CN106510857A - Three-sac digestive tract air tightness detector - Google Patents
Three-sac digestive tract air tightness detector Download PDFInfo
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- CN106510857A CN106510857A CN201611188909.XA CN201611188909A CN106510857A CN 106510857 A CN106510857 A CN 106510857A CN 201611188909 A CN201611188909 A CN 201611188909A CN 106510857 A CN106510857 A CN 106510857A
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- 210000001035 gastrointestinal tract Anatomy 0.000 title claims abstract description 92
- 238000001514 detection method Methods 0.000 claims abstract description 70
- 230000007246 mechanism Effects 0.000 claims abstract description 19
- 230000000903 blocking effect Effects 0.000 claims abstract description 18
- 238000005273 aeration Methods 0.000 claims description 20
- 239000002775 capsule Substances 0.000 claims description 20
- 230000001427 coherent effect Effects 0.000 claims description 16
- 239000000523 sample Substances 0.000 claims description 13
- 238000007789 sealing Methods 0.000 claims description 10
- 230000003872 anastomosis Effects 0.000 abstract description 9
- 210000004712 air sac Anatomy 0.000 abstract 16
- 230000000740 bleeding effect Effects 0.000 description 17
- 230000000694 effects Effects 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 4
- 238000007689 inspection Methods 0.000 description 4
- 230000000968 intestinal effect Effects 0.000 description 4
- 230000007812 deficiency Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000008081 Intestinal Fistula Diseases 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000004378 air conditioning Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 208000002925 dental caries Diseases 0.000 description 2
- 230000029087 digestion Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 235000001674 Agaricus brunnescens Nutrition 0.000 description 1
- 201000000736 Amenorrhea Diseases 0.000 description 1
- 206010001928 Amenorrhoea Diseases 0.000 description 1
- 208000017897 Carcinoma of esophagus Diseases 0.000 description 1
- 206010011732 Cyst Diseases 0.000 description 1
- 108010080379 Fibrin Tissue Adhesive Proteins 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- 206010030155 Oesophageal carcinoma Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 206010048038 Wound infection Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 231100000540 amenorrhea Toxicity 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 208000031513 cyst Diseases 0.000 description 1
- 230000009429 distress Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 201000005619 esophageal carcinoma Diseases 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 206010016766 flatulence Diseases 0.000 description 1
- 210000003405 ileum Anatomy 0.000 description 1
- 238000007654 immersion Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 238000005067 remediation Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention relates to a three-sac digestive tract air tightness detector which comprises a one-way valve detection pipe with a first blocking air sac and an inflation port, a second blocking air sac and a third blocking air sac, wherein the first blocking air sac, the second blocking air sac and the third blocking air sac are connected with an air sac inflation mechanism; the one-way detection pipe and the first blocking air sac are put in a closed-port free end digestive tract, and the second blocking air sac and the third blocking air sac are put in digestive tract communication cavities on the two sides of an anastomotic stoma; and the first blocking air sac, the second blocking air sac and the third blocking air sac are inflated by the air sac inflation mechanism and kept in a full state, and then the second blocking air sac and the third blocking air sac are positioned in the digestive tract communication cavities on the two sides of the anastomotic stoma. The detector provided by the invention can effectively realize air tightness detection of the digestive tract anastomosis, and observes and handles the inside of the anastomotic stoma, thereby improving the convenience of detection operation and the anastomosis reliability of the anastomotic stoma.
Description
Technical field
The present invention relates to a kind of detection pipe, especially a kind of three capsules digestive tract seal detector, belongs to medical apparatus and instruments
Technical field.
Background technology
After existing esophaguses or intestinal surgery, special leak detection inspection is usually not carried out to wound suture quality, only with doctor
Raw clinical experience is controlled, and the young doctor less for a few thing experience then has greater risk, meanwhile, even if having
The doctor of abundant clinical experience also has carelessness unavoidably, usually wound infection, healing can be caused slow because of suture quality difference, or even nothing
Method healing needs the situation of re-operation, brings considerable distress, or even life danger to patient.
At present, the file of Publication No. CN104720757A discloses the leakage detection apparatus for alimentary tract anastomosis mouth, its energy
It is enough to realize checking suture quality；But position when there is inserting operation；According to disclosed technical scheme
Sealing can only be detected by inserting exhaust system test in water, when there is sealing deficiency gas leakage situation, can only be from outside anastomotic stoma
Strengthen suture, it is impossible to anastomotic stoma inner surface is observed and is processed.
Meanwhile, in technical scheme disclosed in Publication No. CN104720757A file, there is following deficiency：During alimentary tract anastomosis
Connection anastomotic stoma has three sections of inner chambers, the respectively coherent inner chamber of the digestive tract of anastomotic stoma both sides and the closure mouth for inserting anastomat
Free-end digestive tract inner chamber.Anastomosis procedure inserts anastomat by closing mouth free-end digestive tract inner chamber, from closure mouth free-end
Digestive tract intracavity sidewall passes identical thimble, coordinates with anastomat mushroom head and is coincide.It is only capable of to anastomotic stoma two in use
The coherent digestive tract inner chamber closure of side, cannot block to closing mouth free-end digestive tract inner chamber, it is impossible to formed with practicality
The anastomotic stoma detection space of value, has a strong impact on using effect.
Clinic can be implemented block and detect anastomotic stoma to three open digestive tract cavitys of anastomotic stoma after needing a kind of coincideing
The detector of seal, while needs can be inserted photographic head by digestive tract inner chamber and the digestive tract chamber interior surface of anastomotic stoma is entered
Row observation, when digestive tract intracavity layer mucosa has tear carry out spray biological fibrin glue process when occurring, or from enteric cavity inwall pair
Anastomotic stoma carries out strengthening the solution of suture.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art, there is provided a kind of three capsules digestive tract seal detection
Device, its compact conformation effectively can be realized carrying out alimentary tract anastomosis seal detection, improve the convenience of detection operation, safety
It is reliable.
According to the technical scheme that the present invention is provided, the three capsules digestive tract seal detector, including for inserting closure
Check valve detection pipes in mouth free-end digestive tract, the second closure gas for inserting the coherent intracavity of the digestive tract of anastomotic stoma both sides
Capsule and the 3rd closure air bag.The check valve detection pipe surface is provided for blocking the first closure gas of free-end digestive tract inner chamber
Capsule.First closure air bag, the second closure air bag and the 3rd closure air bag are connected with airbag aeration mechanism.
The first closure air bag is inserted in closure mouth free-end digestive tract, and the second closure air bag and the 3rd closure air bag are put
Enter the coherent intracavity of digestive tract of anastomotic stoma both sides, by airbag aeration mechanism to the first closure air bag, the second closure air bag and the
After three closure airbag aerations, the first closure air bag, the second closure air bag and the 3rd closure air bag block closure mouth free-end respectively
Digestive tract inner chamber and the coherent gastral both sides inner chamber of anastomotic stoma both sides, the first closure air bag, the second closure air bag and the 3rd
Closure air bag can form closing detection cavity between stoma site and digestive tract tube wall.
In check valve detection tube side wall, inflation inlet is set, can be to closing detection cavity insufflation gas by inflation inlet.
Check valve is provided with the end main chamber entrance of the check valve detection pipes, the check valve can prevent closing detection empty
The gas Jing check valve detection pipes main chambers entrance of intracavity overflows.Meanwhile, the medical video probe can insert list by check valve
Anastomotic stoma inner surface is observed to valve detection pipes intracavity, the check valve can keep closing the sealing of detection cavity.
The airbag aeration mechanism include for first closure air bag be inflated the first airbag inflation pipe, for right
The second airbag inflation pipe and the 3rd air bag for being inflated to the 3rd closure air bag that second airbag inflation pipe is inflated
Gas tube.First airbag inflation pipe, the second airbag inflation pipe and the 3rd airbag inflation pipe can be independently arranged or share.
The airbag aeration mechanism is that the first airbag inflation pipe, the second airbag inflation pipe and the 3rd airbag inflation pipe are equipped with
Safe pressure air bleeding valve valve, safe pressure air bleeding valve can be independently arranged or share.The inflation inlet arranges safe pressure air bleeding valve
Valve.When charge air conditioning pressure value exceedes safe pressure air bleeding valve setting value, gas can Jing safe pressures air bleeding valve spilling.
The first closure air bag, the second closure air bag and the 3rd block air bag not on the same line, triangular in shape point
Cloth.
The end of the digestive tract intracavity that the second closure air bag and the 3rd closure air bag insert anastomotic stoma both sides is provided with soft
The guide head of matter.
The second closure air bag and the 3rd closure balloon sites are respectively arranged to the positioned light source for positioning, positioned light source
With the belt switch power electric connection for being arranged on check valve detection pipes tail end.
Advantages of the present invention：The invention positioned light source can be inserted in digestive tract to the second closure air bag and the 3rd closure air bag
Position positioned；The first closure air bag, the second closure air bag and the 3rd closure air bag is provided with, can be to anastomotic stoma connection
Three cavitys are implemented closure and form effectively detection space, can effectively implement the detection of anastomotic stoma seal；Detected using check valve
The check valve that pipe main chamber is arranged can be inserted video heads and the anastomotic stoma state of digestive tract inner chamber is shown or processed；So as to have
Effect is realized carrying out alimentary tract anastomosis seal detection, and anastomotic stoma inwall can be observed or be processed, compact conformation, safety
It is reliable.
Description of the drawings
Fig. 1 is the structural representation of the present invention.
Fig. 2 is that the another kind of of the present invention implements schematic diagram.
Fig. 3 is the schematic diagram of the use state of Fig. 1 of the present invention.
Fig. 4 is the schematic diagram of the use state of Fig. 2 of the present invention.
Fig. 5 is the schematic diagram that the present invention arranges positioned light source.
Description of reference numerals：0- check valve detection pipes, the closure air bags of 1- first, the first airbag inflation pipes of 11-, the second envelopes of 2-
Gas shutoff capsule, the second airbag inflation pipes of 21-, the closure air bags of 3- the 3rd, the 3rd airbag inflation pipes of 31-, 4- airbag aerations mechanism, 5- fill
QI KOU, 6- check valves, 7- guide heads, 8- positioned light sources, 9- belt switch power supplys.
Specific embodiment
With reference to concrete drawings and Examples, the invention will be further described.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 5：In order to be able to effectively realization carries out seal detection to alimentary tract anastomosis,
The convenience of detection operation is improved, the present invention is included for inserting the check valve detection pipes 0 closed in mouth free-end digestive tract, using
In the second closure air bag 2 and the 3rd closure air bag 3 of the coherent intracavity of digestive tract for inserting anastomotic stoma both sides.The check valve detection
0 surface of pipe is provided for blocking the first closure air bag 1 of free-end digestive tract inner chamber.The first closure air bag 1, second is blocked
Air bag 2 and the 3rd closure air bag 3 are connected with airbag aeration mechanism 4.The first closure air bag 1 inserts the free-end digestion of closure mouth
In road, the second closure air bag 2 and the 3rd blocks the coherent intracavity of digestive tract that air bag 3 inserts anastomotic stoma both sides, by airbag aeration
After the 4 pairs first closure closure of air bag 1, second air bags 2 of mechanism and the 3rd closure air bag 3 are inflated, the first closure air bag 1, the second envelope
Gas shutoff capsule 2 and the 3rd closure air bag 3 block the coherent digestive tract of closure mouth free-end digestive tract inner chamber and anastomotic stoma both sides respectively
Both sides inner chamber, the first closure air bag 1, second closure air bag 2 and the 3rd closure air bag 3 are in stoma site and digestive tract tube wall
Between can be formed closing detection cavity.In 0 side wall of the check valve detection pipes, inflation inlet 5 is set, can be to closing inspection by inflation inlet 5
Survey cavity insufflation gas.
When being embodied as, as shown in Figure 3 and Figure 4, after alimentary tract anastomosis terminate, by closing in mouth free-end digestive tract
Chamber is respectively implanted the described second closure air bag 2 and the 3rd closure air bag 3 the coherent gastral both sides inner chamber of anastomotic stoma both sides；
In figure 3, the 3rd closure air bag 3 is placed in the coherent digestive tract inner chamber of anastomotic stoma side by anastomotic stoma inner chamber；In Fig. 4,
Second closure air bag 2 is placed in the coherent digestive tract inner chamber of anastomotic stoma side by anastomotic stoma inner chamber.
After the second closure air bag 2 and the 3rd closure air bag 3 reach precalculated position, 0 front end of check valve detection pipes is inserted
To in closure mouth free-end digestive tract, while first closure air bag 1 of section surface is also inserted before making to be arranged on check valve detection pipes 0
To in closure mouth free-end digestive tract.Now, anastomotic stoma is coherent between the second closure air bag 2 and the 3rd closure air bag 3
Between digestive tract, the first closure air bag 1 is located remotely from the closure mouth free-end digestive tract of anastomotic stoma.
Air bag 2 is blocked by 4 pairs first closure air bags 1, second of airbag aeration mechanism and the 3rd closure air bag 3 is inflated, made
The second closure closure of air bag the 2, the 3rd air bag 3 and the first closure 1 flatulence of air bag, the digestive tract for blocking anastomotic stoma both sides respectively link up
Tract and closure mouth free-end digestive tract inner chamber, the digestive tract in anastomotic stoma both sides link up tract and close mouth free-end digestive tract
Closed anastomotic stoma closing detection cavity is formed between inner chamber.
Proper amount of gas is filled with to anastomotic stoma closing detection cavity by inflation inlet 5, and the anastomotic stoma of proper amount of gas will be filled with
In the closing detection cavity digestive tract immersion physiological saline solution at position, closing detection cavity digestion pipeline outer wall is pressed lightly on.If
Anastomotic stoma has a flaw, and anastomotic stoma at Jing flaws is overflowed by the gas in closing detection cavity digestive tract, so as to by surgical doctor and
Shi Faxian, and then flaw stoma site suture is strengthened, and detect again, until anastomotic stoma there is no longer gas overflowing.Now,
The preliminary sealing propertytest of anastomotic stoma is basically completed.
But anastomotic stoma no longer gas leakage does not represent anastomotic stoma and is entirely satisfactory, it is also possible to disappear inside adjoint potential anastomotic stoma
Change the tear of road inner wall section, bleeding, it could even be possible to adjoint anastomotic stoma inner chamber is narrow and small.In order to further enhance the inspection to anastomotic stoma
Effect being surveyed, check valve 6 being provided with the end main chamber entrance of the check valve detection pipes 0, the check valve 6 can prevent closing detection
0 main chamber entrance of gas Jing check valves detection pipes in cavity overflows.Meanwhile, the medical video probe can be put by check valve 6
When entering 0 intracavity of check valve detection pipes anastomotic stoma inner surface being observed, the check valve 6 can keep closing the sealing of detection cavity
Property.
So, when anastomotic stoma carries out gas leakage to be detected, the check valve 6 of the end main chamber entrance setting of check valve detection pipes 0
Can guarantee that stoma site closing detection cavity digestive tract in gas will not Jing check valves detection pipes 0 end main chamber entrance
Overflow, can ensure that the smooth enforcement of anastomotic stoma gas leakage detection.After anastomotic stoma gas leakage detection is finished, medical video probe can pass through
When check valve 6 is inserted 0 intracavity of check valve detection pipes anastomotic stoma inner surface is observed, check valve 6 can keep closing detection cavity
Sealing, can keep anastomotic stoma detection closed cavity gas do not leak, so as to ensure that video probe detect when operation
And observation space, it is to avoid digestive tract inwall is fitted in video probe surface and hinders Video Detection.Surgical doctor can be by closure mouth trip
Medical video probe association is inserted from end digestive tract inner chamber, the complete situation of anastomotic stoma is observed in detail, to anastomotic stoma inwall digestive tract shape
Condition has and understands completely.When anastomotic stoma inwall has the situation such as tear, bleeding, narrow, surgical doctor can be opened in closure mouth free-end
Discovery promptly and accurately making before mouthful closure is processed accordingly.Intestinal fistula, anastomotic stricture occur after surgery so as to be avoided
Deng the situation that severe complication cannot be wound up.
The check valve 6 includes various elastic one-way films, the bowl-shape one-way membrane that preferably taper is caved in, and taper is caved in bowl bottom
Portion arranges one-way membrane perforate, if along perforate setting desiccation crack.When video probe is inserted in Jing perforates, crack is opened, video probe energy
Smoothly insert.During operation, detection intracavity gas are malleation, and elastic one-way film deforms under gas pressure, the elasticity of flaw sites
Film valve is close to video probe outer wall, makes check valve 6 and the outer wall energy of video probe keep corresponding air-tightness.So as to realize Jing
Check valve 6 can insert video probe, meanwhile, detection intracavity gas gas will not overflow, and can smoothly implement anastomotic stoma inspection under video
The effect of survey.And the end main chamber entrance of check valve 6 and check valve detection pipes 0 when abnormal conditions occurs in anastomotic stoma, can be passed through
Remediation is carried out in the assistance of video probe, is made the digestive tract of anastomotic stoma ectonexine reach optimum efficiency, Post operation is disappeared
The probability for changing road fistula is preferably minimized.
Further, the airbag aeration mechanism 4 is included for filling to the first air bag that the first closure air bag 1 is inflated
Trachea 11, for the second airbag inflation pipe 21 for being inflated to the second airbag inflation pipe 2 and for entering to the 3rd closure air bag 3
3rd airbag inflation pipe 31 of row inflation.First airbag inflation pipe 11, the second airbag inflation pipe 21 and the 3rd airbag aeration
Pipe 31 can be independently arranged or share.
When the present invention is embodied as, partial inflation pipe and airbag aeration mechanism 4 share, i.e.,：Second airbag inflation pipe 21
The first airbag inflation pipe 11 is shared with the 3rd airbag inflation pipe 31；The first closure closure of air bag 1, second air bag 2 and the 3rd closure
Air bag 3 shares an airbag aeration mechanism 4.When the first closure closure of air bag 1, second air bag 2 and the 3rd closure air bag 3 are shared and filled
When trachea and airbag aeration mechanism 4, the coefficient of elasticity of each closure air bag cyst wall need to be maintained at the scope being very close to, it is to avoid right
There are some closure air bags to expand extremely substantially during three closure airbag aerations, some closure air bags expand and can not reach closure effect
Really, the situation even do not expanded occurs.
When the described first closure closure of air bag 1, second air bag 2 and the 3rd closure air bag 3 are respectively provided with independent gas tube：
First airbag inflation pipe 11, the second airbag inflation pipe 21 and the 3rd airbag inflation pipe 31.It is corresponding, can set in the end of gas tube
Put each independent charge valve.At this moment, the first closure closure of air bag 1, second air bag 2 and the 3rd closure air bag 3 are needed when inflating
Respectively with making corresponding gas tube and charge valve complete charge operation, operation is complex, but some can be avoided completely to block
Air bag expands extremely substantially, and some closure air bags expand and can not reach plugging effect, and the situation even do not expanded occurs.But individually
The advantage for arranging gas tube and charge valve is also fairly obvious, can be filled with right amount according to the digestive tract inner chamber size that closure air bag is located
Gas, under various conditions can real-time monitoring.Even in the linking of stomach Partial Resection, esophageal carcinoma radical cure, ileum and colon
Position coincide in also can use.
After anastomotic stoma is detected and process terminates, by closure air bag deflation of the invention each, amenorrhea heals up free-end digestive tract
Inner chamber takes out the present invention, remains closed mouthful a small amount of gas of free-end digestive tract inner chamber, enters to closing mouth free-end digestive tract opening
The process of row closure.After the completion of closure, closure mouth free-end digestive tract inner chamber a small amount of survival gas are squeezed and is discharged to closure oral area position, used
Digestive tract inner chamber near intestinal clamp folder closure mouth, closure mouth is immersed in the water, and to gas pressurized, detects closure mouth seal, if
Leak air reinforcement suture, you can completes gastral coincideing and closed procedure.Because closure mouth is the idle digestive tract that dissociates,
When no gas leakage occurs, the possibility which intestinal fistula occurs is extremely low, need not carry out closing the video surveillance of mouth.
Further, in order to ensure block air bag swell when digestive tract inwall safety, it is to avoid digestive tract inwall is pressurized
Damage, the first airbag inflation pipe 11, the second airbag inflation pipe 21 and the 3rd airbag inflation pipe 31 in the airbag aeration mechanism 4
Safe pressure air bleeding valve valve is equipped with, safe pressure air bleeding valve can be independently arranged or share.The inflation inlet 5 arranges safe pressure
Air bleeding valve valve, when charge air conditioning pressure value exceedes safe pressure air bleeding valve setting value, gas can Jing safe pressures air bleeding valve spilling.
The effect of the safe pressure air bleeding valve is：When the gas in closure air bag is filled with excessively, digestive tract inwall is in envelope
It is pressurized under the pressure of gas shutoff capsule, may digestive tract inwall be caused to damage；When intracapsular pressure is set more than safe pressure air bleeding valve
During the safe pressure numerical value put, Jing safe pressures air bleeding valve is overflowed by the gas in air bag, makes the gas pressure in closure air bag
Drop to safety range, can guarantee that the safety of digestive tract inwall.
Specifically, the pressure limit born by digestive tract inwall is different according to patient's concrete condition, safe pressure row
The safe pressure setting value of air valve is different, when being embodied as, the safe pressure numerical value of safe pressure air bleeding valve preferably it is low not
It is preferably high, guarantee to block digestive tract inner chamber to form the closing detection cavity on the basis of pressure value it is more low safer.
According to clinical data, the safe pressure numerical value of safe pressure air bleeding valve should be arranged within normal gut pressure limit.Specifically
Numerical value need to be compiled summary in clinical implementation and draw, and before data draw, need clinical operation physician in view clinical
Experience is implemented.
The first closure closure of air bag 1, second air bag 2 and the 3rd closure air bag 3 are not on the same line, triangular in shape
Distribution.When to anastomotic stoma sealing propertytest, three closure air bags centered on anastomotic stoma are blocked respectively and are dissociated in closure mouth
The coherent intracavity of the digestive tract of end digestive tract inner chamber and anastomotic stoma both sides, three closure air bags are not point-blank.Only three
It is individual to block air bag distribution triangular in shape, the ability convenient use when anastomotic stoma sealing propertytest is embodied as；If three closure air bags
When on straight line, the sealing propertytest of anastomotic stoma cannot be implemented on the contrary, or smoothly cannot be implemented.
The end of the digestive tract intracavity that the second closure air bag 2 and the 3rd closure air bag 3 insert anastomotic stoma both sides is provided with
The guide head 7 of soft quality.The setting meaning of the soft quality guide head 7 is：Second closure air bag 2 and the 3rd closure air bag 3 are put
When entering the digestive tract intracavity of anastomotic stoma both sides, soft quality guide head 7 has guiding function, is avoided that the second closure air bag 2 and the 3rd envelope
3 end quality of the gas shutoff capsule tube wall to digestive tract inner chamber really up to the mark causes damage.
Further, as shown in figure 5, putting to the second closure air bag 2 and the 3rd closure air bag 3 for the ease of surgical doctor
Enter the positioning of the digestive tract intracavity of anastomotic stoma both sides, the second closure air bag 2 and the 3rd 3 position of closure air bag are respectively provided with use
In the positioned light source 8 of positioning, positioned light source 8 is electrically connected with the belt switch power supply 9 for being arranged on 0 tail end of check valve detection pipes.
After belt switch power supply 9 is opened, the closure of the correspondence second air bag 2 and the 3rd blocks determining for 3 position of air bag setting
The position work of light source 8 is luminous, and light can be observed by surgical doctor through intestinal wall easily, so that surgical doctor easily can pass through
Light is carried out to the position of the second closure air bag 2 and the 3rd closure 3 place anastomotic stoma digested road inner chamber of air bag directly outside intestinal wall
Positioning.
In a word, the position that positioned light source of the present invention 8 can be inserted in digestive tract to the second closure air bag 2 and the 3rd closure air bag 3
Put and positioned；Air bag 2 is blocked by the first closure air bag 1, second and the 3rd closure air bag 3 can be formed
Between, can effectively implement the detection of anastomotic stoma seal；Video heads can be inserted using check valve 6 to show anastomotic stoma internal state
It is or processing structure is compact, safe and reliable.
Claims (7)
1. a kind of three capsules digestive tract seal detector, is characterized in that：Including for insert closure mouth free-end digestive tract in
Check valve detection pipes (0), the second closure air bag (2) for inserting the coherent intracavity of the digestive tract of anastomotic stoma both sides and the 3rd closure
Air bag (3)；Check valve detection pipes (0) surface is provided for blocking the first closure air bag (1) of free-end digestive tract inner chamber；
First closure air bag (1), the second closure air bag (2) and the 3rd closure air bag (3) are with airbag aeration mechanism (4) even
Connect；
First closure air bag (1) can be inserted in closure mouth free-end digestive tract, and the second closure air bag (2) and the 3rd blocks gas
Capsule (3) can insert the coherent intracavity of digestive tract of anastomotic stoma both sides, by airbag aeration mechanism (4) to the first closure air bag (1), the
After two closure air bag (2) and the 3rd closure air bag (3) inflation, the first closure air bag (1), the second closure air bag (2) and the 3rd envelope
Gas shutoff capsule (3) blocks the coherent gastral both sides inner chamber of closure mouth free-end digestive tract inner chamber and anastomotic stoma both sides respectively, the
One closure air bag (1), the second closure air bag (2) and the 3rd closure air bag (3) can shapes between stoma site and digestive tract tube wall
Into closing detection cavity；
In check valve detection pipes (0) side, wall arranges inflation inlet (5), closing detection cavity can be filled with by inflation inlet (5)
Gas.
2. three capsules digestive tract seal detector according to claim 1, is characterized in that：In the check valve detection pipes
(0) end main chamber entrance is provided with check valve (6), and check valve (6) can prevent the gas Jing closed in detection cavity unidirectional
Valve detection pipes (0) main chamber entrance overflows；Meanwhile, medical video probe can insert check valve detection pipes (0) chamber by check valve (6)
Interior that anastomotic stoma inner surface is observed, check valve (6) can keep closing the sealing of detection cavity.
3. three capsules digestive tract seal detector according to claim 1, is characterized in that：Airbag aeration mechanism (4)
Including the first airbag inflation pipe (11) for being inflated to the first closure air bag (1), for the second airbag inflation pipe (2)
The second airbag inflation pipe (21) being inflated and the 3rd airbag inflation pipe for being inflated to the 3rd closure air bag (3)
(31)。
4. three capsules digestive tract seal detector according to claim 3, is characterized in that：Airbag aeration mechanism (4)
The first airbag inflation pipe (11), the second airbag inflation pipe (21) and the 3rd airbag inflation pipe (31) be equipped with safe pressure aerofluxuss
Valve valve.
5. three capsules digestive tract seal detector according to claim 1, is characterized in that：First closure air bag (1),
Second closure air bag (2) and the 3rd closure air bag (3) distribution triangular in shape.
6. the three capsule digestive tract seal detectors according to claim 1 or 2 or 3 or 5, is characterized in that：Second envelope
The end of the digestive tract intracavity that anastomotic stoma both sides are inserted in gas shutoff capsule (2) and the 3rd closure air bag (3) is provided with the guide head of soft quality
(7)。
7. three capsules digestive tract seal detector according to claim 1, is characterized in that：Second closure air bag (2)
And the 3rd closure air bag (3) position be respectively arranged to position positioned light source (8), positioned light source (8) be arranged on check valve
Belt switch power supply (9) electrical connection of detection pipes (0) tail end.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201611188909.XA CN106510857B (en) | 2016-12-21 | 2016-12-21 | Three-bag digestive tract tightness detector |
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| CN201611188909.XA CN106510857B (en) | 2016-12-21 | 2016-12-21 | Three-bag digestive tract tightness detector |
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| CN106510857B CN106510857B (en) | 2024-03-12 |
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| CN106510857B (en) | 2024-03-12 |
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