressure drainage side holes (4) is 3-5mm, and the number is 6-8. 5.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的营养管(8)的长度为110cm-130cm,胃管壁(3)的长度为50-70cm。5. The double-cavity gastrojejunal nutrition tube applied in the operation as claimed in claim 1, characterized in that, the length of the nutrition tube (8) is 110cm-130cm, and the length of the gastric tube wall (3) is 50-130cm. 70cm. 6.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的外腔(9)和内腔(10)为同心结构。6. The double-lumen gastrojejunal nutrition tube used in operation according to claim 1, characterized in that, the outer cavity (9) and the inner cavity (10) are concentric structures. 7.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的引导小球(7)为圆锤形,最大直径为4-6mm。7. The double-cavity gastrojejunal nutrition tube used in operation according to claim 1, characterized in that, the guide ball (7) is in the shape of a round hammer with a maximum diameter of 4-6mm. 8.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的胃管壁(3)的外直径为0.8-1cm,内直径为0.4-0.6cm,所述的营养管(8)的外直径为0.4-0.6cm,内直径为0.3-0.5cm。8. The double-cavity gastrojejunal nutrition tube applied in the operation as claimed in claim 1, wherein the outer diameter of the stomach tube wall (3) is 0.8-1 cm, and the inner diameter is 0.4-0.6 cm, so The outer diameter of the nutrition tube (8) is 0.4-0.6cm, and the inner diameter is 0.3-0.5cm. 9.如权利要求1所述的手术中应用的双腔胃空肠营养管,其特征在于,所述的营养管侧孔(6)的直径为3-5mm,个数为6-8。9. The double-cavity gastrojejunal nutrition tube used in operation according to claim 1, characterized in that, the diameter of the side hole (6) of the nutrition tube is 3-5 mm, and the number is 6-8.
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110812247A (en) * 2019-12-16 2020-02-21 内江市第一人民医院 Multifunctional gastrointestinal tube

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110812247A (en) * 2019-12-16 2020-02-21 内江市第一人民医院 Multifunctional gastrointestinal tube

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