CN102429641A - Rectal injury discriminator - Google Patents
Rectal injury discriminator Download PDFInfo
- Publication number
- CN102429641A CN102429641A CN2011102457450A CN201110245745A CN102429641A CN 102429641 A CN102429641 A CN 102429641A CN 2011102457450 A CN2011102457450 A CN 2011102457450A CN 201110245745 A CN201110245745 A CN 201110245745A CN 102429641 A CN102429641 A CN 102429641A
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- inner sleeve
- rectal
- hole
- inner bushing
- bushing
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Abstract
The invention discloses a rectal injury discriminator, which comprises an outer bushing and an inner bushing arranged in the outer bushing, wherein one end of the outer bushing is provided with a mushroom head; the mushroom head is provided with a hole; an elastic isolation film is covered on the hole, and is provided with a punctate through hole and a cross-shaped groove which is connected with the punctate through hole; one end of the inner bushing is provided with a pipe cavity opening which is close to the mushroom heat; the other end of the inner bushing is provided with an inner bushing joint; and the inner bushing is provided with a switch which is positioned between the pipe cavity opening and the inner bushing joint. By adopting the rectal injury discriminator, a rectal mucosa can be spread appropriately, and damage on an intestinal wall can be observed conveniently from the periphery of a recta in the surgical area; and after the inner bushing is inserted, water is introduced into the recta through the inner bushing and the pipe cavity opening on the inner bushing, a recta cavity is full, and recta damage can be judged by observing whether water leaks on the outer surface of the intestinal wall in the surgical area.
Description
Technical field
The invention belongs to the clinical medicine technical field of surgical instrument, is a kind of device that is used to differentiate rectal injury.
Background technology
In recent years, the sickness rate of carcinoma of prostate, bladder cancer and cervical cancer progressively increases, and very fast such as carcinoma of prostate radical correction, full cystectomy and Radical Treatment of Cervical Cancer developed recently, rectum sustains damage as adjacent organs easily.The carcinoma of prostate radical correction is very fast with full cystectomy and Radical Treatment of Cervical Cancer development in recent years, and how tame hospital all actively develops in the whole nation.But have a difficult point in this type operation process, will avoid rectal injury exactly, in case find rectal injury, should in operation, repair immediately, the postoperative fasting is also placed the anal canal decompression.But often be difficult in the middle of the less rectal injury operation find, will cause infecting, the generation of severe complication such as intestinal fistula.The traditional open operating difficulty is very high, and wound is bigger, and the progress of laparoscopic surgery in recent years makes and to have obtained improvement, patient's wound is obviously reduced, but laparoscopic surgery weakens the patient's that knows clearly sense of touch, gives and judges that rectal injury has increased difficulty.Often be difficult to find rectal injury in the middle of the operation, find for less damage is more difficult.And rectal injury fails in art, in time to find and repair after taking place, and will cause infecting, the generation of severe complication such as intestinal fistula.Therefore, the timely rectal injury of finding is also handled most important in the art.
Judge that at present it is digital rectal examination in the art that rectum has the most frequently used way of not damaged, but digital rectal examination is also not exclusively reliable, its reason has 2 points.The first, for the patient who is associated with hemorrhoid, because the hemorrhoid wound surface is hemorrhage, digital rectal examination can not clearly have or not the mucous membrane of rectum damage in the art.The second and since the finger limited length, for the higher damage in position often be difficult to look into and.In addition, because digital rectal examination when operation patient glove pollute, therefore change operating coat and glove behind the row digital rectal examination, even need wash one's hands again, the waste operating time is when carrying out digital rectal examination even might destroy aseptic principle.For fear of the generation of intestinal fistula, for the patient who has rectal injury in the art, best countermeasure can be found damage exactly and repair, be beneficial to the postoperative immediate union in art.But do not have still up to the present to differentiate that rectal injury is reliable and can guarantee the device of aseptic principle.
Summary of the invention
In order to solve the problems referred to above that exist in the background technology, the invention provides a kind of clear rectal injury descriminator of differentiating rectal injury, detectability height and helping the sterile working of being convenient to, have simple in structure, easy to operate advantage.
Technical solution of the present invention is:
A kind of rectal injury descriminator; Comprise: trocar sheath and the inner sleeve that is located in the trocar sheath; A telescopic outside end is provided with the mushroom head, on the mushroom head, is provided with the hole, on the hole, is coated with the elastomeric isolation film; " ten " font groove that on the elastomeric isolation film, is provided with the point-like through hole and links to each other with the point-like through hole; It is close to be provided with tube chamber opening and tube chamber opening and mushroom at an end of inner sleeve, is provided with the inner sleeve joint at the other end of inner sleeve, also is being provided with switch and switch on the inner sleeve between tube chamber opening and inner sleeve joint.
Compared with prior art, the present invention has following advantage:
When use is of the present invention, its per anum is placed on internal rectum, utilize the present invention can the mucous membrane of rectum appropriateness be flattened; Be convenient to observe intestinal wall from the rectum periphery and have or not breakage, after inserting inner sleeve, through the tube chamber opening on inner sleeve and the inner sleeve in the art open country; Water is introduced rectum, fill in the rectal cavity, have anhydrous sepage to judge through observation intestinal wall outer surface again and have or not rectal injury in the art open country; Like this; The present invention can introduce water in the rectal cavity, has anhydrous sepage to differentiate through observation intestinal wall outer surface and has or not rectal injury, and have anhydrous sepage to be easy to discovered on the intestinal wall outer surface; Therefore, the present invention has clear rectal injury and detectability and the high advantage of reliability differentiated.
The combination of point-like through hole on the elastomeric isolation film at sleeve pipe top and the measure of " ten " word groove technology outside; Make inner sleeve through the elastomeric isolation film and when stretching out trocar sheath, the point-like through hole is able to rapid elastic dilatation under the assistance of " ten " word groove, when guaranteeing that inner sleeve stretches out trocar sheath smoothly; The hole wall of point-like through hole can be fitted on the outer wall of inner sleeve tightly; Form air-tight state, thereby stop the entering of antibacterial, make the present invention meet aseptic principle.After inner sleeve is return trocar sheath, the inconsistent relation of utilizing end and the point-like through hole on the elastomeric isolation film of inner sleeve to keep, make still keep between end and the point-like through hole on the elastomeric isolation film of inner sleeve sealing and inside and outside state of isolation.
Make more concrete description in the face of advantage of the present invention down:
1, simple in structure.The present invention only comprises an inner sleeve and a trocar sheath, and manufacturing process is simple relatively.
2, easy to operate.The present invention's per anum easily inserts in the enteric cavity, and observing rectum through the inner sleeve water filling has not damaged.
3, meet the aseptic principle of operation.At first, the patient can use this device easily in the art, because this device comprises inner sleeve, can effectively isolate Polluted area during operation, need not to change operating coat and glove after the operation, practices thrift operating time.Secondly; The flexible isolating membrane of this device mushroom crown end, the decussate texture on the elastomeric isolation film can guarantee before and after inner sleeve is inserted, all to keep the sealing state of this device, and the inner sleeve end also is provided with switch; All can avoid intestinal contents to overflow from tube chamber; Pollute the patient, strengthen buffer action, guarantee aseptic principle.There is aperture at cross thin-wall construction center; When not inserting inner sleeve or after extracting inner sleeve, after inner sleeve inserts, its cross thin-wall construction make things convenient for the expansion of aperture be beneficial to inner sleeve smoothly through and avoid intestinal contents around inner sleeve, to overflow; After inner sleeve is extracted; Its cross thin-wall construction and elastic material are convenient to the recovery of himself shape, guarantee the sealing state of aperture, prevent that the enteric cavity content is counter to flow in the tube chamber.The opening of inner sleeve is positioned at the side, and lateral opening is coated with filter screen, and filter screen can effectively prevent enteric cavity content occlusion of openings and prevent that enteric cavity feces is counter to flow in the inner sleeve tube chamber.
4, differentiate conclusion accurately and reliably.With the clamping slightly of rectum near-end, after the inner sleeve water filling, observe the art open country and have or not the judgement of leaking to have or not rectal injury.In addition, for when above-mentioned steps still can not clearly be damaged, can insert sight glass through the tube core of this device, the direct observation mucous membrane of rectum has not damaged.
5, examination scope is wide, can in this device, insert sight glass, observes to the rectal cavity and sigmoid colon intersection, auxiliary all suspicious rectal injury places of accurately observing.
6, help the processing of rectal injury.This device places the rectal injury place, and the jack-up mucous membrane of rectum conveniently carries out the rectum repair operation.
7, safety.This device trocar sheath front end is mushroom head appearance profile, and smooth surface can not cause damage or increase the weight of rectal injury, handling safety mucous membrane of rectum.
8, can place drainage tube in the rectal cavity inter-sync.After sewing up satisfaction, can install tube chamber through this and place anal canal in breakage proximal rectum intracavity optimum position, reduce the pollution of feces, promote the healing of rectum wound wound surface.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is left view of the present invention (amplification).
Fig. 3 is part (amplification) structural representation of trocar sheath mushroom head.
Fig. 4 is a user mode sketch map of the present invention, and wherein, chain-dotted line is represented rectal wall.
The specific embodiment
A kind of rectal injury descriminator; Comprise: trocar sheath 2 and the inner sleeve 4 that is located in the trocar sheath 2, an end of sleeve pipe 2 is provided with the mushroom head outside, on the mushroom head, is provided with the hole; On the hole, be coated with elastomeric isolation film 1; On elastomeric isolation film 1, be provided with point-like through hole 7 and link to each other with point-like through hole 7, at " ten " font groove 8, it is close to be provided with tube chamber opening 3 and tube chamber opening 3 and mushroom at an end of inner sleeve 4; The other end at inner sleeve 4 is provided with inner sleeve joint 6, also is being provided with switch 5 and switch 5 on the inner sleeve 4 between tube chamber opening 3 and inner sleeve joint 6.In the present embodiment, on tube chamber opening 3, be coated with filter screen.
Possibly damage in the operation of rectum at carcinoma of prostate radical correction, full cystectomy, Radical Treatment of Cervical Cancer and other, after prostate and/or the excision of bladder BIAO and BEN, this device per anum is placed on internal rectum; With rectal wall jack-up; Observe rectal wall and have or not cut, insert inner sleeve, the clamping slightly of rectum near-end; After the inner sleeve water filling, fill in the rectal cavity at the wild intestinal wall outer surface of observing of art and have or not sepage to judge to have or not rectal injury.Observing the art open country has or not to leak can judge and have or not rectal injury that also can sight glass be inserted, the direct observation mucous membrane of rectum has not damaged in this device tube chamber.If find that rectum is damaged,, with breakage intestinal wall jack-up slightly mucosa is launched with this device, breakage is sewed up, and this moment is once more with the clamping slightly of rectum near-end, has or not to leak through inner sleeve water filling observation art open country in rectal cavity and can judge whether stitching achieves success.After sewing up satisfaction, can install tube chamber through this and place drainage tube, be beneficial to the healing of rectum wound in breakage proximal rectum intracavity.
This device manufacturing process is simple, and is easy to use, can assist the patient to judge that exactly rectum has not damaged, do not destroy aseptic principle again, also makes things convenient for the patient that rectal injury is repaired.
Claims (2)
1. a rectal injury descriminator is characterized in that, comprising: trocar sheath (2) and be located at the inner sleeve (4) in the trocar sheath (2); An end of sleeve pipe (2) is provided with the mushroom head outside; On mushroom head, be provided with the hole, on the hole, be coated with elastomeric isolation film (1), on elastomeric isolation film (1), be provided with point-like through hole (7) and link to each other with point-like through hole (7); At " ten " font groove (8); It is close to be provided with tube chamber opening (3) and tube chamber opening (3) and mushroom at an end of inner sleeve (4), is provided with inner sleeve joint (6) at the other end of inner sleeve (4), is positioned between tube chamber opening (3) and the inner sleeve joint (6) also being provided with switch (5) and switch (5) on the inner sleeve (4).
2. rectal injury descriminator according to claim 1 is characterized in that, on tube chamber opening (3), is coated with filter screen.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201110245745 CN102429641B (en) | 2011-08-24 | 2011-08-24 | Rectal injury discriminator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201110245745 CN102429641B (en) | 2011-08-24 | 2011-08-24 | Rectal injury discriminator |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102429641A true CN102429641A (en) | 2012-05-02 |
| CN102429641B CN102429641B (en) | 2013-07-31 |
Family
ID=45978255
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201110245745 Expired - Fee Related CN102429641B (en) | 2011-08-24 | 2011-08-24 | Rectal injury discriminator |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102429641B (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108324228A (en) * | 2018-04-23 | 2018-07-27 | 中国人民解放军总医院 | A kind of endoscopy vomitus barrier cover of oral area |
| CN108338773A (en) * | 2018-04-23 | 2018-07-31 | 中国人民解放军总医院 | A kind of endoscopy excreta barrier cover of buttocks |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB965878A (en) * | 1963-04-17 | 1964-08-06 | George William Schossow | Catheter |
| US4168699A (en) * | 1977-08-08 | 1979-09-25 | Mentor Corporation | Sampling catheter |
| CN2079050U (en) * | 1990-12-08 | 1991-06-19 | 马学铁 | Balloon anal tube |
| JP2004105670A (en) * | 2002-09-18 | 2004-04-08 | Risshin Riku | Vagina-anus inspection video system |
| US20050065468A1 (en) * | 2001-11-27 | 2005-03-24 | Microcuff Gmbh | Bladder catheter |
| US20060106361A1 (en) * | 2004-04-21 | 2006-05-18 | Acclarent, Inc. | Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders |
| CN2907692Y (en) * | 2006-06-12 | 2007-06-06 | 韩凤云 | Enema anal canal |
| CN201244018Y (en) * | 2008-07-18 | 2009-05-27 | 李融融 | Multifunctional anus observation glasses |
| US20110015488A1 (en) * | 2009-07-20 | 2011-01-20 | Wei-Chen Hong | Working conduit |
| CN202207136U (en) * | 2011-08-24 | 2012-05-02 | 江苏省人民医院 | Rectal injury identifying device |
-
2011
- 2011-08-24 CN CN 201110245745 patent/CN102429641B/en not_active Expired - Fee Related
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB965878A (en) * | 1963-04-17 | 1964-08-06 | George William Schossow | Catheter |
| US4168699A (en) * | 1977-08-08 | 1979-09-25 | Mentor Corporation | Sampling catheter |
| CN2079050U (en) * | 1990-12-08 | 1991-06-19 | 马学铁 | Balloon anal tube |
| US20050065468A1 (en) * | 2001-11-27 | 2005-03-24 | Microcuff Gmbh | Bladder catheter |
| JP2004105670A (en) * | 2002-09-18 | 2004-04-08 | Risshin Riku | Vagina-anus inspection video system |
| US20060106361A1 (en) * | 2004-04-21 | 2006-05-18 | Acclarent, Inc. | Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders |
| CN2907692Y (en) * | 2006-06-12 | 2007-06-06 | 韩凤云 | Enema anal canal |
| CN201244018Y (en) * | 2008-07-18 | 2009-05-27 | 李融融 | Multifunctional anus observation glasses |
| US20110015488A1 (en) * | 2009-07-20 | 2011-01-20 | Wei-Chen Hong | Working conduit |
| CN202207136U (en) * | 2011-08-24 | 2012-05-02 | 江苏省人民医院 | Rectal injury identifying device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108324228A (en) * | 2018-04-23 | 2018-07-27 | 中国人民解放军总医院 | A kind of endoscopy vomitus barrier cover of oral area |
| CN108338773A (en) * | 2018-04-23 | 2018-07-31 | 中国人民解放军总医院 | A kind of endoscopy excreta barrier cover of buttocks |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102429641B (en) | 2013-07-31 |
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Granted publication date: 20130731 Termination date: 20210824 |
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| CF01 | Termination of patent right due to non-payment of annual fee |