CN213252366U - Front end opening type developing PICC catheter - Google Patents
Front end opening type developing PICC catheter Download PDFInfo
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- CN213252366U CN213252366U CN202020883682.6U CN202020883682U CN213252366U CN 213252366 U CN213252366 U CN 213252366U CN 202020883682 U CN202020883682 U CN 202020883682U CN 213252366 U CN213252366 U CN 213252366U
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- catheter
- visualization
- picc
- marker
- catheter body
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- 239000003550 marker Substances 0.000 claims description 32
- 238000012800 visualization Methods 0.000 claims description 18
- 229910052751 metal Inorganic materials 0.000 claims description 13
- 239000002184 metal Substances 0.000 claims description 13
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical group [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 claims description 6
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical group [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 4
- 229910000990 Ni alloy Inorganic materials 0.000 claims description 2
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 2
- 238000011161 development Methods 0.000 abstract description 30
- 210000002620 vena cava superior Anatomy 0.000 abstract description 5
- 206010003119 arrhythmia Diseases 0.000 abstract description 3
- 230000006793 arrhythmia Effects 0.000 abstract description 3
- 208000036828 Device occlusion Diseases 0.000 abstract description 2
- 208000007536 Thrombosis Diseases 0.000 abstract description 2
- 210000004204 blood vessel Anatomy 0.000 abstract description 2
- 230000007547 defect Effects 0.000 abstract description 2
- 208000001297 phlebitis Diseases 0.000 abstract description 2
- 230000018109 developmental process Effects 0.000 description 28
- 210000000038 chest Anatomy 0.000 description 14
- 238000012545 processing Methods 0.000 description 6
- 210000003462 vein Anatomy 0.000 description 6
- 238000002601 radiography Methods 0.000 description 5
- 239000000956 alloy Substances 0.000 description 4
- 238000001802 infusion Methods 0.000 description 4
- 239000007769 metal material Substances 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 238000004441 surface measurement Methods 0.000 description 3
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000001990 intravenous administration Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229910052759 nickel Inorganic materials 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 238000007747 plating Methods 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000004814 polyurethane Substances 0.000 description 2
- 238000013138 pruning Methods 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 238000009966 trimming Methods 0.000 description 2
- 208000006017 Cardiac Tamponade Diseases 0.000 description 1
- 206010051055 Deep vein thrombosis Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010047249 Venous thrombosis Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000002238 attenuated effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 239000002085 irritant Substances 0.000 description 1
- 231100000021 irritant Toxicity 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 235000016236 parenteral nutrition Nutrition 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 210000005245 right atrium Anatomy 0.000 description 1
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Abstract
The utility model discloses a front end open type develops PICC pipe, including the pipe body, pipe body outer wall interval nature is equipped with a plurality of development markers. The utility model overcomes traditional front end open type PICC is keeping somewhere the difficult development of going chest X line perspective after the success to confirm pipe head position, influences the defect of pipe head position discernment in the chest piece. The position of the head end of the catheter can be quickly and accurately identified by a catheter placer and a radiology department worker, whether the catheter is broken in the advancing route, other blood vessels except the ectopic superior vena cava and the position of the head end is too deep or too shallow can be accurately judged, and therefore related complications of the catheter, such as thrombus, phlebitis, catheter blockage, arrhythmia and the like, are reduced.
Description
Technical Field
The utility model relates to a medical central venous catheter who puts into through peripheral vein specifically is a front end opening type PICC pipe.
Background
Central venous Catheters (PICC) are placed via peripheral veins such as the basilic vein, the median cubital vein, and the cephalic vein, and have catheter tips located at the distal end of the superior vena cava, near the superior vena cava and deep vein catheterization at the entrance to the right atrium (Veselythmas M. Central venous catheter tip position: a connecting control [ J ]. Journal of Vascular & International Radiology,2003,14(5):527- & 534.). The technology can provide a stable venous transfusion passage, has the advantages of long retention time, small wound, safety and the like, and is widely applied to patients who need tumor chemotherapy, irritant drug infusion, parenteral nutrition and long-term venous transfusion (Wangchun, Zhang Meiying, Zhang Wanping, and the like. the reduction method of the PICC ectopic internal jugular vein is improved [ J ] China nursing journal, 2010,45 (6): 560) 561 ]. The american society for intravenous infusion care INS guidelines require that PICC navigation and tip location be confirmed by radiology or other imaging techniques before initiating infusion therapy or when clinical signs and symptoms indicate malposition. I.e., by X-ray irradiation, while simultaneously locating the in vivo walking and tip positions of the catheter in conjunction with the superior vena cava, thoracic vertebrae, and intercostals (DAVID H, NAVDEEP S, KAREN M G, et al. distance of the interventional catheter tip from the right of the interstitial tissue corrected with central [ J ]. Emerg radio, 2016, 23 (3): 269). PICC cephalic ectopy can cause severe complications such as deep vein thrombosis, arrhythmia, pericardial tamponade, etc. (Gorski L a, Hadaway L, Hagle M, et al.2016infusion compressing Standards of Practice J. Journal of infusion compressing 2016,30: S1-S159). PICC is a high-density shadow in the chest piece, and is difficult to distinguish from high-density tissues such as human bones and the like (Xuxibin, Xuyan, Yu, et al. selection and clinical application of catheter tip positioning marks on the chest piece after PICC operation [ J ]. J.J.J.Med. Imageology, 2016(9): 1612-1615.). The PICC catheter and the catheter head position in the chest radiography are accurately and quickly identified to be related to the catheter development degree, the chest radiography shooting technology, the performance of a shooting instrument, the level of a radiographer and the like, wherein the clear or not of the catheter development is particularly critical.
Currently, PICCs used clinically are classified into three-way valvular catheters and open-ended catheters according to their structural types. Due to the different structures, the two types of catheters have different trimming modes. After the three-way valve type PICC is placed in advance, the tail end of the PICC is trimmed according to the body surface measurement length of a patient; the front end open type PICC needs to be trimmed in advance according to the body surface measurement length and then placed in, the placement length of different patients is different, and the scale position of trimming is also different. The three-way valve type conduit head end is completely closed, and the surface is plated with an alloy developing marker, so that the three-way valve type conduit head can be visually identified. The most head end of the front-end opening type PICC needs to be trimmed without being wrapped by complete materials, and the original development is not as clear as that of a three-way valve type catheter; and because the pruning position needs according to actual need, can't fix a position and plate and penetrate the development marker, can't guarantee that the pipe headend end position plates and penetrates the development marker. This causes the front-end open type catheter tip to be poorly developed in the chest radiograph, and the accurate recognition of the position of the catheter tip is greatly affected.
The partial front end open type catheter can resist high pressure injection due to the material characteristics, measures the central venous pressure, and is more widely applied compared with a three-way valve type catheter. The front-end opening type catheter head end developing is realized to assist medical staff to quickly and accurately position the position of the catheter head end on the chest radiography, and more clinical requirements are met.
SUMMERY OF THE UTILITY MODEL
The utility model provides a develop under X-ray perspective clearly, can guarantee the front end open type of the accurate discernment of pipe head position and develop PICC pipe.
In order to solve the technical problems, the following technical scheme is provided:
the utility model provides a front end open type development PICC pipe, includes the pipe body, pipe body outer wall interval nature is equipped with a plurality of development markers.
The utility model discloses a distancing is gone up to the pipe body of front end open type development PICC pipe and is set up a plurality of development markers, conveniently realizes the accurate development of pipe end under the X-ray perspective, and then realizes the accurate positioning of pipe head end, has also further improved the safety in utilization of PICC pipe.
The utility model discloses in, can be for setting up the slice development marker at pipe body outer wall as the development marker and also can be the development marker ring that encircles pipe body outer wall. In one embodiment, the visualization marker is a visualization marker ring disposed around the outer wall of the catheter body. The positioning of the catheter tip is further facilitated by the use of the ring structure.
In one embodiment, the developable marker is a metal developable marker. The X-ray absorption capacity of the metal material is strong, and the X-ray penetrating through the metal is greatly attenuated. According to the imaging principle of X-ray, the higher the attenuation degree of X-ray, the more obvious white light shadow area appears on the image, and the clearer the conduit containing metal material develops on the chest film. The catheter is made of polyurethane, and the developing marker can be plated and shot on the outer surface of the catheter by adopting a metal material so as to enhance the developing effect.
In one embodiment, the plurality of visualization markers are disposed at or near a tip end of the catheter body. The "tip end" refers to the end of the catheter body which needs to be inserted into the human body most deeply during actual use.
As an embodiment, one end of the catheter body far away from the head end of the catheter body is a starting end, and the plurality of developing markers are arranged between the starting end of the catheter body and the head end of the catheter body by 25 cm. In actual processing, the starting end of the catheter body is generally connected with the connector. The length of the intravenous catheter corresponding to the adult human body is generally more than 25cm, and by adopting the technical scheme, on one hand, the use amount of the developing marker is saved, the processing cost is reduced, and meanwhile, the developing and positioning of the end part (namely the extending end) of the catheter body can not be influenced. Preferably, the plurality of development markers are arranged at equal intervals.
Preferably, the distance between two adjacent developing markers is 0.5-1.5 cm. As still further preferable, the distance between two adjacent development markers is 1 cm.
Preferably, the catheter body is provided with scale marks; the developing marker replaces the corresponding graduation mark on the catheter body part provided with the developing marker.
Preferably, the width of the developing mark ring is 0.1-0.3 cm; further preferably 0.2 cm.
Preferably, starting at the 25cm graduation point, the development marker (or development marker ring) is looped around the catheter body at 0.2cm width for one turn at every 1.0cm interval, while replacing the latter graduation point. The most head end is kept as the metal marking ring when the catheter body is trimmed, so that the identification of the catheter head end in the chest radiography can be more accurately assisted by the developing marking ring.
In one embodiment, the development marker is machined from nickel, titanium, or respective alloy materials. The developing mark ring is a nickel ring, a titanium ring, a nickel alloy ring or a titanium alloy ring.
Compared with the prior art, the beneficial effects of the utility model are embodied in:
the utility model adds the developing marker for strengthening development at the head end of the catheter body, can be obviously distinguished from the development of other surrounding human tissues under the assistance of X-ray, and is more beneficial to the medical staff to identify the position of the PICC catheter head; the problem that the catheter extending end of the existing front-end opening type PICC is not clearly developed in the chest radiography is solved, and the accurate identification of the position of the catheter extending end is realized.
The utility model discloses the interval sets up the development marker on the pipe body, guarantees to guarantee all the time that pipe body head end or nearly head end portion remain and develop the marker when pruning, when guaranteeing to put into any length, the pipe head end homoenergetic develops.
The utility model discloses a begin to set up the development marker in 25cm scale point department, reduced the metal plating and penetrated the volume, reduced the processing degree of difficulty and processing cost, every 1.0cm sets up a development marker simultaneously, has made things convenient for the accurate positioning of pipe head end.
The technical scheme of the utility model, also can directly be applied to current front end open type and develop PICC catheter structure in, only need develop the marker in current front end open type development PICC catheter body processing can.
To sum up, the utility model overcomes traditional front end open type PICC is keeping somewhere the difficult development of going back chest X line perspective and confirming pipe head position successfully, influences the defect of pipe head position discernment in the chest piece. The position of the head end of the catheter can be quickly and accurately identified by a catheter placer and a radiology department worker, whether the catheter is broken in the advancing route, other blood vessels except the ectopic superior vena cava and the position of the head end is too deep or too shallow can be accurately judged, and therefore related complications of the catheter, such as thrombus, phlebitis, catheter blockage, arrhythmia and the like, are reduced.
Drawings
Figure 1 is a general schematic view of a PICC catheter of the present invention.
Fig. 2 is a partial schematic view of a tip (or proximal tip) of a PICC catheter of the present invention.
Detailed Description
The present invention will be further explained with reference to the accompanying drawings:
as shown in fig. 1 and 2, the front-end opening type developing PICC catheter comprises a catheter body 101, wherein a plurality of metal developing mark rings 201 are arranged on the outer wall of the catheter body 101 at intervals. The catheter body is made of polyurethane, and the developing marking ring is plated and jetted on the outer surface of the catheter by adopting a metal material so as to enhance the developing effect.
The catheter body 101 has a head 102 at one end and a threaded connector 103 at the other end, and the catheter body 101 is provided with a thumb clamp 104 and a fixing wing 105, which may be any conventional structure.
The catheter body 101 is provided with scales, and from 0, the outer wall of the part of the catheter body 101 close to the head end 102 is provided with a plurality of metal developing mark rings 201. Starting at the 25cm mark, the development markers were looped around the catheter body at 0.2cm width for one turn at every 1.0cm interval, replacing the subsequent mark.
In this embodiment, the scale from "0" to "25 cm" on the catheter body 101: each 1cm is provided with a scale mark, and each 5cm is provided with a specific scale numerical value; from "26 cm" to the very head: every 1cm is changed into a metal marking ring, the width of the marking ring is 0.2cm, the circumference surrounds one circle of the outer diameter of the catheter, and a specific scale numerical value is still arranged every 5 cm. (see fig. 1 and 2)
In actual processing, as shown in fig. 2, a developing mark ring made of nickel titanium (nickel, titanium or respective alloys) is plated on the surface of the PICC catheter body from 25cm scale at intervals of 1cm until the most end of the catheter. The mark ring development of nickel titanium or respective alloy material is highlighted white in the chest piece, and peripheral tissue development is darker, can distinguish directly perceivedly to help medical personnel to discern PICC pipe head position fast accurately.
When the catheter is used, the cutting length of the catheter body is determined according to the body surface measurement value of a user. When the catheter is trimmed, one of the metal developing marking rings is reserved at the end part of the head end of the catheter body, so that the developing effect is ensured, and the catheter is convenient and accurate to position.
In this embodiment, to the unclear technical problem of developing of prior art's pipe head end in the chest piece, the utility model discloses set up the metal ring shape at pipe body head end and develop the marker and strengthen developing, be different from the development of other human tissues around in the chest piece, more do benefit to medical staff discernment PICC pipe head position. According to the conventional pipe placing length, the metal ring is plated and shot from the 25cm length, so that the metal plating shot amount is reduced. And metal marking rings are plated at intervals of 1cm, so that the most end of the catheter can be developed when the catheter is placed in any length.
Claims (9)
1. The front-end opening type developing PICC catheter comprises a catheter body and is characterized in that a plurality of developing markers are arranged on the outer wall of the catheter body at intervals; the developing marker is a developing marker ring arranged around the outer wall of the catheter body.
2. The forward-open visualization PICC catheter of claim 1, wherein the visualization marker is a metal visualization marker.
3. The open-ended visualization PICC catheter of claim 1, wherein the plurality of visualization markers are disposed at a portion of the catheter body at or near the tip end.
4. The catheter of claim 1, wherein the catheter body is configured to have a starting end at a position distal from the tip of the catheter body, and the plurality of visualization markers are disposed between the starting end of the catheter body and the tip of the catheter body after about 25cm from the starting end of the catheter body.
5. The front opening visualization PICC catheter of any of claims 1-3, wherein the plurality of visualization markers are equally spaced.
6. The forward-open visualization PICC catheter of claim 5, wherein the distance between two adjacent visualization markers is 0.5-1.5 cm.
7. The front opening visualization PICC catheter of claim 5, wherein the catheter body is provided with graduations; the developing marker replaces the corresponding graduation mark on the catheter body part provided with the developing marker.
8. The front opening visualization PICC catheter of claim 1, wherein the visualization marker ring has a width of 0.1 to 0.3 cm.
9. The front opening visualization PICC catheter of claim 1, wherein the visualization marker ring is a nickel ring, a titanium ring, a nickel alloy ring, or a titanium alloy ring.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020883682.6U CN213252366U (en) | 2020-05-22 | 2020-05-22 | Front end opening type developing PICC catheter |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020883682.6U CN213252366U (en) | 2020-05-22 | 2020-05-22 | Front end opening type developing PICC catheter |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN213252366U true CN213252366U (en) | 2021-05-25 |
Family
ID=75936375
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202020883682.6U Active CN213252366U (en) | 2020-05-22 | 2020-05-22 | Front end opening type developing PICC catheter |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN213252366U (en) |
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2020
- 2020-05-22 CN CN202020883682.6U patent/CN213252366U/en active Active
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