CN102389346B - Bladder stoma without urine collecting bag - Google Patents

Bladder stoma without urine collecting bag Download PDF

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Publication number
CN102389346B
CN102389346B CN 201110211032 CN201110211032A CN102389346B CN 102389346 B CN102389346 B CN 102389346B CN 201110211032 CN201110211032 CN 201110211032 CN 201110211032 A CN201110211032 A CN 201110211032A CN 102389346 B CN102389346 B CN 102389346B
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China
Prior art keywords
bladder
tube wall
fistula
stoma
water
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Expired - Fee Related
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CN 201110211032
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Chinese (zh)
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CN102389346A (en
Inventor
侯春林
黄春福
林浩东
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Priority to CN 201110211032 priority Critical patent/CN102389346B/en
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Publication of CN102389346B publication Critical patent/CN102389346B/en
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Abstract

The invention belongs to the field of medical equipment. Currently, a plurality of bladder stomas exist clinically, such as a mushroom-shaped bladder stoma, a Foley catheter and the like, and are connected with a urine collecting bag externally for a long time, so that the daily life of a patient is seriously influenced. The invention provides a novel bladder stoma which is provided with a piston valve, prevents urine from leaking, and does not require a urine collecting bag. The bladder stoma comprises a tube wall (2), a fixed plate (5), a water bag (4) on the periphery of the wall tube, a water injection valve (6) connected with the water bag, as well as a piston valve (1) in a tube cavity (3). The bladder stoma has the characteristics that: after normal saline is injected into the water bag, the bladder stoma can be fixed due to expansion of the water bag in the bladder, and expansion of the water bag in the bladder stoma can prevent urine in the bladder from leaking to fistula; the piston valve in the tube cavity can stop urine from flowing out, and when urination is required, a sterile catheter is inserted into the tube cavity to expand the piston valve for urinating. According to the bladder stoma, urination can be effectively controlled, and a cystostomy patient can relieve troubles of carrying the urine collecting bag along with the patient.

Description

A kind of bladder creating-fistula that need not urine drainage bag
Technical field
The invention belongs to medical instruments field, be specifically related to a kind of bladder creating-fistula that need not urine drainage bag.
Background technology
To the long-term urine retention patient such as neurogenic bladder, urethral obstruction, bladder stoma is the Therapeutic Method of commonly using clinically, and this type of patient need carry bladder creating-fistula for a long time, to reach the purpose of long-term drainage of urine, protection kidney.Although multiple bladder creating-fistula is arranged at present clinically, such as gill fungus shape bladder creating-fistula, Foley catheter etc., Chinese patent ZL96227439.9 and for example, denomination of invention is " urination controllable bladder fistulizating tube "; Chinese patent ZL200720017469.1, denomination of invention is exactly to want a long-term external urine drainage bag for the bladder creating-fistula that " bladder creating-fistula " relates to all has common feature, has had a strong impact on patient's daily life.
If Patients with Bladder Stoma can use one not with the Novel bladder stoma of urine drainage bag, will bring great convenience to patient's life.
Summary of the invention
The purpose of this invention is to provide a kind ofly need not external urine drainage bag, by patient in timing intubate a kind of Novel bladder stoma of urinating voluntarily.
The present invention is by changing the traditional design of bladder creating-fistula constant drainage urine, provide a kind of need not external urine drainage bag, by patient in timing voluntarily intubate urinate, prevent the bladder creating-fistula of urine extravasation.
The invention provides a kind of bladder creating-fistula that need not urine drainage bag, comprise the water pocket of tube wall, fixing head, tube wall periphery, water injection valve and the intraluminal piston lobe of connection water pocket, wherein tube wall is connected with fixing head, water injection valve is positioned on the fixing head, water pocket one end communicates with water injection valve with tube chamber in the tube wall by fixing head, intraluminal piston lobe is connected in tube wall, and the piston lobe has 3-4 piston lobe leaf.
Above-mentioned fixing head and tube wall are connected as a single entity, and fixing head is wide to be 2cm, and thick 1cm is used for propping up stomach wall after bladder creating-fistula is inserted, and plays outer fixing, and prevents the inside landing of bladder creating-fistula.
Above-mentioned water pocket is round tube wall, and far-end is apart from tube wall internal orifice 1cm, and near-end communicates with water injection valve with pipeline in the tube wall by fixing head.Because the water pocket length of using is greater than the length of fistula, behind saline injection in the water pocket, water pocket expands, fits tightly with the fistula wall in the fistula, prevents urine extravasation; Intravesical water pocket then expands naturally, and is fixing in plaing a part, and prevents that stoma from outwards skidding off.
Above-mentioned water injection valve is positioned on the fixing head, can be connected as a single entity with fixing head, communicate with water pocket by the pipeline in fixing head and the tube wall, the inside water filling of available syringe, when injecting normal saline in water injection valve, saline namely flows to water pocket, makes the full expansion of water pocket and is adjacent to the stoma inwall, can be greater than water pocket in the stoma and stretch into its degrees of expansion of intravesical part water pocket, thus the fixation of playing and prevent that stoma from outwards coming off.
Above-mentioned intraluminal piston lobe is connected in tube wall, apart from tube wall internal orifice 1cm, is comprised of 3-4 piston lobe leaf.Piston lobe leaf can inwardly open, and is beneficial to intubate and urinates; And when the intravesical urine acts on piston lobe leaf, mutually be close between piston lobe leaf, occludes lumen prevents the urine outflow.
The invention provides to (behind the cystostomy 1 month) after the Patients with Bladder Stoma fistulization and use.
The present invention can design the stoma of different length, diameter, is fit to different fistula sizes, different build patient use.
The patient that need put for a long time pipe behind the suitable bladder stoma of the present invention uses after its fistulization.Its advantage is: 1, without stomach wall outer catheter and urine drainage bag, be very easy to patient's daily life, alleviate patient's inferiority complex, can be socially reintegrated better; 2, stoma fixation can not moved, and urine is not exosmosed; 3, reduce urine extravasation, urinary catheter and exposed the retrograde infection risk of bringing, alleviated nursery work at ordinary times; 4, can make patient control voluntarily the bladder timing urination, be beneficial to the protection bladder function, the complication such as prevention cystatrophia.
Description of drawings
Fig. 1 is the structural representation of bladder creating-fistula of the present invention
Fig. 2 is the structural representation of water pocket bladder creating-fistula when full
Fig. 3 is the structural representation around the water injection valve
Fig. 4 is the horizontal plane sketch map of fixing head
Fig. 5 is piston lobe horizontal plane sketch map
Wherein, 1, piston lobe; 2, tube wall; 3, tube chamber; 4, water pocket; 5, fixing head; 6, water injection valve; 7, water pocket far-end; 8, water pocket near-end; 9, water filling spool; 10, pipeline; 11, piston lobe leaf; 12, bladder; 13, fistula surrounding tissue.
The specific embodiment
Below in conjunction with embodiments of the invention and accompanying drawing enforcement of the present invention is elaborated; following examples are to implement under take technical solution of the present invention as prerequisite; provided detailed embodiment and concrete operating process, but protection scope of the present invention is not limited to following embodiment.
Embodiment 1: a kind of bladder creating-fistula that need not urine drainage bag
A kind of bladder creating-fistula that need not urine drainage bag, shown in Fig. 1,3,4 and 5, comprise the piston lobe 1 in the water pocket 4 of tube wall 2, fixing head 5, tube wall periphery, the water injection valve 6 that connects water pocket and the tube chamber 3, wherein tube wall 2 is connected as a single entity with fixing head 5, water injection valve 6 is positioned on the fixing head 5, water pocket 4 one ends communicate with water injection valve 6 with pipeline 10 in the tube wall by fixing head, and the piston lobes 1 in the tube chamber 3 are connected in tube wall 2, and piston lobe 1 has 3 piston lobe leaves 11.
Embodiment 2: a kind of bladder creating-fistula that need not urine drainage bag
A kind of as described in Example 1 a kind of bladder creating-fistula that need not urine drainage bag, piston lobe 1 wherein is comprised of 4 piston lobe leaves 11; Piston lobe 1 in the water pocket 4 of tube wall 2 wherein, fixing head 5, tube wall periphery and the tube chamber 3 is all made by medical silica-gel.
Fixing head 5 is connected as a single entity with tube wall 2, and fixing head 5 is wide be 2cm, and thick 1cm is used for propping up stomach wall after stoma is inserted, and plays a part to fix outward, prevents the inside landing of stoma.
Water pocket 4 is around tube wall 2, and far-end 7 is apart from tube wall internal orifice 1cm, and near-end 8 communicates with water injection valve 6 with pipeline 10 in the tube wall by fixing head.Because the water pocket length of using is greater than the length of fistula, behind saline injection in the water pocket, water pocket expands, fits tightly with the fistula wall in the fistula, prevents urine extravasation; Water pocket in the bladder 12 then expands naturally, and is fixing in plaing a part, and prevents that stoma from outwards skidding off, as shown in Figure 2.
Water injection valve 6 is positioned on the fixing head 5, the water injection valve outside is made by rigid plastics, inner water filling spool 9 is made by rubber, water injection valve and fixing head are connected as a single entity, communicate with water pocket by the pipeline 10 in fixing head and the tube wall, available syringe is by the 9 inside water fillings of water filling spool, when injecting normal saline in water injection valve, saline namely flows to water pocket, make the full expansion of water pocket and be adjacent to the stoma inwall, can be greater than water pocket in the stoma and stretch into its degrees of expansion of intravesical part water pocket, thus the fixation of playing and prevent that stoma from outwards coming off.
Intraluminal piston lobe is connected in tube wall, and apart from tube wall internal orifice 1cm, the lobe leaf can inwardly open, and is beneficial to intubate and urinates; And when the intravesical urine acts on the lobe leaf, mutually be close between the lobe leaf, occludes lumen prevents the urine outflow.
Embodiment 3: the method for work of bladder creating-fistula of the present invention
1, change first bladder creating-fistula: pull out former bladder creating-fistula, measure fistula length and fistula diameter at stoma, select suitable bladder creating-fistula of the present invention, it is inserted along fistula, the stoma far-end is inserted intravesical 3cm, and fixing head is affixed on the stomach wall.Then pass through the water injection valve saline injection with syringe, water pocket is expanded.Pressure is that water pocket just is adjacent to the fistula wall, and exosmoses for good without urine.
2, urinate: when filling of bladder need to be urinated, insert along the fistulation tube chamber with a sterilized catheter, strut gently inward the piston lobe and enter bladder, urine namely flows out voluntarily along sterilized catheter, urinate complete after, extract catheter, the piston lobe is the self-blocking tube chamber.
3, nursing: the bladder creating-fistula collar extension covers with sterile gauze or Sterilized application at ordinary times, regularly sterilization, change dressings more.Stoma is changed once per month.
4, change bladder creating-fistula: by the normal saline in the water injection valve extraction water pocket, can pull out bladder creating-fistula with syringe, insert new bladder creating-fistula.

Claims (3)

1. bladder creating-fistula that need not urine drainage bag, it is characterized in that, it comprises the water pocket (4) of tube wall (2), fixing head (5), tube wall periphery, the water injection valve (6) that connects water pocket and the piston lobe (1) in the tube chamber (3), wherein tube wall is connected with fixing head, water injection valve is positioned on the fixing head, water pocket one end communicates with water injection valve with pipeline (10) in the tube wall by fixing head, and intraluminal piston lobe is connected in tube wall, and the piston lobe has 3-4 piston lobe leaves (11); Fixing head wherein (5) is connected as a single entity with tube wall (2), and fixing head is wide to be 2cm, thick 1cm; Water pocket (4) is around tube wall (2), and water pocket far-end (7) is apart from tube wall internal orifice 1cm, and water pocket near-end (8) communicates with water injection valve (6) with pipeline (10) in the tube wall by fixing head.
2. a kind of bladder creating-fistula that need not urine drainage bag according to claim 1 is characterized in that, water injection valve (6) and fixing head (5) are connected as a single entity, in water filling spool (9) is arranged.
3. a kind of bladder creating-fistula that need not urine drainage bag according to claim 1 is characterized in that, piston lobe (11) is apart from tube wall (2) internal orifice 1cm, and piston lobe leaf can inwardly open.
CN 201110211032 2011-07-26 2011-07-26 Bladder stoma without urine collecting bag Expired - Fee Related CN102389346B (en)

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Application Number Priority Date Filing Date Title
CN 201110211032 CN102389346B (en) 2011-07-26 2011-07-26 Bladder stoma without urine collecting bag

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Application Number Priority Date Filing Date Title
CN 201110211032 CN102389346B (en) 2011-07-26 2011-07-26 Bladder stoma without urine collecting bag

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CN102389346A CN102389346A (en) 2012-03-28
CN102389346B true CN102389346B (en) 2013-04-03

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Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103830831A (en) * 2012-11-21 2014-06-04 冷光现 Mini-type bladder fistulization tube without drainage bag
CN106975143A (en) * 2017-03-24 2017-07-25 张杜平 Can pressure measuring alarm bladder stoma drainage system
CN109939330A (en) * 2019-04-18 2019-06-28 株洲市长明石墨烯材料有限公司 A kind of disposable aseptic silica gel water pocket bladder creating-fistula
CN110403746A (en) * 2019-07-08 2019-11-05 中山大学孙逸仙纪念医院 Bladder creating-fistula
CN113230521B (en) * 2021-04-23 2022-10-21 西南医科大学附属中医医院 One-step bladder fistulization tube implanting device
CN114082008B (en) * 2021-09-07 2023-06-09 四川大学华西医院 Novel urological bladder fistulization pipe

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2494190Y (en) * 2001-05-14 2002-06-05 袁燕 Controlled urination device
CN2776446Y (en) * 2005-03-23 2006-05-03 周启枢 Fistulation tube
CN2792445Y (en) * 2005-03-19 2006-07-05 孙瑞利 Bladder ostomy-making tube
CN2875378Y (en) * 2006-03-14 2007-03-07 张将履 Urine bag
CN2936203Y (en) * 2007-01-23 2007-08-22 管育国 Bladder fistulation tube
CN201131838Y (en) * 2008-01-08 2008-10-15 魏代淑 Urine drainage appliance
CN201161048Y (en) * 2007-12-13 2008-12-10 姚鑫泉 Novel multifunctional sacculus catheter
CN201469866U (en) * 2009-07-28 2010-05-19 北华大学 Traction fixer for three-chamber aerocyst urethral catheter

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100410123B1 (en) * 2001-07-24 2003-12-12 김기웅 Safe balloon foley catheter

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2494190Y (en) * 2001-05-14 2002-06-05 袁燕 Controlled urination device
CN2792445Y (en) * 2005-03-19 2006-07-05 孙瑞利 Bladder ostomy-making tube
CN2776446Y (en) * 2005-03-23 2006-05-03 周启枢 Fistulation tube
CN2875378Y (en) * 2006-03-14 2007-03-07 张将履 Urine bag
CN2936203Y (en) * 2007-01-23 2007-08-22 管育国 Bladder fistulation tube
CN201161048Y (en) * 2007-12-13 2008-12-10 姚鑫泉 Novel multifunctional sacculus catheter
CN201131838Y (en) * 2008-01-08 2008-10-15 魏代淑 Urine drainage appliance
CN201469866U (en) * 2009-07-28 2010-05-19 北华大学 Traction fixer for three-chamber aerocyst urethral catheter

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