CN103272321B - Body cavity drainage tube suit - Google Patents

Body cavity drainage tube suit Download PDF

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Publication number
CN103272321B
CN103272321B CN201310207294.0A CN201310207294A CN103272321B CN 103272321 B CN103272321 B CN 103272321B CN 201310207294 A CN201310207294 A CN 201310207294A CN 103272321 B CN103272321 B CN 103272321B
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CN
China
Prior art keywords
trocar sheath
sheath
drainage tube
body cavity
air bag
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201310207294.0A
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Chinese (zh)
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CN103272321A (en
Inventor
孙传政
杨广益
杨明施
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Third Xiangya Hospital of Central South University
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Third Xiangya Hospital of Central South University
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Priority to CN201310207294.0A priority Critical patent/CN103272321B/en
Publication of CN103272321A publication Critical patent/CN103272321A/en
Application granted granted Critical
Publication of CN103272321B publication Critical patent/CN103272321B/en
Expired - Fee Related legal-status Critical Current
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Abstract

The invention discloses a kind of body cavity drainage tube suit, it includes air bag protheca, trocar sheath, airbag inflation pipe, diluted liquid tube, air pressure adjustment pipe and body lumen wall sheath;Present configuration design is ingenious, reasonable, it is provided with air bag protheca, the face contact of air bag it is transformed into by original pressure point contact, greatly reduce the possibility of the damage in-vivo tissue organ that drainage tube Preserving time causes, significantly reduce the incidence rate of the clinical common complications such as massive hemorrhage in digestive tract fistula, splanchnocoel;Diluted liquid tube and air pressure adjustment pipe it is provided with, to provide the water and gas that drain end needs in trocar sheath;It is provided with body lumen wall sheath, in drainage process, more preferable drainage effect can be obtained by independent rotating jacket pipe, need not friction piece cavity wall when rotating simultaneously, alleviate the misery of sufferer greatly, improve the toleration to drain of sufferer, damage little, it is effectively increased safety and the effectiveness of surgical drainage, it addition, the overall structure of the present invention is simple, it is easy to manufacture, low cost, is beneficial to be widely popularized.

Description

Body cavity drainage tube suit
Technical field
The present invention relates to technical field of medical instruments, be specifically related to a kind of body cavity drainage tube suit being applied to body cavity sepage or slough drain.
Background technology
It is known that, control big emphasis and the difficult point that surgical infection is current medical domain, breast, intraperitoneal drainage are that Clinical Surgery processes one of surgical infection treatment means most important, topmost, and the quality of drainage effect often determines the therapeutic effect of patient and lapses to advancing of disease.At surgery infected patient, the intractable abdominal cavity infection caused such as the most common serious symptom necrotizing pancreatitis, digestive tract fistula, intraperitoneal drainage becomes extremely crucial remedy measures.Therefore, body cavity drain modern medicine especially surgical infection process in have irreplaceable status.
The most clinical common drain has rubber drain, silica gel drainage tube, double-jacket tube and three sleeve pipes etc., but all conventional drainage tubes all exist various drawback.
1, current body cavity drain uses most double-jacket tube, even three sleeve pipes are because its trocar sheath quality is harder, it is amenable to perienchyma's extruding indeformable, drainage effect is preferable, but organ, tissue or blood vessel in Long contact time or compressing body cavity, often producing the complication lost more than gain, as long-time compressing gastrointestinal tract causes ischemic necrosis generation digestive tract fistula, the big blood vessel of compression massive hemorrhage etc. occur, therefore its range is the most limited;
The drainage tube softer for quality such as rubber drain is usually shriveled by peripheral organs or Tissue approximation so that its drainage effect is had a greatly reduced quality.
2, in body cavity, drain often needs long-time indwelling drainage tube, due to the slough that mostly is of drainage-fluid, drainage process often needs rotating jacket pipe increase drainage effect, but rotation process often causes sufferer pain to feel bad, it is difficult to accept, and it is possible to increase the infection of drainage tube stomatorrhagia.
3, currently used drainage tube is after being in place, drainage tube relative constancy, when drain end periphery sepage or slough drain into a certain degree, drain end position need to be changed and often need to again put pipe, so clinic often need to repeatedly put pipe for surgical infection sufferer, it is greatly increased complication disease incidence rate painful with sufferer.
4, the fixing of body cavity drainage tube is mainly fixed by knotting after skin suture needle is detoured on tube wall with buttock line the most again near drainage tube the most clinically, to prevent drainage tube from deviating from, if but when need to adjust the drainage tube degree of depth, suture needle is fixed again after needing to take out stitches, add sufferer misery and infect probability.
Therefore seek that a kind of drainage effect is good and don't meeting or bottom line reduce the drainage kit that perienchyma's organ causes damage, improve drainage effect, reduce complication, it appears particularly important.It will be greatly improved the therapeutic effect of Clinical Processing surgical infection, significantly reduces the case fatality rate of surgical infection disease.
Summary of the invention
It is an object of the invention to, for above-mentioned deficiency, it is provided that a kind of smart structural design, reasonable, easy to operate, and drainage effect be good, will not or bottom line reduce perienchyma's organ caused damage, reduce the body cavity drainage tube suit of complication.
For achieving the above object, technical scheme provided by the present invention is: a kind of body cavity drainage tube suit, it includes air bag protheca, trocar sheath, airbag inflation pipe, diluted liquid tube, air pressure adjustment pipe and body lumen wall sheath, the front end of described trocar sheath is evenly distributed with some conduction holes, described air bag protheca is set in the front end of described trocar sheath, and it is provided with the perforate corresponding with described conduction hole, described airbag inflation pipe inserts in described trocar sheath, and be connected with described air bag protheca, described diluted liquid tube inserts in described trocar sheath, and head slightly stretches out from the front end of this trocar sheath, and it is provided with, on described air bag protheca, the opening allowing the head of this diluted liquid tube expose, described air pressure adjustment pipe inserts in described trocar sheath, until extending to the front portion of this trocar sheath, described body lumen wall sheath is arranged on the afterbody of described trocar sheath.
As a modification of the present invention, the appearance profile of described conduction hole is one or more combinations in circular, square, prismatic or strip.
As a modification of the present invention, the appearance profile of described conduction hole is circular, a diameter of the 3 of this conduction hole~8mm.
As a modification of the present invention, a diameter of the 5 of described trocar sheath~20mm, a length of 150~400mm.
As a modification of the present invention, described air bag protheca is single layer structure, its marginal position is bonded in the lateral wall of described trocar sheath so that it is medial wall and the lateral wall of this trocar sheath between formed one closing air cavity, described airbag inflation pipe is connected with this air cavity.
As a modification of the present invention, the front end face of described air bag protheca is provided with spherical surface hill, and described opening is positioned at the side of this spherical surface hill.
As a modification of the present invention, described body lumen wall sheath includes that a skin is fixed sheath and and is arranged on the body that this skin is fixed on sheath, this body is provided with the movable trepanning suitable with described trocar sheath, described skin fix sheath be provided with multiple in the center of circle symmetrically arranged fixing hole.
As a modification of the present invention, the lateral tail face of described trocar sheath is provided with the scale recess for showing its insertion depth, and is provided with the snap ring suitable with this scale recess in described movable trepanning, is interference fit between this snap ring and described trocar sheath.
As a modification of the present invention, it also includes that a pull rope, pull rope one end stretch in described trocar sheath, and is connected with the leading inside wall of this trocar sheath.
As a modification of the present invention, it also includes negative-pressure drainage tube, and this negative-pressure drainage tube inserts in described trocar sheath, until extending to the front portion of this trocar sheath, the caliber of this negative-pressure drainage tube is more than the caliber of diluted liquid tube, and this diluted liquid tube is consistent with the pipe diameter size of described air pressure adjustment pipe.
The invention have the benefit that present configuration design is ingenious, reasonable, trocar sheath possesses certain intensity, to be unlikely in body cavity to be squeezed flat by tissue and human body skin opening;Trocar sheath needs again the most soft and smooth simultaneously, to alleviate its damage for body cavity inner tissue organ.Anterior at trocar sheath uses air bag protheca parcel, the face contact of air bag it is transformed into by original pressure point contact, greatly reduce the possibility of the damage in-vivo tissue organ that drainage tube Preserving time causes, significantly reduce the incidence rate of the clinical common complications such as massive hemorrhage in digestive tract fistula, splanchnocoel;Use the body lumen wall sheath with trocar sheath unlike material in contact site direct with body lumen wall, in drainage process, more preferable drainage effect can be obtained by independent rotating jacket pipe, when rotating simultaneously, need not friction piece cavity wall, alleviate the misery of sufferer greatly, improve the toleration to drain of sufferer;Inside pipe casing is provided with diluted liquid tube and air pressure adjustment pipe outside, to provide the water and gas that drain end needs;The angle of drainage tube can be changed to a certain extent by straining or unclamping pull rope, increase drainage effect;Afterbody at trocar sheath is provided with rule, can with body lumen wall sheath with the use of, facilitate medical worker observe trocar sheath depth location change, it is ensured that the safety of use.It addition, the overall structure of the present invention is simple, it is easy to manufacture, low cost, beneficially wide popularization and application.
Below in conjunction with the accompanying drawings with embodiment, the present invention is further described.
Accompanying drawing explanation
Fig. 1 is the perspective view of the present invention.
Fig. 2 is the decomposition texture schematic diagram of Fig. 1.
Fig. 3 is the structural representation of the air bag protheca in Fig. 1.
Fig. 4 is the structural representation of the trocar sheath in Fig. 1.
Fig. 5 is the sectional structure schematic diagram of the body lumen wall sheath in Fig. 3.
Detailed description of the invention
Seeing Fig. 1 to Fig. 5, a kind of body cavity drainage tube suit that the present embodiment provides, it includes that air bag protheca 1, trocar sheath 2, airbag inflation pipe 3, diluted liquid tube 4, air pressure adjustment pipe 5 and body lumen wall sheath 6, the front end of described trocar sheath 2 are evenly distributed with some conduction holes 21.The length of those conduction holes 21 distribution constitutes about the 1/3 of trocar sheath 2 total length.Those conduction holes 21 can allow body cavity sepage or slough can enter in trocar sheath 2.Trocar sheath 2 needs possess certain intensity to such an extent as to not by tissue is crowded flat and human body skin opening squeezes flat in body cavity;Trocar sheath 2 needs again the most soft and smooth simultaneously, to alleviate its damage for body cavity inner tissue organ.
Described air bag protheca 1 is set in the front end of described trocar sheath 2, and is provided with the perforate 11 corresponding with described conduction hole 21, and the position of conduction hole 21 is corresponding with perforate 11 position on air bag protheca 1, it is achieved drainage function.Described airbag inflation pipe 3 inserts in described trocar sheath 2, and is connected with described air bag protheca 1.The plastic material that the relatively conventional medical drainage tube of trocar sheath 2 uses hardness relatively low is made, its purpose is after the design having had air bag protheca 1 and body lumen wall sheath 6, the hardness of trocar sheath 2 can reduce the tissue for non-cell parts and the damage risk of organ, it is also possible to facilitates the bending of trocar sheath 2.Use air bag protheca 1 to wrap up in the front end of trocar sheath 2, make organ or tissue and the contacting of trocar sheath 2, the face contact of air bag it is transformed into by original pressure point contact, greatly reduce the possibility of the damage in-vivo tissue organ that drainage tube Preserving time causes, significantly reduce the incidence rate of the clinical common complications such as massive hemorrhage in digestive tract fistula, splanchnocoel.
Also there is the protection of air bag protheca 1 in the surrounding of conduction hole 21 simultaneously, makes the tissue of human body and trachea be little to touch relatively hard trocar sheath 2 after body cavity drainage tube suit enters;Air bag protheca 1 is fixed with trocar sheath 2 position;Air bag protheca 1 has certain telescopic resilience;Air bag protheca 1 stretches out the outside of trocar sheath 2 by airbag inflation pipe 3 and is adjusted for the air pressure of air bag.
Described diluted liquid tube 4 inserts in described trocar sheath 2, and head slightly stretches out from the front end of this trocar sheath 2, and on described air bag protheca 1, it is provided with the opening 12 allowing the head of this diluted liquid tube 4 expose, diluted liquid tube 4 is from the front end of trocar sheath 2 the most out, its purposes is to provide the passage of injection diluent in drainage process, increases drain sepage and the drainage effect of slough.
Described air pressure adjustment pipe 5 inserts in described trocar sheath 2, until extending to the front portion of this trocar sheath 2.Air pressure adjustment pipe 5 terminates at the internal front section of trocar sheath 2, and its purposes is to provide a less air duct contacted with ambient atmosphere, it is to avoid owing to the negative pressure in drainage process constantly attracts, cause negative pressure in body cavity excessive caused by all side effect.
Described body lumen wall sheath 6 is arranged on the afterbody of described trocar sheath 2.Described body lumen wall sheath 6 includes that a skin is fixed sheath 61 and and is arranged on the body 62 that this skin is fixed on sheath 61, this body 62 is provided with the movable trepanning 63 suitable with described trocar sheath 2, described skin fix sheath 61 be provided with multiple in the center of circle symmetrically arranged fixing hole 64.Trocar sheath 2 is not directly contacted with skin, and fixed sheath 61 and contact skin by the skin that thin-walled, hardness are of a relatively high, and keep the fixing of relative position, sheath 61 and the design of trocar sheath 2 separation is fixed by this skin, the when of can be implemented in rotation internal trocar sheath 2, skin incision part is affected hardly.Body lumen wall sheath 6 preferably employs the material different from trocar sheath 2 and makes, and the material i.e. using hardness higher is made.In drainage process, more preferable drainage effect can be obtained by independent rotating jacket pipe 2, and when rotating, trocar sheath 2 rotates in movable trepanning 63, it is fixing that skin fixes sheath 61 opposite bank cavity wall, need not friction piece cavity wall just rotatable, alleviate the misery of sufferer greatly, improve the toleration to drain of sufferer.
The lateral tail face of described trocar sheath 2 is provided with the scale recess 22 for showing its insertion depth, and is provided with the snap ring 65 suitable with this scale recess 22 in described movable trepanning 63, is interference fit between this snap ring 65 and described trocar sheath 2.Afterbody at trocar sheath 2 is provided with rule, can with body lumen wall sheath 6 with the use of, facilitate medical worker observe trocar sheath 2 depth location change, it is ensured that the safety of use.
Being provided with snap ring 65 in movable trepanning 63, snap ring 65 is interference fit relation with the lateral wall of trocar sheath 2, and snap ring 65 is loose fit relation with the position of the scale recess 22 of trocar sheath 2, and trocar sheath 2 can go deep into easily, and cannot the most out;The degree of depth of body cavity drainage tube suit can be observed easily by the relative position between this movable trepanning 63 and scale recess 22, is very easy to judge whether body cavity drainage tube suit change in location occurs after fixing indwelling in conjunction with clinography simultaneously;Fixing on sheath 61 at skin, have some fixing holes 64, after the position of body lumen wall sheath 6 fixes, the mode fixed body cavity wall using suture is high and steep.
In the present embodiment, the appearance profile of described conduction hole 21 is preferably circular, a diameter of the 3 of this conduction hole 21~8mm.In other embodiments, the appearance profile of described conduction hole 21 can be one or more combinations in circular, square, prismatic or strip.
In the present embodiment, the diameter of described trocar sheath 2 is preferably 5~20mm, and length is preferably 150~400mm.
Described air bag protheca 1 is single layer structure, and its marginal position is bonded in the lateral wall of described trocar sheath 2 so that it is medial wall and the lateral wall of this trocar sheath 2 between formed one closing air cavity, described airbag inflation pipe 3 is connected with this air cavity.
The front end face of described air bag protheca 1 is provided with spherical surface hill 13, and described opening 12 is positioned at the side of this spherical surface hill 13.Opening 12 is not arranged in center, is prevented effectively from the blocked phenomenon of opening 12, convenient use and lifting operation effectiveness.
In the present embodiment, body cavity drainage tube suit also includes that a pull rope 7, pull rope 7 one end stretch in described trocar sheath 2, and is connected with the leading inside wall of this trocar sheath 2.During use, can change the angle of drainage tube to a certain extent by straining or unclamping pull rope 7, increase drainage effect.
In the present embodiment, body cavity drainage tube suit also includes negative-pressure drainage tube 8, this negative-pressure drainage tube 8 inserts in described trocar sheath 2, until extending to the front portion of this trocar sheath 2, the caliber of this negative-pressure drainage tube 8 is more than the caliber of diluted liquid tube 4, and this diluted liquid tube 4 is consistent with the pipe diameter size of described air pressure adjustment pipe 5.
During use, owing to being provided with air bag protheca 1, original pressure point contact can be transformed into the face contact of air bag, greatly reduce the possibility of the damage in-vivo tissue organ that drainage tube Preserving time causes, significantly reduce the incidence rate of the clinical common complications such as massive hemorrhage in digestive tract fistula, splanchnocoel;In drainage process, owing to being provided with body lumen wall sheath 6, more preferable drainage effect can be obtained by independent rotating jacket pipe 2, need not friction piece cavity wall when rotating simultaneously, alleviate the misery of sufferer greatly, improve the toleration to drain of sufferer, damage little, be effectively increased safety and the effectiveness of surgical drainage.
The announcement of book and teaching according to the above description, above-mentioned embodiment can also be changed and revise by those skilled in the art in the invention.Therefore, the invention is not limited in detailed description of the invention disclosed and described above, should also be as some modifications and changes of the present invention falling in the scope of the claims of the present invention.Although additionally, employ some specific terms in this specification, but these terms are merely for convenience of description, the present invention is not constituted any restriction.As described in the above embodiment the present invention, same or similar component is used and other drainage system of obtaining, all in scope.

Claims (9)

  1. null1. a body cavity drainage tube suit,It is characterized in that: it includes air bag protheca、Trocar sheath、Airbag inflation pipe、Diluted liquid tube、Air pressure adjustment pipe and body lumen wall sheath,The front end of described trocar sheath is evenly distributed with some conduction holes,The length of those conduction holes distribution constitutes about the 1/3 of trocar sheath total length,Described air bag protheca is set in the front end of described trocar sheath,And it is provided with the perforate corresponding with described conduction hole,Described airbag inflation pipe inserts in described trocar sheath,And be connected with described air bag protheca,Described diluted liquid tube inserts in described trocar sheath,And head slightly stretches out from the front end of this trocar sheath,And it is provided with, on described air bag protheca, the opening allowing the head of this diluted liquid tube expose,Described air pressure adjustment pipe inserts in described trocar sheath,Until extending to the front portion of this trocar sheath,Described body lumen wall sheath is arranged on the afterbody of described trocar sheath;Described air bag protheca is single layer structure, and its marginal position is bonded in the lateral wall of described trocar sheath so that it is medial wall and the lateral wall of this trocar sheath between formed one closing air cavity, described airbag inflation pipe is connected with this air cavity.
  2. Body cavity drainage tube suit the most according to claim 1, it is characterised in that the appearance profile of described conduction hole is one or more combinations in circular, square, prismatic or strip.
  3. Body cavity drainage tube suit the most according to claim 1, it is characterised in that the appearance profile of described conduction hole is circular, a diameter of the 3 of this conduction hole~8mm.
  4. Body cavity drainage tube suit the most according to claim 1, it is characterised in that a diameter of the 5 of described trocar sheath~20mm, a length of 150~400mm.
  5. Body cavity drainage tube suit the most according to claim 1, it is characterised in that the front end face of described air bag protheca is provided with spherical surface hill, described opening is positioned at the side of this spherical surface hill.
  6. Body cavity drainage tube suit the most according to claim 1, it is characterized in that, described body lumen wall sheath includes that a skin is fixed sheath and and is arranged on the body that this skin is fixed on sheath, this body is provided with the movable trepanning suitable with described trocar sheath, described skin fix sheath be provided with multiple in the center of circle symmetrically arranged fixing hole.
  7. Body cavity drainage tube suit the most according to claim 6, it is characterized in that, the lateral tail face of described trocar sheath is provided with the scale recess for showing its insertion depth, and it is provided with the snap ring suitable with this scale recess in described movable trepanning, it is interference fit between this snap ring and described trocar sheath.
  8. Body cavity drainage tube suit the most according to claim 1, it is characterised in that it also includes that a pull rope, pull rope one end stretch in described trocar sheath, and is connected with the leading inside wall of this trocar sheath.
  9. Body cavity drainage tube suit the most according to claim 1, it is characterized in that, it also includes negative-pressure drainage tube, this negative-pressure drainage tube inserts in described trocar sheath, until extending to the front portion of this trocar sheath, the caliber of this negative-pressure drainage tube is more than the caliber of diluted liquid tube, and this diluted liquid tube is consistent with the pipe diameter size of described air pressure adjustment pipe.
CN201310207294.0A 2013-05-30 2013-05-30 Body cavity drainage tube suit Expired - Fee Related CN103272321B (en)

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Application Number Priority Date Filing Date Title
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CN103272321B true CN103272321B (en) 2016-08-31

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Families Citing this family (7)

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CN107158550A (en) * 2017-07-04 2017-09-15 湖南凯利医疗科技有限公司 Full balloon drainage-tube
CN107823777A (en) * 2017-09-12 2018-03-23 金华市中心医院 Drainage tube fixation kit and its after surgery drainage in application and application method
CN107670160B (en) * 2017-09-28 2023-06-16 杭州市第一人民医院 Drainage tube for preventing surrounding tissues from being damaged during pulling
CN109498097A (en) * 2018-12-26 2019-03-22 中南大学湘雅三医院 Rectum anal tube hemostasis drainage kit
CN109646727A (en) * 2019-01-11 2019-04-19 宜昌市第人民医院(三峡大学人民医院) Anti-reflux hollow decompression type surgical drainage tube
CN112169038A (en) * 2020-10-26 2021-01-05 王卡 Sectional type drainage device
CN113750353B (en) * 2021-10-22 2022-11-25 中国人民解放军空军军医大学 Novel pancreas indwelling drainage tube

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CN201658735U (en) * 2010-04-27 2010-12-01 南京明基医院有限公司 Local expanding gasbag catheter
CN202386750U (en) * 2011-12-20 2012-08-22 杨发英 Disposable guiding type suprapubic bladder puncture fistulization needle
CN202478249U (en) * 2012-03-08 2012-10-10 张奇 Thoracic cavity closed type drainage kit
CN203303395U (en) * 2013-05-30 2013-11-27 中南大学湘雅三医院 Body cavity drainage tube kit

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US10130789B2 (en) * 2011-06-30 2018-11-20 Covidien Lp Distal access aspiration guide catheter

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Publication number Priority date Publication date Assignee Title
CN201658735U (en) * 2010-04-27 2010-12-01 南京明基医院有限公司 Local expanding gasbag catheter
CN202386750U (en) * 2011-12-20 2012-08-22 杨发英 Disposable guiding type suprapubic bladder puncture fistulization needle
CN202478249U (en) * 2012-03-08 2012-10-10 张奇 Thoracic cavity closed type drainage kit
CN203303395U (en) * 2013-05-30 2013-11-27 中南大学湘雅三医院 Body cavity drainage tube kit

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