JP6723268B2 - 経腸栄養ポンプ - Google Patents
経腸栄養ポンプ Download PDFInfo
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- JP6723268B2 JP6723268B2 JP2017558801A JP2017558801A JP6723268B2 JP 6723268 B2 JP6723268 B2 JP 6723268B2 JP 2017558801 A JP2017558801 A JP 2017558801A JP 2017558801 A JP2017558801 A JP 2017558801A JP 6723268 B2 JP6723268 B2 JP 6723268B2
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Description
‐スイッチ112を『オフ』位置に設定することは内腔116の中の弁を作動させ、それによって内腔116を密封し、内腔116の中で吸引を除去してよく、このことはNGT102を挿入し、患者からNGT102を除去するのに役立つことがある。
‐『A』位置を設定することは、真空内腔の第1のセットに対応する弁の第1のセットの動作を停止させてよく、このことは真空内腔の第1のセットに吸引を提供し、真空内腔の第1のセットと関連付けられた食道の第1の部位を密封するために弁の第1のセットを開く。同時に、真空内腔の第2のセットに対応する弁の第2のセットが作動し、このことが弁の第2のセットを閉じて、真空内腔の第2のセットから吸引を除去し、内腔の第2のセットと関連付けられた食道の第2の部位を解放する、又は内腔の第2のセットと関連付けられた食道の第2の部位を内腔の第2のセットから切り離す。
‐『B』位置に設定することは、真空内腔の第2のセットに対応する弁の第2のセットの動作を停止させてよく、このことは真空内腔の第2のセットに吸引を提供し、内腔の第2のセットと関連付けられた食道の第2の部位を密封するために弁の第2のセットを開く。同時に、真空内腔の第1のセットに対応する弁の第1のセットは起動中であり、このことは、真空内腔の第1のセットから吸引を除去し、内腔の第1のセットと関連付けられた食道の第1の部位を解放する、又は内腔の第1のセットと関連付けられた食道の第1の部位を内腔の第1のセットから切り離すために弁の第1のセットを閉じる。
‐NGTが挿入される又は患者から除去されるとき、遠位弁及び近位弁は真空内腔を遮断し、真空内腔から吸引し、遠位位置と近位位置の両方でNGTから食道を解放するために作動する。
‐遠位部位(つまり、上記部位『A』)で呼吸、つまり吸引を作動させるために、遠位に位置決めされた弁のセットは動作を停止し、それによって対応する真空内腔に対して吸引を行い、遠位部位で真空内腔に食道を付着させる。
‐遠位部位で呼吸、つまり吸引の動作を停止させるために、遠位に位置決めされた弁のセットは作動し、それによって対応する真空内腔から吸引を遮断し、遠位部位で真空内腔から食道を解放する。
‐近位部位(つまり、上記部位『B』)で呼吸、つまり吸引を作動させるために、近位に位置決めされた弁のセットは動作を停止し、それによって対応する真空内腔に対して吸引を行い、近位部位で真空内腔に食道を付着させる。
‐近位部位で呼吸、つまり吸引の動作を停止させるために、近位に位置決めされた弁のセットは作動し、それによって対応する真空内腔から吸引を遮断し、近位部位での真空内腔から食道を解放する。
a)被験者の食道の中にNGT102を導入するステップと、
b)コントローラ110を介して、真空密封部分(複数可)24の1つ又は複数に真空を適用するステップと、
c)コントローラ110を介して、真空レベルを調整するステップと、
d)NGT10に対する食道壁の所望される密封を達成した後に、NGT10が食道に対して無傷なままとなるようにコントローラ110を介して、真空内腔116の間の真空間隔を変更するステップと、
e)コントローラ110を介して、減圧ポート(複数可)23を含む真空内腔116の1つ又は複数に対して吸引を行うステップと
を含む。
a)患者の食道の中にNGT102を導入するステップと、
b)コントローラ110及びスイッチ112を介して1つ又は複数の減圧ポートに対して吸引を行うステップと、
c)コントローラ110及びスイッチ112を介して、毎回食道に沿った異なる場所で吸引ポートに対して食道の内壁を密封状に引き寄せるために異なって位置する吸引ポートの間で交互に1つ又は複数の吸引ポートに対して吸引を行うステップと
を含んでよい。
‐NGT102の遠位末端は、オペレータによって患者の食道の中に導入されてよく、
‐発光体によって照明される領域の1つ又は複数の画像はカメラによって取り込まれてよく、
‐取り込まれる画像は処理ユニットに送信されてよく、
‐処理された画像は表示ユニットでレンダリングされてよく、
‐オペレータはレンダリングされた画像を介して管の遠位末端の進行を監視してよく、
‐オペレータはレンダリングされた画像に応えて管の位置決めを調整してよく、
‐オペレータはレンダリングされた画像に応えてカメラの向きを調整してよく、
‐オペレータはレンダリングされた画像に応えて発光体の輝度を調整してよい。
Claims (13)
- 容器から経腸栄養チューブに液体を引き出すように構成されたポンプと、
前記経腸栄養チューブを具備する少なくとも2つの真空内腔と関連付けられた切替え機構と、
前記ポンプ及び前記切替え機構を制御するように構成されたコントローラと
を備え、
前記制御が、
前記少なくとも2つの真空内腔の間で適用される真空を切り替えることにより、前記経腸栄養チューブに対する食道の密封の場所を変化させることと、
前記切り替え機構の動作と前記ポンプの動作とを連係させることにより、前記経腸栄養チューブに対する食道の密封の場所を、前記液体の供給と連係させること、とを含む、経腸栄養装置。 - 前記液体が食物を備える、請求項1に記載の装置。
- 前記液体が薬剤を備える、請求項1に記載の装置。
- 前記切替え機構が1つ又は複数の弁を備え、前記コントローラが前記1つ又は複数の弁のいずれかを作動させる又は動作を停止することを選択することによって前記切替え機構を制御するように構成され、
前記少なくとも2つの真空内腔のそれぞれが、前記1つ又は複数の弁の異なる弁に関連付けられる、請求項1に記載の装置。 - 前記1つ又は複数の弁が、ピンチ弁、バタフライ弁、及びダイヤフラム弁から成る前記グループから選択される、請求項4に記載の装置。
- 前記少なくとも2つの真空内腔のそれぞれが前記1つ又は複数の弁の内の異なる弁と関連付けられる、請求項4に記載の装置。
- 前記1つ又は複数の弁の各弁が、前記経腸栄養チューブに沿った特定の長手方向場所で1つまたは複数の密封部分と配置される真空内腔のセットと関連付けられる、請求項4に記載の装置。
- 前記コントローラが、前記経腸栄養チューブに対する食道の密封の場所を、前記場所と関連付けられた弁を作動させることを選択することによって制御するように構成される、請求項7に記載の装置。
- 前記コントローラが、前記経腸栄養チューブの遠位場所及び近位場所で吸引を交互に作動させるように構成される、請求項7に記載の装置。
- 前記コントローラが、前記切替え機構を具備する胃減圧弁を介して前記経腸栄養チューブを具備する胃減圧内腔を制御するようにさらに構成される、請求項1に記載の装置。
- 前記胃減圧内腔が、患者の胃から前記切替え機構を介して前記減圧内腔に結合された容器に分泌物をサイフォンで吸い出すように構成される、請求項10に記載の装置。
- 施術者が、前記コントローラ及び前記切替え機構を介して前記2つ以上の内腔のいずれかに対する吸引の適用を制御するための1つ又は複数のパラメータを設定できるようにするためのユーザインタフェースをさらに備える、請求項1に記載の装置。
- 患者が前記1つ又は複数のパラメータのサブセットを設定できるようにするためのユーザインタフェースをさらに備える、請求項12に記載の装置。
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US10376447B2 (en) | 2019-08-13 |
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WO2016125152A1 (en) | 2016-08-11 |
EP3253357A1 (en) | 2017-12-13 |
ES2749647T3 (es) | 2020-03-23 |
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JP2018507082A (ja) | 2018-03-15 |
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