Enhanced mouth-nose-stomach esophagus

Abstract

The utility model discloses a reinforced mouth-nose-stomach esophagus which comprises a stomach esophagus body. The gastroesophagus comprises a tube body, a tube head located at the front end of the tube body and a tube tail located at the rear end of the tube body, the tube head, the tube body and the tube tail are integrally formed and sequentially communicated, the end, away from the tube body, of the tube head is a closed end, and the end, away from the tube body, of the tube tail is an open end and used for being detachably installed and matched with an external funnel. A spiral thread section is embedded in the pipe wall of the pipe body in the length direction, and a plurality of side holes are formed in the pipe head. The gastroesophageal tube can ensure that the tube passes through the esophageal section more smoothly, the reinforcing effect is achieved, the distortion and folding probability of the tube can be reduced, the spiral wire section increases the contact area between the tube and the narrow part of the esophagus, and gastroesophageal reflux is effectively prevented or relieved.

Description

Technical Field

[0001] The utility model relates to the field of medical instruments, in particular to a reinforced oral, nasal, gastroesophageal tube. Background Art

[0002] Enteral nutrition via a traditional nasogastric feeding tube is the preferred treatment for malnourished patients with normal gastrointestinal function, but it has limitations for patients with esophageal stenosis, esophageal muscle atrophy, and endotracheal intubation. Currently, traditional oral and nasogastric feeding tubes are difficult to solve the problem of feeding difficulties in patients with esophageal stenosis. In addition, the esophageal segment of traditional oral and nasogastric feeding tubes in patients with endotracheal intubation is squeezed, deformed, and narrowed, which can cause feeding difficulties.

[0003] How to solve the above-mentioned technical problems has become a problem that needs to be solved urgently. Utility Model Content

[0004] The purpose of the utility model is to provide a reinforced oral and nasal gastroesophageal tube, which can ensure that the pipeline passes through the esophageal section more smoothly, has a reinforcing effect, can reduce the probability of pipeline twisting and bending, and the spiral wire segment increases the contact area between the pipeline and the narrow part of the esophagus, effectively preventing or alleviating gastroesophageal reflux.

[0005] In order to achieve the above purpose, the utility model adopts the following technical solutions:

[0006] The utility model provides a reinforced oral-nasal gastroesophageal tube, comprising a gastroesophageal tube; the gastroesophageal tube comprises a tube body, a tube head located at the front end of the tube body, and a tube tail located at the rear end of the tube body, wherein the tube head, the tube body, and the tube tail are integrally formed and sequentially connected, and the end of the tube head away from the tube body is a closed end, and the end of the tube tail away from the tube body is an open end and is used for detachable installation and cooperation with an external funnel; a spiral wire segment is embedded in the tube wall of the tube body along the length direction, and a plurality of side holes are opened on the tube head.

[0007] Preferably, the side holes are arranged around the outer wall of the tube head to form a staggered arrangement rather than all being located in the same plane, and the distance between adjacent side holes along the length direction of the tube head is not less than 2 cm.

[0008] Preferably, the distance between adjacent side holes along the length direction of the tube head is 2 cm, wherein the aperture of the side hole is 3 mm.

[0009] Preferably, the length of the tube body is 30-42 cm, the length of the tube head is 11-14 cm, and the length of the tube tail is 56-68 cm.

[0010] Preferably, the length of the tube body is 40 cm, the length of the tube head is 12 cm, and the length of the tube tail is 58 cm.

[0011] Preferably, the spiral wire segment is made of a metal material, such as a spiral steel wire, wherein the shape of the spiral wire segment is the same as the shape and length of the pipe body, such as both are cylindrical.

[0012] Preferably, it further comprises a guide wire capable of extending into the gastroesophageal tube, and the length of the guide wire is not shorter than the length of the gastroesophageal tube.

[0013] Due to the adoption of the above structure, the utility model has the following beneficial effects:

[0014] In the utility model, the tube head, the tube body, and the tube tail are integrally formed and connected in sequence. The end of the tube head away from the tube body is a closed end, and the end of the tube tail away from the tube body is an open end and is used to be detachably mounted with an external funnel. A spiral wire segment is embedded in the tube wall of the tube body along the length direction, and a plurality of side holes are opened on the tube head. Therefore, the reinforced oral-nasal-gastric esophageal tube of the utility model is easy to operate, which is beneficial to the feeding, eating, and medication of patients with esophageal stenosis, and assists in the parenteral nutrition supplementation of long-term bedridden patients, malnourished patients, patients with esophageal muscle atrophy, patients with dysphagia, etc., and assists in gastrointestinal decompression of patients with gastric retention.

[0015] The utility model ensures that the pipeline passes through the esophagus more smoothly by arranging the spiral wire segment, which has a strengthening effect and can reduce the probability of pipeline twisting and bending. The spiral wire segment increases the contact area between the pipeline and the narrow part of the esophagus, effectively preventing or alleviating gastroesophageal reflux; in addition, since the side holes are arranged around the outer wall of the tube head to form a staggered arrangement rather than all being located in the same plane, the contact area between gastric juice and food is increased, promoting digestion and absorption.

[0016] In short, compared with traditional feeding tubes, the reinforced oral and nasal gastroesophageal tube of the utility model solves the feeding difficulties of patients with esophageal stenosis, and solves the feeding difficulties of traditional oral and nasal gastroesophageal tubes in patients with endotracheal intubation due to the squeezing, deformation and narrowing of the esophageal segment. The reinforced oral and nasal gastroesophageal spiral wire segment of the utility model increases the contact area between the tube and the narrow part of the esophagus, effectively preventing or alleviating gastroesophageal reflux.

[0017] The present invention will become more clear through the following description in conjunction with the accompanying drawings, which are used to explain the embodiments of the present invention. BRIEF DESCRIPTION OF THE DRAWINGS

[0018] In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative labor.

[0019] Figure 1A schematic structural diagram of the utility model. DETAILED DESCRIPTION

[0020] The following will be combined with the drawings in the embodiments of the utility model to clearly and completely describe the technical solutions in the embodiments of the utility model. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments of the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.

[0021] like Figure 1 As shown, the utility model provides a reinforced oral and nasal gastroesophageal tube, including a gastroesophageal tube 1; the gastroesophageal tube 1 includes a tube body 12, a tube head 11 located at the front end of the tube body 12, and a tube tail 13 located at the rear end of the tube body 12, wherein the tube head 11, the tube body 12, and the tube tail 13 are integrally formed and connected in sequence, and the end of the tube head 11 away from the tube body 12 is a closed end, and the end of the tube tail 13 away from the tube body 12 is an open end and is used for detachable installation with an external funnel 3, the funnel 3 is provided with a tube cap 5 for covering the funnel 3, wherein the tube cap 5 is provided with a tube cap hole 51; a spiral wire segment 2 is embedded in the tube wall of the tube body 12 along the length direction, and a plurality of side holes 111 are provided on the tube head 11.

[0022] Preferably, the side holes 111 are arranged around the outer wall of the tube head 11 to form a staggered arrangement rather than all being located in the same plane, and the distance between adjacent side holes 111 along the length direction of the tube head 11 is not less than 2 cm.

[0023] Preferably, the distance between adjacent side holes 111 along the length direction of the tube head 11 is 2 cm, wherein the aperture of the side hole 111 is 3 mm.

[0024] Preferably, the length of the tube body 12 is 30-42 cm, the length of the tube head 11 is 11-14 cm, and the length of the tube tail 13 is 56-68 cm.

[0025] Preferably, the length of the tube body 12 is 40 cm, the length of the tube head 11 is 12 cm, and the length of the tube tail 13 is 58 cm.

[0026] Preferably, the spiral wire segment 2 is made of a metal material, such as a spiral steel wire, wherein the shape and length of the spiral wire segment 2 are the same as those of the pipe body 11, such as both are cylindrical.

[0027] Preferably, it further comprises a guide wire 4 which can be inserted into the gastroesophageal 1 , and the length of the guide wire 4 is not shorter than the length of the gastroesophageal 1 .

[0028] The specific use description of this utility model is as follows:

[0029] 1. Catheterization can be performed if there are no contraindications. Contraindications include: cancer / acute inflammation in the nasopharynx, esophageal varices, upper gastrointestinal bleeding, heart failure, severe hypertension, metabolic coma, gastrointestinal failure, ingestion of corrosive drugs, intestinal obstruction, acute abdomen, etc.

[0030] 2. Measure the length: the distance from the hairline to the sternal xiphoid process, or the distance from the nose tip to the earlobe and then to the sternal xiphoid process. Lubricate the catheter and arrange the guide wire in the best position on the gastric tube.

[0031] 3. Body position: Before the catheter is inserted, ask the patient to lie flat. When the catheter is inserted 15cm, ask the patient to lower his head and help the patient raise his shoulders. If the patient cannot lie flat, sit up. When the catheter is inserted 15cm, ask the patient to lower his head and lean forward. (It can be inserted through the mouth or nose).

[0032] 4. Method: After 15 cm is inserted, ask the patient to continue swallowing until the length is measured. During the insertion process, if the patient chokes and coughs and turns blue, the implant should be removed immediately and re-inserted after the patient's condition stabilizes.

[0033] 5. Determine the position: Air passing through water sound method: Place the stethoscope on the patient's upper abdomen and quickly inject 10 ml of air through the tail end of the gastric tube. The sound of air passing through water can be heard.

[0034] Gastric juice extraction method: Extracting gastric juice through a gastric tube is the most reliable method to confirm that the gastric tube is in the stomach.

[0035] Bubble escape method: Place the end of the stomach and esophagus in water. If no bubbles escape, it can be ruled out that the stomach and esophagus have accidentally entered the trachea.

[0036] Determine the best position: measure the pH value of the extracted gastric contents. The best pH value is 1-3, and a pH value of 5-7 indicates that the tube is still in the esophagus. Continue to place the tube until the pH value of the extracted gastric juice is 1-3; if the pH fluctuates between 4-5, continue to place the tube until the pH value reaches the ideal state.

[0037] 6. Remove the guide wire and secure the catheter.

[0038] When the utility model is used specifically, the specific operation method is as follows:

[0039] (1) Before the operation: When the patient's vital signs are stable, ask the patient to lie flat, and the operator measures the distance from the hairline to the xiphoid process of the sternum, or from the nose tip to the earlobe and then to the xiphoid process of the sternum. Lubricate the catheter and adjust the guide wire to the optimal position of the gastric tube.

[0040] (2) During the operation: the operator stands on the right side of the patient, holding the 11-tube head of the enhanced oral nasogastric esophageal tube of the utility model in the right hand, asking the patient to take a deep breath, slowly inserting the tube through the nasal cavity or oral cavity, and when the scale reaches 15cm, asking the patient to lower his head, assisting the patient to raise his shoulders, asking the patient to continue swallowing, and continue to slowly insert the tube until the measured length is reached. During the tube insertion process, if the patient chokes and coughs, and his face turns blue, the tube is immediately pulled out and reinserted after the patient's condition stabilizes.

[0041] (3) After the operation: determine the location.

[0042] Air-through-water sound method: The operator places the stethoscope on the patient's upper abdomen, and another operator quickly injects 10 ml of air through the tail end of the gastric tube. The sound of air passing through water can be heard.

[0043] Gastric juice extraction method: The operator extracts gastric juice through the gastric tube, which is the most reliable way to confirm that the gastric tube is in the stomach.

[0044] Bubble escape method: Place the end of the stomach and esophagus in water. If no bubbles escape, it can be ruled out that the stomach and esophagus have accidentally entered the trachea.

[0045] ·Determine the best position: measure the pH value of the extracted gastric contents. The pH value of 1-3 is the best, and the pH value of 5-7 indicates that the tube is still in the esophagus. Continue to place the tube until the pH value of the extracted gastric juice is 1-3; if the pH fluctuates between 4-5, continue to place the tube until the pH value reaches the ideal state.

[0046] Auxiliary examination method: chest X-ray examination, the result shows that the spiral wire segment is in the esophagus segment.

[0047] (4) After the operation is completed, slowly pull out the guide wire 4, fix the gastroesophageal tube 1, connect the funnel 3 to the enteral nutrition pump tube for feeding, or cover the tube cap 5 on the funnel part, and use a syringe of more than 20 ml to inject liquid food without residue through the tube cap hole 51.

[0048] The above describes the preferred embodiments of the utility model. It should be understood that the utility model is not limited to the above-mentioned specific implementation methods, and the devices and structures that are not described in detail should be understood to be implemented in a common manner in the art; any technician familiar with the art can use the above-disclosed methods and technical contents to make many possible changes and modifications to the technical solutions of the utility model without departing from the scope of the technical solution of the utility model, or modify them into equivalent embodiments of equivalent changes, which does not affect the essential content of the utility model. Therefore, any simple modification, equivalent change and modification made to the above embodiments based on the technical essence of the utility model without departing from the content of the technical solution of the utility model still falls within the scope of protection of the technical solution of the utility model.

Claims

1. A reinforced oral-nasal gastroesophageal tube, comprising a gastroesophageal tube; characterized in that: The gastroesophageal tube includes a tube body, a tube head located at the front end of the tube body, and a tube tail located at the rear end of the tube body, wherein the tube head, the tube body, and the tube tail are integrally formed and are connected in sequence, and the end of the tube head away from the tube body is a closed end, and the end of the tube tail away from the tube body is an open end and is used for detachable installation and cooperation with an external funnel; a spiral wire segment is embedded in the tube wall of the tube body along the length direction, and a plurality of side holes are opened on the tube head.

2. The reinforced oral, nasogastric and esophageal tube according to claim 1, characterized in that: The side holes are arranged around the outer wall of the tube head to form a staggered arrangement rather than all being located in the same plane, and the distance between adjacent side holes along the length direction of the tube head is not less than 2 cm.

3. The reinforced oral-nasogastric esophageal tube according to claim 2, characterized in that: The distance between adjacent side holes along the length direction of the tube head is 2 cm, wherein the aperture of the side hole is 3-3.5 mm.

4. The reinforced oral, nasal and gastric esophageal tube according to claim 1, characterized in that: The length of the tube body is 30-42 cm, the length of the tube head is 11-14 cm, and the length of the tube tail is 56-68 cm.

5. The reinforced oral, nasogastric and esophageal tube according to claim 4, characterized in that: The length of the tube body is 40 cm, the length of the tube head is 12 cm, and the length of the tube tail is 58 cm.

6. The reinforced oral, nasogastric and esophageal tube according to claim 1, characterized in that: The spiral wire segment is made of metal material, wherein the shape and length of the spiral wire segment are the same as those of the pipe body.

7. The reinforced oral, nasogastric and esophageal tube according to any one of claims 1 to 6, characterized in that: It also includes a guide wire that can be inserted into the gastroesophageal tube, and the length of the guide wire is not shorter than the length of the gastroesophageal tube.

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