The invention relates to a nasogastric tube, in particular to an anti-reflux nasogastric tube discreetly disposed in the nasal cavity of a human body, thereby reducing the patient's discomfort and increasing the aesthetic appearance and avoiding inadvertent pulling.
A nasogastric tube is a soft, flexible hose placed in the stomach through the nasal cavity and esophagus so that the patient can be fed smoothly from the nasal cavity. The nasogastric tube is used to transport liquid food, thereby reducing the burden of esophagus. A nasogastric tube may be used, for example, to facilitate healing of the throat and esophagus after surgery.
The proximal end extends from the nasal opening, and is typically taped to the cheek of the patient. Taping the nasogastric tube to the patient's cheek may cause patient discomfort, and the exposed nasogastric tube 80 taped to the patient's cheek is unsightly. Furthermore, since the tube body 81 is long the patient may inadvertently dislodge the nasogastric tube by pulling on the proximal end.
In addition, the conventional joint 82 further has a cover plug 83 that can cover the opening 821 of the joint 82 to prevent the nasogastric tube 80 from being contaminated by the environment as well as to prevent regurgitation of the food remaining in the tube body 81. However, the joint 82 has to be manually closed by the cover plug 83. Once the cover plug 83 is disengaged from the opening 821, the cover plug 83 still may be detached, which is inconvenient to use and loses its original function.
The structure of the right-angle nasogastric tube 84 is incapable of avoiding the disadvantages of the aforementioned first kind of the conventional nasogastric tube. Moreover, the right angle joint 85 is more likely to retain liquid food and is difficult to clean.
What is needed is an improved nasogastric feeding tube which is less susceptible to being dislodged or removed by the patient and which more discreet.
Disclosed herein is an anti-reflux nasogastric tube which is placed in the nasal cavity of a human body and which does not need to be taped to the cheek of the human body, thereby reducing patient's discomfort and increasing aesthetic appearance and avoiding inadvertent dislodgment.
The examples disclosed herein include an anti-reflux joint (normally-closed valve) to prevent the food from flowing (regurgitating) back from the nasogastric tube when the patient is being fed.
Example 1: An anti-reflux nasogastric tube sized for insertion into a nostril of the human body, comprising: a tube body having a sidewall and a lumen extending between a proximal end and a distal end thereof, the proximal end having an opening, at least one through-hole defined in the sidewall proximal the distal end, the opening is in fluid communication with the at least one through-hole; and a positioning sleeve mounted to the tube body and in fluid communication with the opening, the positioning sleeve having a socket part and an outer edge, the outer edge located at one end of the socket part, the outer edge having a diameter selected to be larger than an inner diameter of the nostril of the human body.
Example 2: The anti-reflux nasogastric tube of Example 1, further comprising an anti-reflux joint disposed on a first end of the tube body and located in the socket part, the anti-reflux joint comprising a housing and an anti-reflux element, the housing having a channel, and one end of the housing is provided with a linking part for connecting an extracorporeal tube, the anti-reflux element is disposed in communication with the channel.
Example 3: The anti-reflux nasogastric tube of Example 2, wherein the channel has a first through-hole, a second through-hole and a storage space interposed therebetween, the storage space is in communication between the first through-hole and the second through-hole for communicating with the extracorporeal tube.
Example 4: The anti-reflux nasogastric tube of Example 3, wherein the anti-reflux element comprises a shaft part and a biasing element, the shaft part has a first end, a second end, a propping part and a collar, the first end of the shaft part extends in the first through-hole, the propping part is disposed on the first end of the shaft part and has at least one piercing hole, the collar is disposed between the first end and the second end of the shaft part and located in the storage space, the outer diameter of the convex ring in an unstressed state is larger than the inner diameter of the first through-hole in an unstressed state, the outer diameter of the convex ring in an unstressed state is smaller than the inner diameter of the storage space, the biasing element is sleeved on the second end of the shaft part, one end of the biasing element abuts the collar, the other end abuts a bottom wall of the storage space.
Example 5: The anti-reflux nasogastric tube of Example 4, wherein the anti-reflux element further comprises a sealing ring, the sealing ring is disposed on a side of the convex ring adjacent to the first end of the shaft portion, the outer diameter of the sealing ring in an unstressed state is larger than the inner diameter of the first through-hole, and the inner diameter of the sealing ring in an unstressed state is smaller than the outer diameter of the collar ring in an unstressed state.
Example 6: The anti-reflux nasogastric tube of Example 4, wherein the outer diameter of the biasing element is larger than the inner diameter of the second through-hole.
Example 7: The anti-reflux nasogastric tube of Example 3, wherein the anti-reflux element has a sealing part, a penetrating hole and a blocking part, the sealing part is located in the storage space, the penetrating hole penetrates through the sealing part, the blocking part is disposed at one end of the sealing part and located in the first through-hole, at least one slit is provided at the top of the blocking part.
Example 8: The anti-reflux nasogastric tube of Example 7, wherein the housing further comprises a bottom housing having a threaded portion and an extending tube, the extending tube has a second through-hole.
Example 9: The anti-reflux nasogastric tube of Example 2, wherein the housing further comprises a positioning part, the positioning part is convexly disposed at a middle portion of the housing, the outer diameter of the positioning part in an unstressed state is larger than the inner diameter of the sleeve part in an unstressed state, so that the socket part is expanded outwardly by the positioning part to be positioned on the housing.
Example 10: The anti-reflux nasogastric tube of Example 1, further comprising a pillar plug, the outer diameter of the plug in an unstressed state is greater than the inner diameter of the positioning sleeve in an unstressed state.
Example 11: The anti-reflux nasogastric tube of Example 2, wherein the anti-reflux joint is a normally-closed valve.
Example 12: The anti-reflux nasogastric tube of Example 1, wherein the positioning sleeve has a proximal end and a distal end, a diameter of the distal end is selected to be smaller than the inner diameter of the nostril such that the distal end is received within the nostril.
Example 13: A nasogastric tube assembly, comprising: a proximal connector having a proximal end and a distal end, the proximal end configured for attachment to a feeding tube, the connector having a lumen extending between the proximal and distal ends; a nose attachment member attached to an exterior surface of the connector; and a normally-closed valve in fluid communication with the proximal connector lumen.
Example 14: The nasogastric tube assembly of Example 13, further comprising: a distal connector having a proximal end and a distal end; a lumen extending between the proximal and distal ends; the distal connector proximal end removably connected to the distal end of the proximal connector such that the distal connector lumen is in fluid communication with the proximal connector lumen; and a projection on the proximal end of the distal connector; wherein the projection opens the normally-closed valve when the distal connector is engaged with the proximal connector.
Example 15: The nasogastric tube assembly of Example 13, wherein the nose attachment member is formed of an elastomeric material.
Example 16: The nasogastric tube assembly of Example 14, wherein the distal end of the distal connector includes a mounting portion configured for attachment to a tube.
Example 17: The nasogastric tube assembly of Example 14, wherein the projection is a tubular projection in fluid connection with the distal connector lumen.
The description of the present invention will be described in more detail below with reference to the drawings and the reference numerals, those skilled in the art can implement after studying this specification.
The tube body 10 has a first (proximal) end 11, a second (distal) end 12, and a lumen 15 extending therebetween. The proximal (first) end 11 has an opening 13. A through-hole 14 is defined through the sidewall of the tube body, providing fluid communication through the sidewall. In some examples, the distal end of the tube body 11 has a closed end. In other examples, the distal end of the tube body 10 has an opening in fluid communication with the opening 13. In the drawings the through-hole 14 is depicted as being proximal the distal end 12. The opening 13 communicates with the hole 14 through a lumen 15. The tube body 10 may be formed from a flexible plastic or silicone material soft hose, which prevents the tube body 10 from injuring the surface tissues of the nasal cavity and the esophagus during placement in the stomach through the nasal cavity and the esophagus. The drawings depict a single through-hole 14; however, two or more through-holes 14 may be provided and fall within the scope of the invention.
As best seen in
In a first example of the present invention, the anti-reflux nasogastric tube further includes an anti-reflux joint 20 disposed at the first end 11 of the tube body 10 and located in the socket part 62. The anti-reflux joint 20 includes a housing 21 and an anti-reflux element 30 (normally-closed check valve).
Preferably, a first (proximal) end of the housing 21 is provided with a linking part 23 for removably connecting an extracorporeal tube 50 (shown in
Preferably, the outer edge 61 of the positioning sleeve 60 is located at one end of the socket part 62 and has one end of the linking part 23 adjacent to the housing 21.
In the first example of the present invention, the housing 21 further includes a bottom housing 22. The bottom housing 22 has an extending tube 221. The extending tube 221 has a second through-hole 2112 defined in the sidewall of the extending tube. The first end 11 of the tube body 10 can be sleeved on the extending tube 221 of the bottom housing 22 to communicate the second through-hole 2112 with the tube body 10.
In the first example of the present invention, the housing 21 further includes a positioning part 24, the positioning part 24 is convexly disposed at a middle portion of the housing 21. The outer diameter of the positioning part 24 is larger than the inner diameter of the socket part 62 (interference fit), so that the socket part 62 is expanded outwardly by the positioning part 24 to be positioned on the housing 21. Thereby, achieve the effect of positioning of the positioning sleeve 60 and the prevention of falling off.
In the first embodiment of the present invention, the anti-reflux element 30 includes a shaft part 31 and a biasing element such as a spring 32, elastomeric member or the like; the shaft part 31 has a first (proximal) end 311, a second (distal) end 312, a propping part 313 and a collar 314; the first end 311 of the shaft part 31 extends or is partially house within the first through-hole 2111. The propping part 313 is disposed on the first (proximal) end 311 of the shaft part 31 and has at least one piercing hole 3131. The collar 314 is disposed between the first end 311 and the second end 312 of the shaft part 31 and is located in the storage space 2113; wherein, the outer diameter of the collar 314 (in an unstressed or undeformed state) is larger than the unstressed or undeformed inner diameter of the first through-hole 2111. The outer diameter of the collar 314 (in an unstressed or undeformed state) is smaller than the unstressed or undeformed inner diameter of the storage space 2113. The collar 314 is axially movable within the storage space 2113, but cannot pass through the first through-hole 2111 to be detached from the housing 21.
The biasing element 32 is sleeved on the second end 312 of the shaft part 31. One end of the biasing element 32 props against the collar 314, the other end props against a bottom wall 2114 of the storage space 2113. Thereby, the biasing element 32 provides an elastic force to cause the collar 314 to prop against and close the first through-hole 2111 (biased into a normally closed position). Wherein, the outer diameter of the biasing element 32 is larger than the inner diameter of the second through-hole 2112, and the outer diameter of the second end 312 of the shaft part 31 is smaller than the inner diameter of the second through-hole 2112.
The anti-reflux element 30 may further include a ring 33. The ring 33 is disposed on a side of the collar 314 adjacent to the first end 311 of the shaft part 31. The outer diameter of the ring 33 is larger than the inner diameter of the first through-hole 2111. The inner diameter of the ring 33 is smaller than the outer diameter of the collar 314. Specifically, the ring 33 is sleeved on the first end 311 of the shaft part 31 and located in the storage space 2113, whereby the ring 33 can be positioned between the collar 314 and the first through-hole 2111. Preferably, the ring 33 is made of elastic plastic, rubber or silica gel, so that the collar 314 has a better leak proof effect when it props against the first through-hole 2111.
When feeding is completed, it is only necessary to remove the outer pipe joint 51 from the anti-reflux joint 20, meanwhile, since no external force is pressed against the propping part 313, the spring 32 will rebound and the collar 314 cause the rubber ring 33 reseal the first through-hole 2111. Thereby, preventing regurgitation of the food remaining in the tube body 10 and prevention of the nasogastric tube from being contaminated by the environment.
As best seen in
Preferably, a first (proximal) end of the housing 21a is provided with a linking part 23a for connecting an outer pipe joint 51 of the extracorporeal tube. The linking part 23a may be a female or male thread for screwing with a female thread of the outer pipe joint 51 of the extracorporeal tube 50. One of ordinary skill in the art should appreciate that any number of quick-connect mechanisms may be used, and that the invention is not limited to the use of threads. For the sake of (non-limiting) example,
In the second example of the present invention, the housing 21a further includes a bottom housing 22a having a mating portion 222a configured to mate with extending tube 221a. In the drawings the mating portion 222a is depicted as female thread 222a; however, the invention is not limited to a thread (male or female) and any of a variety of connection mechanisms may be used. The extending tube 221a has a second through-hole 2112a. When the tube body 10 is sleeved on the extending tube 221a, the second through-hole 2112a is in fluid communication with the tube body 10. Note that the bottom housing 22a of the present invention has a female thread 222a, and can be further screwed to a kind of tube body (not shown) having a female threaded joint at one end.
In the second example of the present invention, the anti-reflux element 30a is disposed in the channel 211a. The anti-reflux element 30a has a sealing part 31a, a penetrating hole 32a and a blocking part 33a. The sealing part 31a is located in the storage space 2113a. The penetrating hole 32a penetrates through the sealing part 31a. The blocking part 33a is disposed at one end of the sealing part 31a and is located in the first through-hole 2111a. At least one slit 34a is provided at the top of the blocking part 33a.
Preferably, the anti-reflux element 30a is made of elastic material, and may be plastic, rubber or silicone.
As shown in
In the second example of the present invention, the tube body 10 is placed in the stomach through the nasal cavity and the esophagus, and the positioning sleeve 60 is stuck in the nostrils of the human body. When the patient wants to be fed, the outer pipe joint 51 is first connected to the linking part 23a of the anti-reflux joint 20a, so that the liquid food can sequentially pass through the extracorporeal tube 50, the outer pipe joint 51, the penetrating hole 32a and the second through-hole 2112 to flow into the tube body 10 to enter the stomach of the human body.
When no need to feed, only need to remove the outer pipe joint 51 from the anti-reflux joint 20a, meanwhile, since no external force is pressed against the blocking part 33a, the blocking part 33a deformed by the rotational pressure will rebound to its original biased (closed) state, so that the slit 34a be closed again. Thereby, achieve the effect of prevention of the food remaining in the tube body 10 flowing back (regurgitating) and prevention of the nasogastric tube from being contaminated by the environment.
Note that in the preferred embodiment of the present invention, the linking parts 23, 23a are male threads, however, the linking parts 23, 23a can be modified to be female threads with the same function to be screwed to a male thread of the outer joint 51 of the other kind of extracorporeal tube 50.
In summary, the present invention allows the anti-flux joints 20, 20a to be stuck in the nasal cavity of the human body by the positioning sleeve 60, and does not need to be adhered to the cheek of the human body by adhering, thereby reducing the patient's discomfort and increasing the aesthetic appearance and avoiding inadvertent pulling.
Furthermore, by the anti-reflux elements 30, 30a of the anti-reflux joints 20, 20a, the channel 211 of the anti-reflux element 30 or the penetrating hole 32a of the anti-reflux element 30a can be automatically opened when connected to the outer pipe joint 51 to feed, and the channel 211 of the anti-reflux element 20 or the penetrating hole 32a of the anti-reflux element 20a can be automatically closed when separated from the outer pipe joint 51. Thereby, achieve the effect of prevention of the food remaining in the tube body 10 flowing back and prevention of the nasogastric tube from being polluted by the environment.
The proximal connector 133 has a proximal end 133P and a distal end 133D. Proximal end 133P is configured for attachment to a gastric feeding tube 131. The proximal connector 133 has a lumen 140L extending between the proximal and distal ends 133P, 133D.
The proximal connector 133 includes a nose attachment member 136 attached to an exterior surface of the connector. The proximal connector 133 also includes a normally-closed valve 138 in fluid communication with the proximal connector lumen 138A.
The distal connector 134 has a proximal end 133P and a distal end 134D, and a lumen 140L extending between the proximal and distal ends. The proximal end 134P of the distal connector 134 is removably connected to the distal end 133D of the proximal connector 133 such that the distal connector lumen 140L is in fluid communication with the proximal connector lumen 138a.
The distal connector 134 is provided with a projection 140 on the proximal end thereof which opens the normally-closed valve when the distal connector 134 is engaged with the proximal connector 133.
The normally-closed valve 138 enables the connector 134 to be disconnected from connector 133, while preventing reflux through connector 133. In use, the nose attachment portion 136 and connector 133 remain engaged with patient's nose N regardless of whether distal connector 134 is attached or disengaged from proximal connector 133.
The above description is only for explaining the preferred embodiments of the present invention, and is not intended to be any form of limitation of the present invention. Therefore, any modifications or variations of the present invention made in the spirit of the invention should be included in the scope of the invention as claimed.