Central venous catheter
Technical Field
The utility model relates to the technical field of medical instruments, in particular to a central venous catheter.
Background
The central venous catheter (Central Venous Catheter, CVC) is medical equipment for infusing medicines, nutrient solutions, blood, monitoring indexes such as central venous pressure and the like, and is widely applied to the clinical medical field. The central venous catheter is placed in the subclavian vein, the internal jugular vein or the femoral vein, and the catheter can be directly inserted into a blood vessel in the process of intubation without multiple punctures, so that pain and infection risks are reduced. Compared with other intravenous catheters, the central venous catheter can be left for a long time, monitor central venous pressure and cardiac preload, and is often used by patients who need long-time transfusion, hemodialysis or nutrition replenishment. Compared with the traditional intravenous injection, the central venous catheter is inserted into the upper venous cavity, so that a more convenient and accurate infusion process can be realized, and physiological parameters such as central venous pressure, cardiac preload and the like can be accurately monitored, thereby providing important information support for doctors. Among the central venous catheters, the central venous catheter placed on the neck is most commonly used, and has the advantages of convenience in use, less risk and less operation risk. The infusion is more suitable for long-term infusion, nutrition and medicine use. The intubation process is low in risk, can be used for a long time, and greatly reduces the risk caused by unnecessary wounds and complications.
However, the patient inevitably needs to change body position or go out of bed during the long-term placement of the central venous catheter. During these procedures, the movement of the patient tends to cause the central venous catheter to become dislodged due to external forces pulling and the like. In order to cope with this situation, it is common practice to provide a fixator at the site of implantation of the central venous catheter, to fix the central venous catheter by suturing and fixing the skin tissue around the site with the fixator by a medical suture, and to cover the central venous catheter with a medical adhesive tape as a whole. The mode mainly relies on the suture to fix, and external force traction easily leads to the damage of tissues so as to lead to the suture to deviate from, and then leads to the seepage of the embedded point, so that the adhesive tape loses viscosity, and the fixing effect is poor.
Disclosure of utility model
In order to solve the problems, the utility model provides a central venous catheter based on the existing central venous catheter.
The utility model solves the problems existing in the prior art through the following technical scheme:
The utility model provides a central venous catheter, which comprises a catheter main body, wherein one end of the catheter main body is provided with a three-way joint, and the other end of the catheter main body is provided with a liquid outlet; the catheter body is fixedly sleeved with a fixer, an upper fixing wing is arranged on the edge of one end, close to the three-way joint, of the fixer in an extending mode along the direction of the catheter body, and a lower fixing wing is arranged on the edge of one end, far away from the three-way joint, of the fixer in an extending mode along the direction of the catheter body; and medical glue is coated on one side of the upper fixing wing, which is contacted with the human body, and the lower fixing wing.
Further, scale marks are uniformly arranged on the catheter main body between the fixer and the liquid outlet; the scale line takes the liquid outlet as a starting point, a section of 0-10 cm is a first warning area, a section of 10-11 cm is a second warning area, and a section of 11-12 cm is a third warning area.
Further, the first warning area is colored red, the second warning area is colored yellow, and the third warning area is colored green.
Further, the fixer is in a cuboid shape, and the upper fixing wings and the lower fixing wings are arranged in a central symmetry manner along the geometric center point of the fixer.
Further, the upper fixing wing and the lower fixing wing are disc-shaped.
Further, fixing rings are symmetrically arranged on the left side and the right side of the fixer.
Further, the catheter main body is made of medical soft silica gel.
Further, the upper fixing wing and the lower fixing wing are made of transparent medical adhesive tapes.
Compared with the prior art, the utility model has the beneficial effects that:
1. According to the central venous catheter provided by the utility model, the fixing device is sleeved on the catheter main body, the upper fixing wing and the lower fixing wing are arranged on the fixing device in an extending way along the direction of the catheter, and the medical glue is coated on one side of the upper fixing wing, which is contacted with the lower fixing wing, of the lower fixing wing, so that the fixing wing fixedly connected with the catheter main body is divided into two parts, the upper fixing wing is used as a main fixing part and is not easily influenced by tissue seepage of an embedded point, and the lower fixing wing has the double functions of assisting in fixing and protecting the embedded point; on the other hand, the split design does not affect the suturing and fixing of the skin tissue and the fixing ring, the two fixing modes are matched with each other, and the effect is stable and reliable.
2. According to the central venous catheter provided by the utility model, the warning areas are arranged on the catheter main body, and the scales on the catheter main body are colored into warning colors with different striking degrees, so that medical staff can observe the state of the catheter very easily without being close to reading the scales, the current implantation depth of the catheter is judged, and when the central venous catheter is accidentally pulled out, the medical staff can discover and take measures at the first time, so that the medical safety is greatly improved, and the occurrence rate of complications related to deep venous catheterization of patients is reduced.
Drawings
For a clearer description of embodiments of the utility model or of solutions in the prior art, the drawings which are used in the description of the embodiments or of the prior art will be briefly described, it being obvious that the drawings in the description below are only some embodiments of the utility model, and that other drawings can be obtained from them without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of the central venous catheter of the present utility model;
FIG. 2 is a schematic view of a central venous catheter of the present utility model at another angle;
Wherein: 1-catheter body, 1.1-three way connection, 1.2-liquid outlet, 2-fixer, 2.1-solid fixed ring, 3-upper fixed wing, 4-lower fixed wing, 5-third warning district, 6-second warning district, 7-first warning district.
Detailed Description
The technical solutions of the present utility model will be clearly and completely described below in conjunction with specific embodiments, and it is apparent that the described embodiments are only some embodiments of the present utility model, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to fall within the scope of the utility model.
As shown in fig. 1-2, the central venous catheter of the utility model comprises a catheter main body 1, wherein a three-way joint 1.1 is arranged at the upper end of the catheter main body 1, and a liquid outlet 1.2 is arranged at the lower end of the catheter main body 1. The catheter main body 1 is fixedly sleeved with a fixer 2, an upper fixing wing 3 is arranged on the edge of one end, close to the three-way joint 1.1, of the fixer 2 in an extending mode along the direction of the catheter main body 1, and a lower fixing wing 4 is arranged on the edge of one end, far away from the three-way joint 1.1, of the fixer 2 in an extending mode along the direction of the catheter main body 1; one side of the upper fixing wing 3 and the lower fixing wing 4, which is contacted with the human body, is coated with medical glue. According to the utility model, the fixing device 2 is fixedly sleeved on the catheter main body 1, the upper fixing wing 3 and the lower fixing wing 4 are arranged on the fixing device 2 in an extending way along the catheter direction, and the medical glue is coated on one side of the upper fixing wing 3, the lower fixing wing 4, which is contacted with a human body, the fixing wing is fixedly connected with the catheter main body 1 through the fixing device 2 and is divided into two parts, the upper fixing wing 3 is used as a main fixing part and is not easily influenced by tissue seepage of an embedded point, and the fixing effect is good; the lower fixing wing 4 can also play a double role of auxiliary fixing and protecting the embedded point, and meanwhile, the split design of the fixing wing leaves a space, so that the suture fixation of skin tissues and the fixing ring 2.1 is not influenced. The two fixing modes are matched with each other, the effect is stable and reliable, and the safety of the intubation of a patient is greatly ensured.
Specifically, as shown in fig. 1-2, in the central venous catheter of the utility model, graduation marks are uniformly arranged on a catheter main body 1 between a fixer 2 and a liquid outlet 1.2; the scale mark takes a liquid outlet 1.2 as a starting point, the first warning area 7 is a 0-10 cm section of the catheter and is colored red, the second warning area 6 is a 10-11 cm section of the catheter and is colored yellow, and the third warning area 5 is a 11-12 cm section of the catheter and is colored green. According to the central venous catheter, the scales on the catheter main body 1 are colored into the warning colors with different striking degrees, so that medical staff can observe the state of the catheter very easily without being close to reading the scales, the current implantation depth of the catheter is judged, when the central venous catheter is accidentally pulled out, the medical staff can discover and take measures at the first time, the medical safety is greatly improved, and the occurrence rate of complications related to deep venous catheterization of patients is reduced.
Specifically, as shown in fig. 1-2, the central venous catheter of the utility model, the fixer 2 is in a cuboid shape, the upper fixing wing 3 and the lower fixing wing 4 are in a disc shape, and the upper fixing wing 3 and the lower fixing wing 4 are arranged in a central symmetry manner along the geometric center point of the fixer 2, so that when the central venous catheter of the utility model is fixed, the upper fixing wing 3 is positioned below the catheter main body 1, can be completely and tightly attached to the skin in a seamless manner, greatly improves the stability of fixation, and the lower fixing wing 4 is positioned above the catheter main body 1, thereby playing a double role of assisting fixation and protecting an embedded point. In addition, discoid fixed wing has improved coverage, and to a certain extent supplementary fixed effect of promotion.
Specifically, as shown in fig. 1-2, a central venous catheter of the present utility model is provided with fixing rings 2.1 symmetrically disposed on both left and right sides of a holder 2. The fixing rings 2.1 symmetrically arranged at the left and right sides of the fixer 2 can be used for suturing and fixing skin tissues and the fixing rings 2.1, and the fixing effect of the fixing wings can not be interfered.
Specifically, according to the central venous catheter, the catheter main body 1 is made of medical soft silica gel, so that vascular injury of a patient can be reduced.
In particular, the central venous catheter is characterized in that the upper fixing wing 3 and the lower fixing wing 4 are made of transparent medical adhesive tapes, so that medical staff can observe the condition of the fixing wings and the seepage condition of the embedding point of the central venous catheter at any time.
When the central venous catheter is used, the intubation operation is firstly carried out, after the intubation is finished, the upper fixing wing 3 and the lower fixing wing 4 are respectively fixed and adhered on the surface of the skin of a patient, and then the fixed wings are knotted and fixed through the fixing ring 2.1, so that other treatment operations can be carried out. In the operation process, the fixing condition of the embedding point of the central venous catheter of the patient is observed through the transparent upper fixing wings 3 and the transparent lower fixing wings 4 at any time, and if the catheter is observed to deviate to yellow or red scales, the treatment is carried out in time. According to the central venous catheter provided by the utility model, the fixing device 2 which is fixedly sleeved on the catheter main body 1 is arranged, the upper fixing wing 3 and the lower fixing wing 4 are arranged on the fixing device 2 in an extending way along the catheter direction, and the medical glue is coated on one side of the upper fixing wing 3, which is contacted with the human body, of the lower fixing wing 4, on one hand, the fixing wing fixedly connected with the catheter main body 1 is divided into two parts, and the upper fixing wing 3 is used as a main fixing part and is not easily influenced by tissue seepage of an embedded point, so that the fixing effect is good; on the other hand, the suturing and fixing of the skin tissue and the fixing ring 2.1 are not affected, the two fixing modes are matched with each other, and the effect is stable and reliable; meanwhile, the warning areas are arranged on the catheter main body 1, scales on the catheter main body 1 are colored into warning colors with different striking degrees, so that medical staff can observe the state of the catheter very easily without being close to reading the scales, the current implantation depth of the catheter is judged, when the central venous catheter is accidentally separated, the medical staff can find and take measures at the first time, the catheter implantation safety of the central venous catheter is greatly improved, and the incidence rate of complications related to deep venous catheter implantation of patients is reduced.
The utility model has been further described with reference to specific embodiments, but it should be understood that the detailed description is not to be construed as limiting the spirit and scope of the utility model, but rather as providing those skilled in the art with the benefit of this disclosure with the benefit of their various modifications to the described embodiments.