CN210521038U

CN210521038U - Three-cavity double-sac stomach tube catheter bag for hemostasis

Info

Publication number: CN210521038U
Application number: CN201721430058.5U
Authority: CN
Inventors: 顾志娥; 张建男; 薛萍; 张倩; 尹荣荣; 王丽丽; 张梅; 赵莉; 张描描
Original assignee: Individual
Current assignee: Individual
Priority date: 2017-11-01
Filing date: 2017-11-01
Publication date: 2020-05-15
Anticipated expiration: 2027-11-01

Abstract

A three-cavity double-sac stomach tube catheter package for hemostasis relates to the field of medical instruments and comprises a package body, wherein a three-cavity double-sac stomach tube, a pipeline fixing device, a sterile syringe, disposable sterilization rubber gloves and paraffin cotton balls are arranged in the package body; the three-cavity double-sac stomach tube comprises a main tube, a stomach tube, an esophagus air bag inflation tube and a stomach air bag inflation tube, wherein the main tube is fixedly connected with an esophagus air bag and a stomach air bag, the outside of the esophagus air bag inflation tube is wrapped with an esophagus small air bag, and the esophagus one-way inflation valve is connected to the esophagus air bag inflation tube; a stomach tube small air bag is wrapped outside the stomach air bag inflation tube, and a stomach tube one-way inflation valve is connected on the stomach air bag inflation tube; the main pipe is connected with a triangular flaky bulge, and a fixing hole is formed in the flaky bulge; the pipeline fixing device comprises a first spring adjusting buckle, a second spring adjusting buckle and an elastic fixing rope, wherein the first spring adjusting buckle and the second spring adjusting buckle are connected through the elastic fixing rope. The utility model discloses can effectively oppress hemostasis, prevent that the pipe from shifting, slippage, can improve first aid efficiency again.

Description

Three-cavity double-sac stomach tube catheter bag for hemostasis

Technical Field

The utility model relates to the field of medical equipment, concretely relates to three-cavity double-sac tube and pipeline fixing device for hemostasis.

Background

The upper gastrointestinal hemorrhage, especially the esophageal and gastric variceal rupture hemorrhage, belongs to common critical illness in internal medicine, at present, three-cavity double-sac gastric tube is generally adopted for compression hemostasis, and after the tube is placed in the upper gastrointestinal hemorrhage, double cooperation is needed in the stage of inflating the esophageal sac and the gastric sac. One person inflates the injector, one person uses the vascular forceps to complete inflation of the catheter, the operation is complex, and the patient easily loosens the vascular forceps to cause air leakage of the air bag when turning over and moving, the compression effect is influenced or the three-cavity tube is slipped, and whether the pressure of the air bag is suitable or not can not be directly observed after the stomach bag and the esophageal bag are placed. The traction rope is directly tied at the tail end of the stomach tube, the rope knot is loosened, and the traction is easy to slip. The head of a patient usually has no fixing device, the pipeline is easy to shift and even slip when the patient turns over and the like, the nasolabial sulcus is pressed by the three-cavity two-bag tube for a long time, pressure sores are easy to generate, the clinic is smooth, and the slippage is easy to occur due to the gauze pad. In addition, the three-cavity double-balloon gastric tube catheter package is temporarily not used in clinical work, when a doctor prepares for intubation, the doctor needs to prepare articles such as a three-cavity double-balloon tube, vascular forceps, gauze, gloves and paraffin oil, the preparation process is complicated, the time is delayed, and the first aid of a patient is affected.

Disclosure of Invention

The utility model aims at overcoming the not enough of prior art, provide a three chamber double-balloon stomach pipe package for hemostasis, can effectively oppress hemostasis, prevent that the pipe from shifting, slippage, can reduce iatrogenic nature pressure nature damage again and take place, the doctor's operation of being convenient for simultaneously, the thing preparation time that significantly reduces improves first aid efficiency.

The purpose of the utility model is realized like this: a three-cavity double-sac stomach tube catheter package for hemostasis comprises a package body, wherein a three-cavity double-sac stomach tube, a pipeline fixing device, a sterile syringe, disposable sterilization rubber gloves and paraffin cotton balls are arranged in the package body; the three-cavity double-bag stomach tube comprises a header pipe, a stomach tube, an esophagus air bag inflation pipe and a stomach air bag inflation pipe which are bundled together, wherein one ends of the stomach tube, the esophagus air bag inflation pipe and the stomach air bag inflation pipe are gathered and then connected with the header pipe, an esophagus air bag and a stomach air bag are fixedly connected to the header pipe, a small esophagus air bag is wrapped outside the esophagus air bag inflation pipe, the small esophagus air bag and the esophagus air bag are communicated with the esophagus air bag inflation pipe, and an air inlet of the esophagus air bag inflation pipe is connected with a one-way esophagus inflation valve; a stomach tube ballonet is wrapped outside the stomach airbag inflation tube, the stomach tube ballonet and the stomach airbag are both communicated with the stomach airbag inflation tube, and an air inlet of the stomach airbag inflation tube is connected with a stomach tube one-way inflation valve; the main pipe is connected with a triangular flaky bulge, and a fixing hole is formed in the triangular flaky bulge; the pipeline fixing device comprises a first spring adjusting buckle, a second spring adjusting buckle and an elastic fixing rope, the first spring adjusting buckle and the second spring adjusting buckle are connected through the elastic fixing rope, the elastic fixing rope is arranged between the first spring adjusting buckle and the second spring adjusting buckle in a cross mode, and a header pipe of the three-cavity double-sac gastric tube penetrates between the first spring adjusting buckle and a cross point.

Compared with the prior art, the utility model has the following advantage:

the utility model discloses a three chamber double-balloon stomach tube, pipeline fixing device, 50ml aseptic syringe, disposable sterilization rubber gloves and paraffin cotton ball collect all intubate articles for use and give an organic whole, and the doctor of being convenient for takes, practices thrift and prepares article time, for rescuing patient, save time. Meanwhile, the esophagus air bag inflation tube and the stomach air bag inflation tube are both connected with a one-way inflation valve, so that a common clinical blood vessel forceps clamping method is replaced, and the method is safer and more effective. The external part of the patient with the three-cavity double-sac gastric tube is provided with a small air bag communicated with the esophagus air bag and the stomach air bag, so that the pressure of the esophagus air bag and the stomach air bag in the patient can be observed clinically conveniently, whether air leakage exists or not, pressure insufficiency and the like exist. In addition, the head fixing device, the first spring adjusting buckle, the second spring adjusting buckle and the elastic fixing rope can firmly fix the pipeline on the head of the patient, can effectively avoid the slippage and the displacement of the pipeline, keep effective oppression and traction, reduce the possibility of damage to the skin of the nasolabial sulcus, and can well mark the position of the pipeline.

Preferably, an adjusting clamp is arranged on the gastric tube, a circle of circular protrusion is integrally arranged on the periphery of the gastric tube, and the circular protrusion is located on one side, far away from the main pipe, of the adjusting clamp. The tail end of the stomach tube is provided with an adjusting clamp which can adjust the speed of negative pressure drainage and clamp the pipeline, the adjusting clamp is closed during intubation, and the accumulated blood in the stomach is placed to flow out through the pipeline, so that medical personnel can be protected, and the bed unit can be prevented from being polluted. The circular bulge limits the adjusting clamp, and can prevent the adjusting clamp from slipping.

In order to prevent the skin of the nasolabial fold from being damaged, a sponge nose pad is connected to the bottom of the first spring adjusting buckle.

Preferably, four movable rubber rings are sleeved on the elastic fixing rope and positioned between the first spring adjusting buckle and the second spring adjusting buckle, two of the movable rubber rings are positioned on one side of the intersection, and the other two movable rubber rings are positioned on the other side of the intersection. The movable rubber ring sleeve can avoid the long-time fixation of the elastic fixing rope from pressing the apophysis parts (the nasal alar parts, the auricles and other parts).

Drawings

Fig. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a schematic structural diagram of a three-cavity double-balloon gastric tube.

Fig. 3 is a schematic structural view of the pipe fixing device.

Fig. 4 is a schematic structural view of the first spring adjustment buckle.

Fig. 5 is a view showing the use of the present invention.

In the figure, 1 bag body, 2 three-cavity double-bag stomach tubes, 3 pipeline fixing devices, 4 sterile syringes, 5 disposable sterilizing rubber gloves, 6 paraffin cotton balls, 7 esophagus one-way inflation valves, 8 esophagus air bag inflation tubes, 9 esophagus air bags, 10 stomach tubes, 11 circular bulges, 12 adjusting clamps, 13 stomach tube one-way inflation valves, 14 stomach air bag inflation tubes, 15 stomach tube air bags, 16 triangular flaky bulges, 17 fixing holes, 18 esophagus air bags, 19 stomach air bags, 20 header pipes, 21 first spring adjusting buckles, 22 second spring adjusting buckles, 23 elastic fixing ropes, 24 movable rubber rings and 25 sponge nose pads.

Detailed Description

As shown in figures 1-5, the three-cavity double-sac gastric tube catheter set for hemostasis comprises a bag body 1, wherein a three-cavity double-sac gastric tube 2, a pipeline fixing device 3, a 50ml sterile syringe 4, a disposable sterilized rubber glove 5 and a paraffin cotton ball 6 are arranged in the bag body 1.

The three-cavity double-balloon gastric tube 2 comprises a header pipe 20, a gastric tube 10, an esophageal balloon inflation tube 8 and a gastric balloon inflation tube 14 which are bundled together, and one ends of the gastric tube 10, the esophageal balloon inflation tube 8 and the gastric balloon inflation tube 14 are gathered and then connected with the header pipe 20. An adjusting clamp 12 is arranged on the gastric tube 10, a circle of circular bulges 11 are integrally arranged on the periphery of the gastric tube 10, and the circular bulges 11 are positioned on one side of the adjusting clamp 12, which is far away from the main pipe 20. An esophagus air bag 18 and a stomach air bag 19 are fixedly connected to the manifold 20, an esophagus small air bag 9 is wrapped outside the esophagus air bag inflation tube 8, the esophagus small air bag 9 and the esophagus air bag 18 are both communicated with the esophagus air bag inflation tube 8, and an air inlet of the esophagus air bag inflation tube 8 is connected with the esophagus one-way inflation valve 7. A stomach air bag small air bag 15 is wrapped outside the stomach air bag inflation tube 14, the stomach air bag 15 and the stomach air bag 19 are both communicated with the stomach air bag inflation tube 14, and an air inlet of the stomach air bag inflation tube 14 is connected with a stomach tube one-way inflation valve 13. The manifold 20 is connected with a triangular plate-shaped bulge 16, and a fixing hole 17 is arranged on the triangular plate-shaped bulge 16.

The pipeline fixing device 3 comprises a first spring adjusting buckle 21, a second spring adjusting buckle 22 and an elastic fixing rope 23, the elastic fixing rope 23 penetrates through the first spring adjusting buckle 21 and the second spring adjusting buckle 22, the elastic fixing rope 23 is arranged between the first spring adjusting buckle 21 and the second spring adjusting buckle 22 in a crossing mode, and the main pipe 20 of the three-cavity double-sac gastric tube 2 is arranged between the first spring adjusting buckle 21 and a crossing point in a penetrating mode. A sponge nose pad 25 is connected to the bottom of the first spring adjusting buckle 21. Four movable rubber rings 24 are sleeved on the elastic fixing rope 23, the four movable rubber rings 24 are positioned between the first spring adjusting buckle 21 and the second spring adjusting buckle 22, two of the movable rubber rings 24 are positioned at one side of the cross point, and the other two movable rubber rings 24 are positioned at the other side of the cross point.

When the device is used, an operator opens the three-cavity two-bag tube pack, carefully checks whether the pipelines of the esophagus air bag inflation tube, the stomach air bag inflation tube and the stomach cavity are intact and smooth by using a 50ml sterile syringe, checks whether the pipelines of the esophagus air bag, the stomach air bag, the esophagus small air bag, the stomach tube small air bag and the one-way inflation valve leak air or not, exhausts the air in the air bags after the inspection is qualified, and clamps the regulating clamp at the tail end of the stomach tube. And taking out the pipeline fixing device, penetrating the rear section of the three-cavity two-balloon catheter between the first spring adjusting buckle and the intersection of the elastic fixing rope, tightening the second spring adjusting buckle, and fixing the pipeline between the first spring adjusting buckle and the intersection of the elastic fixing rope. The front end of the paraffin cotton ball package lubrication three-cavity tube, the gastric air bag and the esophageal air bag are opened, and the paraffin cotton ball package lubrication three-cavity tube is inserted into the nasal cavity of a patient and is placed into the nasal cavity with a proper length. A50 ml sterile injector is connected with a one-way inflation valve at the tail end of a stomach bag inflation tube to inject 250-300 ml of air into the stomach bag, so that the stomach bag and the stomach bag small air bag are inflated, then the three-cavity tube is pulled outwards, when medium resistance is sensed, the three-cavity tube is tensioned appropriately, a traction rope passes through a fixing hole of a triangular sheet protrusion, the three-cavity two-bag tube is fixed, and is fixed on a traction frame at a bed position through a pulley and is connected with a weight of 0.5kg, and the purpose of full compression is achieved. The second spring adjusting buckle is pulled to one end of the elastic fixing rope, the elastic fixing rope is fixed to the head of the patient through auricles on two sides, and the second spring adjusting buckle is tightened and fixed to the back of the head of the patient. The first spring adjusting buckle is adjusted, the sponge nose pad is lined on the nasolabial sulcus to relieve local compression, and the elastic fixing rope is preferably elastic and tight for two fingers, as shown in fig. 5. And if the hemostasis cannot be pressed by observation, the injector is connected with the one-way inflation valve at the tail end of the esophageal balloon inflation tube to inject 100-200 ml of air into the esophageal balloon, so that the esophageal balloon and the small esophageal balloon at the tail end of the esophageal balloon inflation tube are inflated to directly press the dilatation vein of the lower esophageal segment. When the patient need drainage in the long-pending blood in stomach during putting the pipe, the terminal regulation of adjustable stomach tube is pressed from both sides, control drainage speed, then presss from both sides closed regulation clamp when need not the drainage, and the stomach tube is terminal apart from the setting of last circular bulge of 2cm department in order to prevent to adjust and press from both sides the slippage. The filling conditions of the gastric air sac and the esophageal air sac can be judged by observing the filling condition of the small air sac during the tube placement, and the other methods are the same as the traditional methods. The first time of the stomach sac inflation and compression can last for 24 hours, and the pressure must be reduced for 15 to 30 minutes after 24 hours. The method comprises the steps of firstly taking 20ml of paraffin oil before pressure reduction, slightly feeding the tube inwards after 10 minutes to separate the air bag from the gastric fundus mucosa, then connecting a syringe with a one-way inflation valve to slowly exhaust the air in the air bag, sucking a gastric tube to observe whether active bleeding exists or not, and immediately inflating and compressing once the active bleeding is found. If no bleeding occurs, the pressure is continued for 24 hours, then the tube is deflated and kept for observation for 24 hours, and if no bleeding occurs, the tube can be pulled out. Before tube drawing, 20ml of paraffin oil must be drunk firstly to prevent the mucous membrane from being adhered to the air bag, and the air in the air bag is slowly pumped out by connecting the injector with the one-way inflation valve and then can be slowly drawn out. The duration of the esophageal sac compression is 8-12 hours, and the gas is released for 15-30 minutes.

Claims

1. A three-cavity double-bag stomach tube catheter package for hemostasis is characterized in that: comprises a bag body, wherein a three-cavity double-sac stomach tube, a pipeline fixing device, a sterile syringe, disposable sterilizing rubber gloves and paraffin cotton balls are arranged in the bag body; the three-cavity double-bag stomach tube comprises a header pipe, a stomach tube, an esophagus air bag inflation pipe and a stomach air bag inflation pipe which are bundled together, wherein one ends of the stomach tube, the esophagus air bag inflation pipe and the stomach air bag inflation pipe are gathered and then connected with the header pipe, an esophagus air bag and a stomach air bag are fixedly connected to the header pipe, a small esophagus air bag is wrapped outside the esophagus air bag inflation pipe, the small esophagus air bag and the esophagus air bag are communicated with the esophagus air bag inflation pipe, and an air inlet of the esophagus air bag inflation pipe is connected with a one-way esophagus inflation valve; a stomach tube ballonet is wrapped outside the stomach airbag inflation tube, the stomach tube ballonet and the stomach airbag are both communicated with the stomach airbag inflation tube, and an air inlet of the stomach airbag inflation tube is connected with a stomach tube one-way inflation valve; the main pipe is connected with a triangular flaky bulge, and a fixing hole is formed in the triangular flaky bulge; the pipeline fixing device comprises a first spring adjusting buckle, a second spring adjusting buckle and an elastic fixing rope, the first spring adjusting buckle and the second spring adjusting buckle are connected through the elastic fixing rope, the elastic fixing rope is arranged between the first spring adjusting buckle and the second spring adjusting buckle in a cross mode, and a header pipe of the three-cavity double-sac gastric tube penetrates between the first spring adjusting buckle and a cross point.

2. The tri-cavity double-balloon gastric catheter set for hemostasis as claimed in claim 1, wherein: set up the regulation clamp on the stomach tube the periphery of stomach tube an organic whole sets up the circular arch of round, and circular arch is located the one side of keeping away from house steward of regulation clamp.

3. The tri-cavity double-balloon gastric catheter set for hemostasis as claimed in claim 1, wherein: the bottom of the first spring adjusting buckle is connected with a sponge nose pad.

4. The tri-cavity double-balloon gastric catheter set for hemostasis as claimed in claim 1, wherein: four movable rubber rings are sleeved on the elastic fixing rope and positioned between the first spring adjusting buckle and the second spring adjusting buckle, two movable rubber rings are positioned on one side of the cross point, and the other two movable rubber rings are positioned on the other side of the cross point.