CN103638591A - Medical closed-type through-anus intestinal anastomotic stoma leak detector - Google Patents
Medical closed-type through-anus intestinal anastomotic stoma leak detector Download PDFInfo
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- CN103638591A CN103638591A CN201310692210.7A CN201310692210A CN103638591A CN 103638591 A CN103638591 A CN 103638591A CN 201310692210 A CN201310692210 A CN 201310692210A CN 103638591 A CN103638591 A CN 103638591A
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- leak detector
- anastomotic stoma
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Abstract
The invention relates to a medical closed-type through-anus intestinal anastomotic stoma leak detector. The leak detector comprises a tube and an air injection device, wherein the tube is provided with an air storage space; the air injection device is used for pushing air in the air storage space into an intestinal cavity; and a rubber plug in a circular truncated cone shape is arranged at an air outlet end of the tube, can be partially inserted into an anus, and is closely contacted with the anus and made of soft and elastic silica gel, so that the condition of air feed while leakage in an air feed process can be avoided, and the accurate quantity of air entering an intestinal tract and the constant intestinal cavity pressure can be guaranteed. In a leak detection process, the intestinal cavity can be kept expanding, so that the leak detection accuracy can be guaranteed, and the leak detector has higher practical values. In addition, the medical closed-type through-anus intestinal anastomotic stoma leak detector is simple in structure, ingenious in design, easy and simple to operate and capable of increasing the detection accuracy substantially.
Description
Technical field
The present invention relates to field of medical, especially relate to the medical closed formula per anum intestinal anastomotic stoma leak detector that a kind of colorectal anastomosis or anal canal Colonic anastomosis are used.
Background technology
In knot rectal surgery, often utilize anastomat per anum to coincide to distance end intestinal tube, after coincideing, need to test identical seriality and integrity.General way is first to clamp anastomotic stoma near-end intestinal tube at present, then at intraperitoneal, pour water to flood the stoma site of intestinal tube, with a syringe, coordinate medical anal tube (or directly using syringe) from anus to enteral gas injection again, by observing anastomotic stoma from intraperitoneal, whether have bubble to overflow to judge whether anastomotic stoma has leak.If there is leak, needs to adopt remedial measures or again process.Yet, when patient ties rectal surgery, its anal sphincter is due to the former of anesthesia thereby in relaxed state, be difficult to coincide with syringe outlet side or medical anal tube, in the process of gas injection, have limit leading edge gas leak phenomenon, easily occur enteric cavity under-inflation, the swollen degree that rises cannot be measured invisible anastomotic stoma leak not, or the situation that hyperinflation causes anastomotic stoma to be torn, the poor effect of leaking hunting.For the anastomotic stoma of Rectal Cancer radical operation, leak hunting especially, difficulty is very large.
Summary of the invention
The object of the present invention is to provide a kind of medical closed formula per anum intestinal anastomotic stoma leak detector that is mainly used in guaranteeing intestinal distension and constant pressure in leaking hunting.
The present invention solves the problems of the technologies described above adopted technical scheme: a kind of medical closed formula per anum intestinal anastomotic stoma leak detector, it comprises: the body of a hollow, its inner chamber is formed with a gas storage space, the first end of described body is provided with gas outlet, is provided with and forbids that extraneous gas enters the check valve of gas storage space by gas outlet on gas outlet; One to be arranged on the first end of described body outer and around the plug of described gas outlet, its by softness and there is elastic silica gel and make, described plug is round table-like, diameter when diameter when its front transverse plane external diameter is less than slack anus, tail end plane external diameter are greater than slack anus; And a gas injection device that is arranged on described body the second end, for the gas in gas storage space is discharged by gas outlet.
In a preferred embodiment, on the lateral wall of described body near first end, be provided with an air inlet pipe that can be communicated with gas storage space and the body external space, in described air inlet pipe, be provided with switch.
In a preferred embodiment, on described plug lateral wall, be formed with one with the suitable wedge shape convex ridge of gluteal fold shape at crissum place, described convex ridge from described plug tail end to described plug before extreme direction extend and be upwards decline state the party, and convex ridge 21 has a predeterminable range away from one end of plug tail end from the front end of plug.
In a preferred embodiment, on the second end of described body, be formed with spacing hole, described gas injection device comprises that one inserts the push rod in body through described spacing hole, the body one end that is positioned at of described push rod connects the piston that a periphery is close to described tube cavity sidewall, and one end being positioned at outside body of described push rod connects a convenient handle gripping.
In a preferred embodiment, described medical closed formula per anum intestinal anastomotic stoma leak detector also comprises a conduit stretching out from described gas outlet periphery, described conduit extends and projects to the outside of the front transverse plane of plug, and described check valve is arranged in described conduit.
In a preferred embodiment, described medical closed formula per anum intestinal anastomotic stoma leak detector also comprises a pressure sensitive and display device, the pressure transducer of described pressure sensitive and display device is arranged on the outer wall of described conduit, its display is arranged on described tube wall, is close to tube wall and extends after the junction of both circuits through plug or plug and body.
In a preferred embodiment, described pressure sensitive and display device are encapsulated in body by transparent encapsulation material and conduit exposes in the part of plug, and is connected with body and conduit outer wall are round and smooth.
In another embodiment, described medical closed formula per anum intestinal anastomotic stoma leak detector also comprises that one is arranged on pressure sensitive and the display device on the outer wall of described conduit, described pressure sensitive and display device have an airway, this airway extends along conduit outer wall, after junction through plug or plug and body, be close to described conduit outer wall and extend, so that described pressure sensitive and display device can be measured the external pressure communicating with airway.
The beneficial effect of medical closed formula per anum intestinal anastomotic stoma leak detector of the present invention is: check valve is set on gas outlet, gas outlet periphery arrange round table-like, can partial insertion anus and with the plug of anus close contact, thereby can guarantee to there will not be limit air inlet to become the situation of gas leakage in the process of air inlet, can guarantee that enteric cavity is in swelling state constant pressure.In the process of leaking hunting, can keep intestinal distension, guarantee the accuracy rate of leaking hunting to there is stronger practical value.In addition, this medical closed formula per anum intestinal anastomotic stoma leak detector is simple in structure, designs ingeniously, easy and simple to handle, can increase substantially Detection accuracy.
Accompanying drawing explanation
Fig. 1 is the cross section view of medical closed per anum intestinal anastomotic stoma leak detector in an embodiment.
The specific embodiment
Below in conjunction with specific embodiment and accompanying drawing, medical closed formula per anum intestinal anastomotic stoma leak detector of the present invention is described in further detail.
A kind of medical closed formula per anum intestinal anastomotic stoma leak detector, after it is mainly used in colorectal anastomosis or anal canal Colonic anastomosis to perform the operation, to anastomotic stoma, whether there is leak to detect immediately, therefore can affirm, each parts of this leak detector all adopt environment-friendly silica gel and need and carry out human detection through sterilization again.
Refer to Fig. 1, this medical closed formula per anum intestinal anastomotic stoma leak detector comprises the body 10 of a hollow, the gas injection device 60 that is arranged on the plug 20 of body first end 11 and is arranged on body 10 second ends 13.
Body 10 is cylindric, and for rigid material is made, its inner chamber is formed with airtight (under non-gas injection and air-suction state) gas storage space 12, first end 11 at body 10 is provided with gas outlet, on gas outlet, be provided with and forbid that extraneous gas enters the check valve 50 of gas storage space by this gas outlet, also, gas outlet only allows gas to go out, and does not allow gas to enter in body.
It is peripheral and around gas outlet that plug 20 is arranged on the end of body 10 first ends 11, its by softness and there is elastic silica gel and make, diameter when diameter when its front transverse plane external diameter is less than slack anus, tail end plane external diameter are greater than slack anus.So, in use, the first end of body 10 can be aimed to patient's anus, and make the front end of plug enter anus, in the process of pressurization gradually, when when the lateral wall of plug 20 slides to slack anus, the diameter of maximum matches, stop, now, the part of plug 30 outside anus just can complete airtight crissum, guarantees the seal in gas replenishment process.Need special instruction, on plug 20 lateral walls, be formed with one with the suitable wedge shape convex ridge 21 of gluteal fold shape at crissum place.Convex ridge 21 from plug tail end to plug before extreme direction extend and be upwards decline state the party, and convex ridge 21 has a predeterminable range away from one end of plug tail end from the front end of plug, this predeterminable range makes when the front end of plug 20 enters anus airtight crissum, and it is outer and identical with gluteal fold that convex ridge is positioned at anus.Because this convex ridge 21 is mutually suitable with near gluteal fold shape crissum, can prevent that human body gas when calculi position from outwards leaking gas from gluteal fold.Plug 20 is mainly used in sealing crissum, to prevent from occurring the situation of inflation limit, limit gas leakage in the process detecting, thus the accuracy that impact detects, and soft silica gel is more easily fitted and has guaranteed seal with anorectal region epithelium or mucosa.
In addition, from the body 10 first end 11 gas outlet peripheries conduit 30 that also stretches out, and this conduit 30 projects to the outside of cushion rubber 20, and in use, this conduit 30 can insert in enteric cavity by anal orifice, and guiding gas directly enters enteric cavity.Check valve 50 can be arranged on the inside of conduit 30, also can be arranged on place, gas outlet, and it can open voluntarily under the percussion of air pressure.
On the lateral wall of body 10 near first end 11, be provided with an air inlet pipe 70 that can be communicated with gas storage space 12 and the body external space, in this air inlet pipe 70, be provided with switch 71.So, in operation process, when the enteric cavity capacity of needs inflations exceeds the maximum air capacity of medical closed formula per anum intestinal anastomotic stoma leak detector, can open switch 71 to make-up gas in body.In other embodiment, switch 71 also can be the check valve that can open voluntarily under certain pressure.
In the present embodiment, on the second end 13 of body 10, be formed with spacing hole, gas injection device 60 comprises that one inserts the push rod 62 in body 10 through this spacing hole, one end that is positioned at body 10 of this push rod 62 is connected with the piston 63 that a periphery is close to body 10 intracavity sidewalls, and one end being positioned at outside body 10 of push rod 62 is connected with a convenient handle 61 gripping.Understandable, piston and inboard wall of tube body are for being tightly connected, by handle 61, promote push rod 62 so that piston 63 promotes towards the first end 11 of body 10, not only can change the volume size of gas storage space 12, and can make the air of gas storage space 12 inside flow towards conduit 30, impact check valve 50 and it is opened automatically, and then the air of gas storage space 12 inside is emitted via conduit 30.In other embodiment, can adopt manual gas injection ball or gas injection cylinder or foot pedal to add air bag and replace gas injection device.
This leak detector also comprises a pressure sensitive and display device 40, and this pressure sensitive and display device 40 mainly comprise a pressure transducer 41 for gas pressure in Real-Time Monitoring enteric cavity and a display 42 for the gas pressure information that demonstration pressure transducer 41 collects in real time.For ease of directly gathering the gas pressure in enteric cavity, in the present embodiment, pressure transducer 41 is arranged on the outer wall of conduit 60 and near conduit 60 end settings, to prevent that enteric cavity compressive pressure sensor 41 from making it cannot accurately measure enteric cavity internal gas pressure.Display 42 is arranged on the outer wall of body 10, and both circuits are close to body 10 outer walls extensions through plug 20 or plug 20 afterwards with the junction of body 10.Need explanation, for preventing patient's mucosa or epithelial damage, pressure sensitive and display device 40 use transparent materials are encapsulated on body 10 and conduit 30, and with body 10 and round and smooth connection of conduit 30 outer walls.Doctor can judge by the gas pressure information showing on display 42 gas charging degree of enteric cavity, thereby can when enteric cavity reaches certain degrees of expansion, stop inflation.This display 42 can be numeral demonstration or spring tabular form etc.
In other embodiments, the pressure transducer of pressure sensitive and display device and display can all be arranged on the outer wall of body, one airway extends from catheter tip always, after junction through plug or plug and body, be close to tube wall and extend to pressure transducer, so that (being also the outside of airway end) air in enteric cavity is guided to pressure transducer, make pressure transducer can detect enteric cavity internal pressure.
Before reality is used, need first this leak detector be carried out disinfection, after to be sterilized completing, first towards body outside direction, pull handle, the switch opens in air inlet pipe, extraneous air enters body inside, when piston approaches to the second end of body, outside stopping, drawing gas injection device, close switch in air inlet pipe, in gas storage space, sealed storage has air substantially.
After intestinal anastomosis operation completes, the tail end of first hand steered body makes a part for conduit and plug enter in enteric cavity via anus, complete and anal canal or rectum laminating to plug, convex ridge on plug is trapped in gluteal fold place, and compress, then promote gently handle by the gas in body by check valve in conduit injects enteric cavity, continuous injection along with air, the force value that the display of pressure sensitive and display device shows constantly increases, when increasing to a preset value, show that enteric cavity fully expands, stop promoting handle, supravasal check valve is closed immediately, thereby stop to gas injection in enteric cavity.At anastomotic stoma near-end intestinal tube, by folder, closed, whether anastomotic stoma is distilled in the situation that water or normal saline flood, by anastomotic stoma place, have Bubble formation to judge whether to exist leak.After inspection, loosen medical closed formula per anum intestinal anastomotic stoma leak detector and take off, gas in intestinal is discharged.
To sum up, medical closed formula per anum intestinal anastomotic stoma leak detector of the present invention arranges check valve on gas outlet, gas outlet periphery arrange round table-like, can partial insertion anus and with the plug of anus close contact, thereby can guarantee to there will not be limit air inlet to become the situation of gas leakage in the process of gas injection, can guarantee that intestinal is in swelling state constant pressure.In the process of leaking hunting, can keep intestinal distension, guarantee the accuracy rate of leaking hunting to there is stronger practical value.In addition, this medical closed formula per anum intestinal anastomotic stoma leak detector is simple in structure, designs ingeniously, easy and simple to handle, can increase substantially Detection accuracy.
Although the description of this invention carries out in conjunction with above specific embodiment,, those skilled in the art can carry out many replacements, modifications and variations, be apparent according to above-mentioned content.Therefore, all such substituting, improve and change are all included in the spirit and scope of attached claim.
Claims (8)
1. a medical closed formula per anum intestinal anastomotic stoma leak detector, is characterized in that, it comprises:
The body of one hollow, its inner chamber is formed with a gas storage space, and the first end of described body is provided with gas outlet, is provided with and forbids that extraneous gas enters the check valve of gas storage space by gas outlet on gas outlet;
One to be arranged on the first end of described body outer and around the plug of described gas outlet, its by softness and there is elastic silica gel and make, described plug is round table-like, diameter when diameter when its front transverse plane external diameter is less than slack anus, tail end plane external diameter are greater than slack anus; And
One is arranged on the gas injection device of described body the second end, for the gas in gas storage space is discharged by gas outlet.
2. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 1, is characterized in that: on the lateral wall of described body near first end, be provided with an air inlet pipe that can be communicated with gas storage space and the body external space, in described air inlet pipe, be provided with switch.
3. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 1, it is characterized in that: on described plug lateral wall, be formed with one with the suitable wedge shape convex ridge of gluteal fold shape at crissum place, described convex ridge from described plug tail end to described plug before extreme direction extend and be upwards decline state the party, and convex ridge has a predeterminable range away from one end of plug tail end from the front end of plug.
4. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 1, it is characterized in that: on the second end of described body, be formed with spacing hole, described gas injection device comprises that one inserts the push rod in body through described spacing hole, the body one end that is positioned at of described push rod connects the piston that a periphery is close to described tube cavity sidewall, and one end being positioned at outside body of described push rod connects a convenient handle gripping.
5. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 1, it is characterized in that: also comprise a conduit stretching out from described gas outlet periphery, described conduit extends and projects to the outside of the front transverse plane of plug, and described check valve is arranged in described conduit.
6. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 5, it is characterized in that: also comprise a pressure sensitive and display device, the pressure transducer of described pressure sensitive and display device is arranged on the outer wall of described conduit, its display is arranged on described tube wall, is close to tube wall and extends after the junction of both circuits through plug or plug and body.
7. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 6, is characterized in that: described pressure sensitive and display device are encapsulated in body by transparent encapsulation material and conduit exposes in the part of plug, and is connected with body and conduit outer wall are round and smooth.
8. medical closed formula per anum intestinal anastomotic stoma leak detector as claimed in claim 5, it is characterized in that: also comprise that one is arranged on pressure sensitive and the display device on the outer wall of described conduit, described pressure sensitive and display device have an airway, this airway extends along conduit outer wall, after junction through plug or plug and body, be close to described conduit outer wall and extend, so that described pressure sensitive and display device can be measured the external pressure communicating with airway.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310692210.7A CN103638591B (en) | 2013-12-17 | 2013-12-17 | Medical closed-type through-anus intestinal anastomotic stoma leak detector |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201310692210.7A CN103638591B (en) | 2013-12-17 | 2013-12-17 | Medical closed-type through-anus intestinal anastomotic stoma leak detector |
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| CN103638591A true CN103638591A (en) | 2014-03-19 |
| CN103638591B CN103638591B (en) | 2015-06-17 |
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| Application Number | Title | Priority Date | Filing Date |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104720757A (en) * | 2015-04-03 | 2015-06-24 | 中国人民解放军第三军医大学第一附属医院 | Leakage detecting device for digestive tract anastomotic stoma and leakage detecting method thereof |
| CN109464124A (en) * | 2018-12-17 | 2019-03-15 | 博罗县妇幼保健计划生育服务中心 | It is a kind of for detecting the simple detection device of ewborn infant esophago-tracheal fistula |
| CN112843444A (en) * | 2020-09-24 | 2021-05-28 | 川北医学院附属医院 | Anorectal administration device |
| CN113101500A (en) * | 2021-04-30 | 2021-07-13 | 中国人民解放军陆军军医大学第一附属医院 | Controllable rectal cancer postoperative pressure release pipe |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060217637A1 (en) * | 2003-09-17 | 2006-09-28 | Leiboff Arnold R | Anastomotic leak testing apparatus |
| CN201727794U (en) * | 2010-07-30 | 2011-02-02 | 朱慧 | Rapid infusion pressurizer |
| CN202052141U (en) * | 2011-04-25 | 2011-11-30 | 张传霞 | Simple transfusion pressurizing device |
| US8216159B1 (en) * | 2007-10-08 | 2012-07-10 | Tools For Surgery, Llc | Anastomosis leak testing apparatus and methods |
| WO2012126744A1 (en) * | 2011-03-18 | 2012-09-27 | Gambro Lundia Ab | Infusion system and method of integrity testing and leak detection |
| CN203169152U (en) * | 2013-04-22 | 2013-09-04 | 张桂荣 | Hydrotubation device |
| CN203591517U (en) * | 2013-12-17 | 2014-05-14 | 邓俊晖 | Medical sealed transanal intestine anastomosis leakage tester |
-
2013
- 2013-12-17 CN CN201310692210.7A patent/CN103638591B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060217637A1 (en) * | 2003-09-17 | 2006-09-28 | Leiboff Arnold R | Anastomotic leak testing apparatus |
| US8216159B1 (en) * | 2007-10-08 | 2012-07-10 | Tools For Surgery, Llc | Anastomosis leak testing apparatus and methods |
| CN201727794U (en) * | 2010-07-30 | 2011-02-02 | 朱慧 | Rapid infusion pressurizer |
| WO2012126744A1 (en) * | 2011-03-18 | 2012-09-27 | Gambro Lundia Ab | Infusion system and method of integrity testing and leak detection |
| CN202052141U (en) * | 2011-04-25 | 2011-11-30 | 张传霞 | Simple transfusion pressurizing device |
| CN203169152U (en) * | 2013-04-22 | 2013-09-04 | 张桂荣 | Hydrotubation device |
| CN203591517U (en) * | 2013-12-17 | 2014-05-14 | 邓俊晖 | Medical sealed transanal intestine anastomosis leakage tester |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104720757A (en) * | 2015-04-03 | 2015-06-24 | 中国人民解放军第三军医大学第一附属医院 | Leakage detecting device for digestive tract anastomotic stoma and leakage detecting method thereof |
| CN109464124A (en) * | 2018-12-17 | 2019-03-15 | 博罗县妇幼保健计划生育服务中心 | It is a kind of for detecting the simple detection device of ewborn infant esophago-tracheal fistula |
| CN112843444A (en) * | 2020-09-24 | 2021-05-28 | 川北医学院附属医院 | Anorectal administration device |
| CN112843444B (en) * | 2020-09-24 | 2022-06-28 | 川北医学院附属医院 | Anorectal administration device |
| CN113101500A (en) * | 2021-04-30 | 2021-07-13 | 中国人民解放军陆军军医大学第一附属医院 | Controllable rectal cancer postoperative pressure release pipe |
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