WO2011093626A2 - Dispositif de cathéter pour lavement et procédé chirurgical l'employant - Google Patents

Dispositif de cathéter pour lavement et procédé chirurgical l'employant Download PDF

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Publication number
WO2011093626A2
WO2011093626A2 PCT/KR2011/000488 KR2011000488W WO2011093626A2 WO 2011093626 A2 WO2011093626 A2 WO 2011093626A2 KR 2011000488 W KR2011000488 W KR 2011000488W WO 2011093626 A2 WO2011093626 A2 WO 2011093626A2
Authority
WO
WIPO (PCT)
Prior art keywords
tube
enema
rectum
catheter device
balloon
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2011/000488
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English (en)
Korean (ko)
Other versions
WO2011093626A3 (fr
Inventor
이근호
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2011093626A2 publication Critical patent/WO2011093626A2/fr
Publication of WO2011093626A3 publication Critical patent/WO2011093626A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0279—Cannula; Nozzles; Tips; their connection means
    • A61M3/0295—Cannula; Nozzles; Tips; their connection means with inflatable balloon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0102—Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/027—Devices for holding the cannula in position, e.g. belts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/28—Clamping means for squeezing flexible tubes, e.g. roller clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M2025/0018—Catheters; Hollow probes having a plug, e.g. an inflatable plug for closing catheter lumens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1042—Alimentary tract
    • A61M2210/1064—Large intestine

Definitions

  • the present invention relates to an enema catheter device and a method of using the same, and more particularly, the catheter is inserted into the rectum through the anus so that the enema solution can be effectively injected through the catheter bore diameter, and then the catheter is configured after the injection of the enema.
  • the catheter is inserted into the rectum through the anus so that the enema solution can be effectively injected through the catheter bore diameter, and then the catheter is configured after the injection of the enema.
  • the conventionally used method is to inject the enema solution into the rectum by using a syringe or the like through the anus, and the injected enema solution stays in the rectum for a predetermined time (about 30 to 50 minutes) and becomes lumpy.
  • the stool is diluted to facilitate drainage, which eventually causes the stool trapped in the rectum to drain out of the anus.
  • the conventional general enema method mentioned above causes pain because of injecting the enema solution injected during enema into the rectum using a syringe or the like, and there is a problem in that the enema solution cannot be efficiently injected deep into the rectum.
  • the enema method using a catheter is a method of inserting a catheter into the rectum through the anus and injecting an enema solution through the inner diameter of the catheter and then diluting the feces and then removing the catheter to discharge the feces to the outside.
  • the enema method using the catheter takes about 30 minutes to 50 minutes to sufficiently dilute the stool injected into the rectum, so that the injected enema fluid does not flow out of the anus during the time that the enema is applied. It is difficult to involve gauze and hand block, and because the catheter is made of flexible material to reduce pain, it is difficult to insert the catheter deep into the stooled workplace when enema. Had a problem.
  • the present invention was invented to solve the above-described problems of the prior art, the present invention is to insert the catheter into the rectum through the anus and to effectively inject the enema solution through the inner diameter of the catheter while the catheter is injected after enema Sealing the rectal inlet through the balloon configured in the enema solution and the stool diluted by the enema solution is prevented from leaking to the outside for a certain time to prevent environmental pollution due to early leakage of enema and feces and effective enema
  • An object of the present invention is to provide an enema catheter device and a method of treatment using the same.
  • the tube is introduced into the rectum, the discharge hole is formed in the predetermined portion of the tip;
  • An enema solution inlet tube configured at a rear end of the tube and in communication with the discharge hole;
  • a balloon configured at a tip predetermined portion of the tube and inflated by the injected distilled water to be in close contact with the inner wall of the rectum;
  • a microtubule communicating with the balloon and having a path formed along the inside of the tube;
  • a distilled water injection tube formed at an outer periphery of the rear end of the tube and communicating with the micro tube;
  • a support rod which is inserted into the tube and provides a support force to the tube during rectal insertion of the tube, wherein the support rod has a rod portion having a length in a longitudinal direction; It is configured at the rear end of the rod portion provides an enema catheter device consisting of a handle that can be gripped by the operator.
  • the present invention is characterized in that the rod portion is made of stainless steel having a corrosion resistance or a hard synthetic resin material and the enema liquid injection tube is provided with a clamp that can close the main tube inside the tube in a one-touch manner on the outer periphery thereof.
  • the rod portion is made of stainless steel having a corrosion resistance or a hard synthetic resin material and the enema liquid injection tube is provided with a clamp that can close the main tube inside the tube in a one-touch manner on the outer periphery thereof.
  • the clamp is a body made of a hexagonal hexahedral shape while the cutting hole is formed in each of the front and rear surfaces passing through the enema injection tube;
  • An upper / lower operation part formed to face each inside of the body and in close contact with the enema injection tube;
  • a fixed part formed on the front surface of the body and having a plurality of threads formed on an inner wall thereof;
  • the present invention includes the steps of inserting the support rod into the tube of the enema catheter; Inserting the tube into the interior of the rectum; Inflating the balloon to fix the tube in a predetermined position within the rectum; Drawing out the support rod to the outside; Injecting enema into the rectum through a tube; Manipulating the clamp to block the path behind the tube; Removing the syringe for injection of enema; After 30 to 50 minutes, shrinking the balloon; It provides a procedure using an enema catheter device comprising the step of removing the tube from the rectum of the patient.
  • Enema catheter device according to the present invention and the method using the same method is injected into the rectum through the rectum through the anus and then effectively sealed the rectal inlet through the balloon formed in the front of the catheter injected into the rectum and diluted by the enema solution
  • the tube can be easily inserted into the rectum where coagulated feces remain, resulting in efficient enema, and the clamp is configured separately to prevent the injected enema from leaking out through the tube. This has the advantage of being convenient.
  • FIG. 1 is a perspective view showing an enema catheter device according to an embodiment of the present invention
  • Figure 2 is a perspective view showing a clamp included in the enema catheter device according to an embodiment of the present invention
  • Figure 3a, 3b is a side cross-sectional view showing the operating state of the clamp included in the enema catheter device according to an embodiment of the present invention
  • Figure 4 is a flow chart showing the operation step using the enema catheter device according to an embodiment of the present invention.
  • FIG. 1 is a perspective view showing an enema catheter device according to an embodiment of the present invention
  • Figure 2 is a perspective view showing a clamp included in the enema catheter device according to an embodiment of the present invention.
  • the enema catheter device 30 is injected rectum through the rectum through the anus and seal the rectal inlet through the balloon 26 formed in front of the tube (4)
  • the enema solution injected into the enema and the feces diluted by the enema solution do not leak to the outside for a predetermined time to prevent environmental pollution due to premature leakage of the enema solution and feces, and to the outer periphery of the enema solution inlet tube 8 in a one-touch manner.
  • the enema catheter device 30 when looking at the overall form of the enema catheter device 30 according to an embodiment of the present invention, it is composed of a tube 4 made of a soft material while being configured in a long cylindrical shape, the tip of the tube (4) The end 6 is formed in the form of a warhead to facilitate insertion into the rectum, and an enema solution inlet tube 8 for injecting an enema solution is provided at the rear end of the tube 4. 8) In order to prevent the discharge of enema and foreign substances introduced into the rectum through the discharge to the outside is equipped with a clamp (40) on the outer periphery of the enema injection tube (8).
  • an outlet hole 14 through which the enema solution injected through the enema solution injection tube 8 is discharged to the inside of the rectum is formed, and the discharge hole ( At the outer circumference of the tube 4 located at the 6-8 cm rear point of 14), a balloon 26 for fixing the tube 4 at a certain position of the rectum is constituted.
  • the tube 4 is divided into a main tube (not shown) through which the enema solution passes and the micro tube 22 communicating with the balloon 26, and the back of the tube 4 injects distilled water in communication with the micro tube 22.
  • the tube 16 is configured in a branched form.
  • the microtube 22 is formed in the predetermined portion of the distilled water discharge hole 24, the distilled water discharge hole 24 is configured to communicate with the balloon (26). Therefore, the distilled water injected through the distilled water inlet tube 16 does not mix with the enema liquid injected through the enema liquid inlet tube 8 and expands the balloon 26 only through the microtubule 22 which is a separate passage. Used as a means for.
  • a check valve 18 is formed at a rear end of the enema liquid inlet tube 16, and an injection hole 20 is formed at a rear end of the check valve 18.
  • the enema catheter device 30 is inserted into the rectum first when the tube 4 made of a soft material is inserted into the rectum to give a support force to the catheter more easily.
  • a supporting rod 32 is configured to be inserted, the supporting rod 32 comprising a rod portion 34 in the form of a thin rod; It is composed of a handle 36 that is configured at the rear end of the rod 34 can be gripped by the operator.
  • the rod 34 is preferably made of stainless steel or a hard synthetic resin material having corrosion resistance.
  • the enema catheter device 30 is coupled to the outer periphery of the washing liquid injection tube 8, the inner path of the enema liquid inlet tube 8 which is in communication with the main tube in a one-touch manner It is further provided with a clamp 40 that can be closed.
  • the clamp 40 is configured to be easily manipulated even by holding a syringe (not shown) for injecting enema solution into the other hand by allowing a user to operate the opening and closing with one hand.
  • the clamp 40 is composed of a body 42 made of a hexagonal hexahedron while forming incision holes 44 and 46 through which the enema solution inlet tube 8 passes through the front / rear, respectively, the clamp. 40 is coupled to the outer periphery of the enema liquid inlet tube 8 configured at the end of the tube 4 is configured to open and close the internal path of the enema liquid inlet tube (8).
  • the clamp 40 is formed to face each inside of the body 42, the semi-circular upper and lower operating parts (48, 50) are in close contact with the outer periphery of the washing liquid injection pipe (8)
  • the fixing part 54 has a plurality of threads 56 formed on the inner wall of the body 42.
  • the clamp 40 is in close contact with the fixing portion 54 while being elevated along the fixing portion 54, the blade 58 which is fastened to the fixing portion 54 by the clamping method in the front end thereof It consists of a moving part 52 is formed.
  • Figure 3a, 3b is a side cross-sectional view showing the operating state of the clamp included in the enema catheter device according to an embodiment of the present invention.
  • the upper operation portion 48 is fixed to the inner lower surface of the body 42,
  • the moving part 52 is elevated with respect to the surface on which the upper operating part 48 is formed, and the lower operating part 50 formed on the upper surface of the moving part 52 approaches or moves away from the upper operating part 48.
  • the washing liquid injection pipe 8 in close contact with the upper operation part 48 is pressed by the lower operation part 50 upward, or release the compression.
  • the enema solution is opened to be injected and at the same time the upper operation portion 48 of the clamp 40
  • the lower operation part 50 is in close contact with the outer periphery of the enema liquid inlet tube 8.
  • Figure 4 is a flow chart showing the operation step using the enema catheter device according to an embodiment of the present invention.
  • the enema catheter device 30 first checks whether the balloon 26 is damaged, and if there is no abnormality, the support rod 32 is inserted into the tube through the enema solution 8. Push deep into the inside of (4).
  • the medical staff pushes the tube 4 into the rectum of the patient in a state of holding the tube 4 and the handle 36 of the support rod 32 by hand.
  • the distilled water injection tube 16 is connected to a syringe (not shown) containing distilled water, and press the syringe to inject distilled water 30 to 40 kPa.
  • the distilled water is introduced into the inner space of the balloon 26 through the microtubule 22 so that the balloon 26 is gradually inflated, and the balloon 26 thus expanded is in close contact with the inner wall of the rectum. Whether distilled water is sufficiently injected into the balloon 26 can be felt by the medical staff through the pressure of the syringe.
  • the medical staff can grasp the state in which the tube 4 is fixed inside the rectum, and withdraw the support rod 32 inserted into the tube 4 to the outside.
  • a syringe (not shown) containing enema solution is connected to the enema injection tube 8, and the enema solution contained therein is pressed through the inner path of the tube 4 by pressing the syringe. Push into the inside of your workplace. Then, the enema is supplied into the rectum through the discharge hole 14 formed in front of the tube 4 via the tube 4 and mixed with the feces in the intestine.
  • the medical staff When the injection of the enema solution is completed, the medical staff to operate the clamp 40 with the other hand to quickly close the internal path of the enema solution injection tube 8 to prevent the injected enema solution to flow out again.
  • the enema After 30 to 50 minutes in such a state, the enema is sufficiently acted inside the rectum, so that the stool is diluted, and the medical staff injects the syringe with a separate syringe and releases the check valve 18. The distilled water filled in the balloon 26 through the ball 20 is drawn back into the syringe.
  • the medical staff removes the tube 4 from the rectum of the patient so that the thin side can be temporarily discharged out of the anus.
  • the enema catheter device and the method of using the same according to an embodiment of the present invention is not limited to the above embodiment, but various modifications can be made within the scope without departing from the technical gist.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Child & Adolescent Psychology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

La présente invention concerne un dispositif de cathéter destiné à pratiquer un lavement, et un procédé chirurgical l'employant. Selon l'invention, on empêche pendant un certain temps la sortie d'une solution de lavement injectée dans le rectum et des fèces diluées dans la solution de lavement, par une fermeture hermétique efficace temporaire de l'entrée du rectum au moyen d'un ballonnet formé à l'avant du cathéter après injection de la solution de lavement dans le rectum via l'anus, ce qui permet d'éviter la contamination des zones adjacentes en raison d'une sortie précoce de la solution de lavement et des fèces qu'elle contient. En outre, le tube principal ne se plie pas et reste rigide grâce à l'utilisation d'une tige de support lors de l'insertion dans le rectum, ce qui permet au tube d'être aisément inséré dans le rectum où se trouvent encore des fèces enclavées ou sèches, pour ainsi permettre un lavement efficace. De plus, une pince est formée séparément, ladite pince arrêtant la sortie à travers le tube de la solution de lavement injectée après son injection, ce qui confère au dispositif une bonne facilité d'utilisation.
PCT/KR2011/000488 2010-01-28 2011-01-24 Dispositif de cathéter pour lavement et procédé chirurgical l'employant Ceased WO2011093626A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2010-0007735 2010-01-28
KR1020100007735A KR101142684B1 (ko) 2010-01-28 2010-01-28 관장용 카테타 장치 및 그것을 이용한 시술방법

Publications (2)

Publication Number Publication Date
WO2011093626A2 true WO2011093626A2 (fr) 2011-08-04
WO2011093626A3 WO2011093626A3 (fr) 2012-01-05

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Application Number Title Priority Date Filing Date
PCT/KR2011/000488 Ceased WO2011093626A2 (fr) 2010-01-28 2011-01-24 Dispositif de cathéter pour lavement et procédé chirurgical l'employant

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KR (1) KR101142684B1 (fr)
WO (1) WO2011093626A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102472097B1 (ko) * 2022-06-20 2022-11-30 주식회사 지엘 배변을 유도하는 관장장치

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114042231B (zh) * 2021-12-18 2024-03-29 江西圣丹康医学科技有限公司 一种球囊膨胀式防脱直肠导管
KR102799872B1 (ko) 2024-07-16 2025-04-28 손제욱 사용성이 개선된 직장 삽입용 기구

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6743195B2 (en) * 2001-03-14 2004-06-01 Cardiodex Balloon method and apparatus for vascular closure following arterial catheterization
KR20030003496A (ko) * 2001-07-03 2003-01-10 김기웅 안전 방광내 유치 풍선형 도뇨관
JP5052904B2 (ja) * 2007-01-23 2012-10-17 株式会社八光 身体アクセスポート
JP5390982B2 (ja) 2009-08-06 2014-01-15 ホリスター・インコーポレイテッド 改良された人工肛門装置

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102472097B1 (ko) * 2022-06-20 2022-11-30 주식회사 지엘 배변을 유도하는 관장장치

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KR20110088026A (ko) 2011-08-03
KR101142684B1 (ko) 2012-05-11
WO2011093626A3 (fr) 2012-01-05

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